Despite the counseling field adopting holistic health and developmental frameworks, sexual health is often absent or underrepresented in these discussions. Via content analysis, the authors examined publications in three counseling journals to assess the current state of the sexuality literature in the field. Almost half (46.6%) of publications are on the topic of sexual identity. There are notable gaps in the literature on topics related to anatomy/physiology, sexual functioning, and pleasure/sexual lifestyle. Implications for counselors and counselor training are discussed.