Sexual health is the state of physical, mental, and socio-cultural well-being with respect to all sexual experiences, which is regarded as one of the main indicators of human and sustainable development. This dimension of health, in contrast to others, requires a positive and respectful approach to sexuality issues, and having a safe and satisfied sexual relationship without any coercion, discrimination, and violence. This paper, aims at investigating mental and meaning construction process involved in sexual health among Tabriz City’ s married women. To this end, qualitative method and thematic analysis approach has been employed to analyze semi-structured in-depth interviews among 26 married women of age 20 to 45, following the rule of variation. Data, according to the existing standards, is analyzed by the use of a multi-phase inductive coding scheme to drive all common meanings with respect to sexual health. Results showed that mental meaning of sexual health among participants includes four axial codes, including; “ sexual informational relationship” , “ sexual emotional relationship” , “ mutual and balanced physical sexual health” , and “ sexual normative balance’ which all could be understood as an inclusive (selective) code of “ sexual health as a social problem” .