When it comes to sexual education, the United States hasn’t always led the charge in open discussions about sex and intimacy. Whether it’s abstinence programs in public schools or parents who are uncomfortable having “the talk,” young adults in the United States often turn to the media or peers for sex ed. Needless to say, the right information doesn’t always get out.

1. Erectile Dysfunction is more common than you think, especially among younger men.

Erectile dysfunction (ED) is the most common male sexual health problem in the United States. Even more surprisingly, roughly 1 out of 3 men who suffers from ED is under the age of 40. Some of the most common reasons why a man may suffer from ED are:

  • A past prostate surgery of some kind
  • Heavy alcohol use
  • Smoking
  • Medications
  • Stress or other emotional problems

2. Roughly a third of infertility cases are due to male infertility.

Infertility is often thought of as a “woman’s problem,” but more and more infertility specialists are noting male infertility as the reason for a couple’s inability to conceive. The most common causes of male infertility are low sperm count, physical abnormalities, testicular trauma, or a genetic abnormality.

3. STIs don’t always present with symptoms.

Certain STIs, like chlamydia, gonorrhea, and HPV show no symptoms. Even a disease like herpes, which notoriously causes sores, can live in someone for years before it begins to show physical symptoms. The only way to know if you have an STI is to get tested.

4. Men should visit the doctor regularly, too.

Between gynecological exams and breast cancer screenings, women are encouraged to visit their doctors regularly. While there may not be a male equivalent to these doctors, men should still schedule annual checkups.

5. The media has got sex wrong.

Sex isn’t always spontaneous or amazing. TV shows, music, and movies tend to portray sex as a mindblowing experience that happens after two people lock eyes. In reality, it’s normal for sex to be awkward, messy, or just not good. It’s also common and healthy to talk to your partner before having sex. In addition to asking what they like and what they don’t like, you should also ask if they’ve been tested for STIs recently or have ever had one.