We usually associate sexual dysfunction with men and women as they age. Most studies of sexual dysfunctions examine older adults,1,2 but studies rarely ask young people, “Does everything work as you think it should?” “Does it feel good when you have sex?” or “Is sex as good as you expected it to be?” This is the first study to examine sexual problems among young people. The data answer a lot of questions, including whether and to what extent young people experience problems in functioning. That alone is important, but this information also helps untangle the questions about whether our sex lives start out good but get progressively worse for some as they age. It also helps us to understand whether, for some, our sexual lives start out as problematic and just never get better.