Implications of no recent sexual activity, casual sex, or exclusive sex for college women's sexual well-being depend on sexual attitudes.

Objective: We examine how sexual activity relates to sexual well-being within the context of sexual attitudes, sexual agency, and sexual desire.

Participants/methods: We surveyed 471 college women in 2012-2014 who had ever had sex.

Results: Sexual agency and sexual desire consistently predicted well-being, regardless of recent sexual activity.