We investigated the sexual relationships of married Chinese men and wo
men living in Beijing and Shanghai. Within the framework of the Interp
ersonal Exchange Model of Sexual Satisfaction (IEMSS), we also examine
d factors related to sexual satisfaction. Completed questionnaires wer
e returned by 193 men and 231 women. In general, respondents reported
moderate level of sexual and relationship satisfaction. Overall, respo
ndents were neither erotophobic nor erotophilic and reported a frequen
cy of affectionate and sexual behavior between ''2 or 3 times a month'
' and ''once or twice a week'' and at least one sexual concern and/or
problem. Contrary to predictions based on the cultural message that se
xual pleasure is restricted to men, the women reported significantly g
reater sexual satisfaction than did the men, and men and women did not
differ in their reports of sexual rewards or relationship satisfactio
n Further, men described their sexual relationship as more costly than
did women. However, women reported more sexual concerns than did men
and were also more erotophobic. Men reported more sexual concerns for
their part ner than women did for their partner. Strong support was fo
und for the IEMSS, such that the more that rewards exceeded costs, rel
ative rewards exceeded relative costs, one's levels of rewards and cos
ts were perceived to be equal to one's partner's, and the greater the
relationship satisfaction, the greater the level of sexual satisfactio
n. Greater sexual satisfaction was also associated with a greater freq
uency of affectionate and sexual behavior, fewer sexual concerns and p
roblems, and greater relationship satisfaction. These results are disc
ussed in the context of the impact of official repression of many form
s of sexual expression in China in the past and the need for enhanceme
nt of the sexual I relationships of Chinese men and women.