Background: Although the rights to sexuality and intimacy are increasingly recognised, it is a widely held assumption that women with intellectual disabilities are unable to express their sexuality freely, partly due to a lack of research and information on the topic. Objective: To explore the perspectives of women with intellectual disabilities on affective-sexual relationships, identify their specific support needs, inform the development of inclusive educational and psychosocial interventions, and propose policy improvements to promote their rights. Method: Individual interviews were conducted and analysed thematically. Results: The results are divided into five areas: the LGBTQIA+ community; couple relationships; contraception and sex; abuse; and family and motherhood. Conclusion: The identified challenges related largely to external barriers. Their accounts allowed us to compile a list of the support they deem necessary, such as adapted sex education; further research based on their experiences; the creation of specific resources; and raising general awareness in society.