The present paper investigates the existing literature in order to identify potential components for the development of Sexual Health Programs (SHP) for Special Education (SE) students. Sexual Health Education programs (SHE programs) are considered a recognized and accepted practice in educational systems in Israel and around the world (Weisblay, 2010). The main purpose of SHE programs is to provide students with knowledge and the ability to defend themselves against sexual violence, sexually transmitted diseases and unwanted pregnancies, as well as to offer information and knowledge of healthy, responsible sexual behaviours (Brosch, 2007; Washington State Department of Health, 2011;Winges-Yanez, 2014). SHE programs may be of particular importance to people with disabilities and to special education students. The reasons of this importance are presented in the present paper. The research questions of the current systematic review are: (1) Are there SHPs in the area of SE? (2) Among the general SHPs, which factors are significant to SE students and pre-service teachers, in terms of addressing sexuality to persons with special needs? The results of the systematic review (14 studies met the specific inclusion criteria) are presented in the light of designing SHPs for SE pre-service teachers. The review shows that in special education frameworks there is a real need and importance in programs for the study of sexual health education, both in the context of knowledge acquisition, insight and the formulation of values, and in the context of preventing exploitation and dangerous or inappropriate behaviours.