Contemporary western societies are characterised by a new sexual permissiveness, within which sexualised culture has become normalised and mainstreamed. Situated in this new social landscape, and drawing on postfeminist and neoliberal discourses and dominant constructions of heterosexuality, this article critically examines the impact of these constructions on women’s sexual health in its broadest sense, encompassing physical, mental and social well-being. I argue that dominant discourses of heterosexuality are viewed through a postfeminist and neoliberal lens that both obscures the sexist nature of contemporary culture and transforms, repackages and feeds this sexism back to women as their own choice and as a representation of empowerment; and as such, contemporary constructions of women’s sexuality and bodies are deeply problematic, and pose serious risks to women’s sexual health. To address these issues, not only do we need to develop critical media literacy skills, but we also must open up spaces for collective action and push against the existing sexist culture to allow for alternative discourses and understandings to emerge.