Attachment theories have recently been applied to adult romantic relationships, and more specifically, sexuality within these relationships. However, few studies have examined the influence of attachment-related avoidance and anxiety on sexual communication, gender role ideology, sexual satisfaction or the relations between these constructs. Men (n = 106) and women (n = 349) undergraduate students and young adults from the community completed an online questionnaire measuring attachment style, sexual communication, gender role ideology, and sexual satisfaction. Multiple mediation and path analyses showed several interrelations between these variables among women. Additionally, gender role ideology and sexual communication together were found to totally mediate the relation between attachment-related anxiety and sexual satisfaction in women. Sexual communication partially mediated the relation between attachment-related avoidance and sexual satisfaction in women. Among men, the only significant finding was that attachment-related anxiety and avoidance were related to lower sexual communication. These results indicate that there is disparity in sexual communication, gender role ideology, and sexual satisfaction among individuals with differing attachment orientations and that these effects may be more prominent in women than men.