Teen pregnancy rates vary widely throughout North Carolina, corresponding with access to effective sex ed training, and spiking in rural southeastern counties. Reaching teens in their mode of information behavior and with content that they can relate to and trust presents a barrier to providing effective sex ed. We did extensive research and made recommendations for MyHealthEd, an organization adapting an existing curriculum to create a comprehensive online sex ed program for North Carolina teenagers, and rural high school populations in general. The adaptations will bridge the gap in content, language, and mode of access. The suggestions for content (gamification, interactive peer-peer scenarios, digital storytelling) offer the potential to transform sex education nation- and worldwide, as well as online learning overall.