ABSTRACT Back ground: A sense of enjoyment or satisfaction with one's sexual life is a highly personal sentiment greatly related to an individual's past sexual experiences, current expectations, and future aspirations. Sexual satisfaction has been shown to be related to the characteristics and behavior of the partner, emotions, and sexual behaviors as well as to social background factors. Study has found that there is a positive correlation between exercise and sexual satisfaction. Physical training exercise enhanced sexual encounters including frequency of intimate activities and increased percentages of pleasing orgasms. Objective: The main objective of this study was to determine the relationship between physical training exercise and sexual satisfaction among married adult gymnasium users in Addis Ababa of Ethiopia Method: A descriptive crosssectional study was conducted from November to February 30, 2012/13 to assess the relationship between physical training exercise and sexual satisfaction among married adult gymnasium users.  Six fitness centers were selected by purposive sampling technique then from the selected fitness centers married adults were selected by systematic sampling technique. Self administered questionnaire and anthropometric measurement were used to evaluate the relationship between physical training exercise and sexual satisfaction. The study was under go after the approval of Jimma Institutional Review Board (IRB) college of Natural science and received a support of letter. Results: Married adults participated in regular physical activity had an overall positive effect on sexual satisfaction during sexual activity (M = 4.42, SD= 0.391) than those did not participate in regular physical activity (M = 3.90, SD= 0.506) and married adults having normal weight had higher overall sexual satisfaction during sexual activity (M=4.56, SD=0.280) than obese (M=4.02, SD=0.352) and overweight participants (M=4.13, SD=0.482).  However, married adult men had slightly equal overall sexual satisfaction during sexual activity (M=4.29, SD=0.444) with married adult women (M=4.29, SD=0.435) Conclusion: Married adults having normal weight were significantly more sexually satisfying than overweight and obese married adults. And married adult women were decreased their overall sexual satisfaction during sexual activity than married adult men. Furthermore, married adults participated in regular physical activity were increased their overall effect of sexual satisfaction than those did not participate in regular physical activity. Since physical training exercise may increase the level of overall sexual satisfaction, health professionals and fitness instructor could use the results of this current study to motivate married individuals to begin regular physical exercise program.