Objective: AIM: The primary goal of this paper is to examine further the relationship between sexual communication and sexual satisfaction .This research contributes to the clinical sexology literature on this topic in three ways. First, it investigates the relationship between sexual communication and sexual satisfaction using qualitative analysis from several case studies. Second, it introduces a treatment tool, Sexual Sentence Stems (SSS), which can be utilized for working with couples and individuals to improve their sexual communication skills. Finally, it applies this tool with several diverse couples in sex therapy and evaluates its effectiveness.