A satisfying sexual relationship is critical for maintaining relationship satisfaction and longevity, yet is difficult to maintain over time. Indeed, many couples will inevitably face challenges due to conflicting sexual desires and declines in sexual satisfaction over time that threaten the satisfaction and stability of the relationship. However, some couples are more successful at navigating these sexual challenges to maintain satisfaction over time, suggesting that it is possible to maintain a satisfying sexual relationship despite these common obstacles that couples face. This article provides a review of literature that addresses how couples can maintain a satisfying sexual relationship over time. Specifically, this article will highlight how people’s motivations to engage in sex can influence their satisfaction, as well as how people can successfully navigate sexual challenges to maintain their satisfaction over time. Together, this research suggests that to maintain a satisfying sexual relationship, it is important to strike a balance between fulfilling a partner’s sexual needs, while also considering one’s own sexual needs.