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I voted top three. I'd put trust and communication ahead of sex, but a healthy sexual relationship is a necessary component.
The key there being that "healthy" doesn't need to mean that the couple is having a lot of sex, just that the amount of sex and the manner is such that it's able to fulfill the sexual needs of both partners, which could mean very little to none if both are in the category of having a low sex drive.
I also draw a distinction between a sexual relationship and a romantic relationship. Romance isn't entirely about sex. It's a component, sure, but there are other components to a relationship, even a physical relationship, that contribute. Cuddling with Grace is a big part of the physical relationship we share, along with frequent hugs, kissing, sleeping together, massages and foot rubs, dancing either in our living room or in a club, even just holding hands when out together. There are a hundred physical things we do that aren't sex, all of them important to some degree.
If Grace and I were to stop having sex tomorrow, I'd still consider our relationship to be the most important thing in my life, so long as the trust, the communication, the support, the other forms of physical affection were still there, and I'd still think of us as romantic partners and lovers. We still have sex three to four times a week on average, about the same as when we moved in together.
Gilda
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