Sexual health and wellness is an important topic in providing health literacy programs for young adults. Given the growing prominence of sexualized media (including sexually explicit media such as erotica and pornography) and its consumption by young adults, it is important to understand the impact of such media on their sexual health and wellness. Interviews with 20 young adults about their consumption of sexualized media were conducted to better understand how this consumption impacted their intimate relationships and self-esteem. We explored relevant literature, including health literacy, harm reduction, and feminist approaches to media. Lani El-Guebaly's professional role and experiences as a sexual health specialist also informed this study. Following analysis of the data, recommendations for effective pedagogical approaches are outlined. Bringing an asset-based, sex-positive approach is crucial, as is creating safe and inclusive spaces that use clear and confident communication. Adult educators must be well informed about sexualized media and relevant research and be aware of their own biases. We call for future research that expands and includes all representations, inclusive of diverse populations, so that we may better represent and engage young people in a manner that is fun and interactive, yet equally sensitive and effective.