Background: The quality and manner of Couples’ commounication in sexual matters is one of the most important and effective variables on couples\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\' sexual health and satisfaction.the aim of this study was to discover the factors affecting couples\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\' sexual communication from the perspective of couples’ therapists, couples and research. Methods: The present study was conducted qualitatively using the grounded Theory method. that has three statistical communities. In the research section, electronic resources, books, dissertations and valid journals were used. In interviewing all Iranian couple therapists and also interviewing all couples who referred to counseling centers in Mashhad, a purposeful sampling was used. Data using semi-structured interviews collected. In order to validate the data, after saturation of the interviews, it continued up to two people. Finally,13 couple therapists and 21 couples were interviewed. MAXQDA20 software was used for data analysis. Results: In the text analysis of interviews with couple therapists, in open coding 242 categories, in axial coding 14 categories, in interviews with couples, open coding 248 categories, in axial coding 14 categories, and in qualitative analysis of research, in open coding 201 categories, and in axial coding 13 categories were obtained. Finally, with the use of triangulation, the main three categories of couple, individual, and situation were identified. Conclusion: According to the gained results, couple therapists are advised to have a combination of multidimensional attitudes towards couples\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\' sexual communication and to pay attention to it in therapeutic and educational sessions.

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