Developing a positive and healthy sexuality is central to being human. Australia is the only country in the world with a funded male health policy, but its publication in 2010 has not filtered through to throw an obvious focus on any health issue, sexual or otherwise, for men with intellectual and developmental disability, who may make unconventional socio-sexual decisions. Their attempts at sexual expression can be read as inappropriate and therefore often result in adverse outcomes, sanctions, and strong responses that deny basic human rights. Strategies and interventions aimed at male health screening are either overlooked or are second-order issues for caregivers. The disability support system lacks the policies, knowledge, skills, and resources to support a healthy masculine sexuality. Missing from the conversation is a support framework to equip those who can be sexually autonomous, with the tools to support those who cannot. The proposed approach to research -- leveraging from the momentum created by a male health policy and emergent developments in masculinity theory to engage with the mainstream -- will shine an informed light on an issue that has been problematized, very often being resolved in a legal and/or medical context, and thus meeting the needs of everyone but the man himself.