College students must make sexual choices; more clearly define their sexual identity; and consistently consider sexual health in order to maintain a strong and positive holistic sense of self. College counselors should be able to provide accurate information on a wide variety of sexual issues as well as a safe environment for students to determine what is best. Educating students about everything from vocabulary to communicating with partners about topics such as sexual concerns and safe sexual practices are the areas in which clients will most likely need assistance. Lesbian, gay, bisexual, and transgender (LGBT) college students have additional factors, their sexual identity and orientation that can greatly influence their college experiences. It is vital that college counseling centers provide relevant, accessible information and materials, as well as helpful referrals, for specialized information regarding safe sex, contraception, and sexual health.