Background: Sexual health education for Iranian engaged couples is always ignored in the premarital education program.

Objectives: The aim of this study was to explore the necessity of sexual health education for Iranian engaged couples.

Materials and methods: This qualitative study was conducted in Rasht, Iran. The studied sample consisted of 38 engaged men and women; and also 9 health experts and policymakers. We used interview guides to collect data. The data was analyzed through content analysis method.

Results: Analyzing participants’ perspectives revealed six themes including: (1) socio-cultural changes, (2) emerging social pathologies, (3) inadequate sexual knowledge; (4) challenges in providing sexual health services, (5) individual consequences and (6) social consequences.

Conclusion: Most participants emphasized the necessity of sexual health education not only because of medical concerns, but also from the perspective of social issues. Providing these services should be considered a priority.