Background: Young sexual minority women have unique sexual health needs and disparate rates of risky sexual behaviors compared to heterosexual peers. Inequitable access to relevant sexual health information may contribute to this problem, but research on sexual health communication in young sexual minority women is sparse.

Methods: In-depth interviews investigated sexual health communication in a sample of 29 individuals assigned female at birth, aged 19–36, who identified as a sexual minority. About half identified as white and half as people of color. Data were analyzed thematically using inductive and deductive coding and a conceptually clustered matrix.

Results: Three broad themes pertained to sexual health information: 1) Sources; 2) Needs; and 3) Preferences. Participants discussed and critiqued healthcare providers, the Internet/mass media, schools, family, and peers/partners as Sources of sexual health information. Most used the Internet as their main source and had mixed experiences with healthcare providers. Participants described Needs for sexual health information that does not assume gender of sexual partners or types of sexual behaviors, and for information about preventing sexually transmitted infections in these different sexual situations. Participants indicated Preferences for healthcare providers, with sensitivity toward patients’ sexual behaviors, sexual orientations, and gender identities, as key sources of sexual health information. Participants also wished for sexual health information shared via the Internet/mass media.

Conclusions: Participants expressed clear needs for relevant, sensitive, and high-quality sexual health information. They wanted to continue using the Internet to access information but also called for tailored information from healthcare providers.