In 2010, ISIS, Inc. began a dialogue with stake-holders to better understand the environment and examine measures to ensure quality and standards around sexual and reproductive health education and digital media. The focus of this project was to understand how youth and young adults, especially urban youth of color, use technology for their sexual and reproductive health and to determine interest in new digital programming concepts to advance the field. This white paper provides an overview of the current youth sexual health and digital landscapes. It also provides insight into how youth and young adults, particularly youth of color, use technology to learn, communicate, and discuss sexual and reproductive health. It highlights specific needs and usage patterns of underserved populations, determines awareness and success of various digital services, ascertains interest in new digital programs, and provides recommendations and opportunities for the field of sexual and reproductive health.