Adolescence is a pivotal period for the development of romantic and sexual relationships. The present study aimed to document the correlates of sexual quality of life among adolescent. More precisely, this study explored the role of communication of sexual needs as a mediator in the association between romantic attachment and sexual quality of life. Ninety-six heterosexual couples aged between 15 and 21 were recruited. The results suggest that teenagers who report more attachment avoidance communicate less their sexual needs, which in turn is associated with lower sexual quality of life. These findings highlight the importance of targeting attachment insecurities and communication of sexual needs to optimize youths’ sexual quality of life.