(808) Pornography Use Among Men from Their Partners’ Perspective and the Association with Sexual Functions of Women at Reproductive Age Referring to a Comprehensive Health Service Centres in Iran

Introduction Sex is one of the most important aspects of married life, which is influenced by various factors, including pornography consumption. With increased access to such content, concerns have arisen regarding its impact on the quality of relationships and the sexual functions of couples. Objective The study aimed to investigate the prevalence of pornography use in men from their wives' perspective and its association with sexual function in women of reproductive age referring to comprehensive health services in Rafsanjan City, Iran at 2023. Methods This cross-sectional analytical study was conducted in 2023 on 363 married women aged 15-49 years referring to comprehensive health service centers in Rafsanjan City, Iran. Sampling was done through simple random sampling after checking the inclusion criteria. Data were collected using a demographic questionnaire and the Female Sexual Function Index (FSFI). Participants were examined regarding sexual function in two groups: those with and without a history of pornography use by their husbands. Data were analyzed using univariate analysis of covariance (ANCOVA) in SPSS software. Results The results showed that the mean sexual function score of women whose husbands had no history of pornography use (46.26 ± 5.42) was significantly higher (P=0.005) than that of women whose husbands had consumed such content (24.81 ± 6.33). In examining the dimensions of sexual function, only in the dimension of sexual arousal did the group whose husbands watched pornography score higher (3.79 ± 1.10 vs. 3.41 ± 1.29, P=0.004). However, in other dimensions, including lubrication, orgasm, and satisfaction, the group without a history of pornography use by their husbands had higher scores. In the dimensions of sexual desire and pain during intercourse, no significant difference was observed between the two groups. Among demographic variables, relationship quality with spouse (P<0.001, F=71.54), number of children (P=0.01, F=6.74), and type of occupation (P=0.003, F=3.01) were associated with the sexual function score. Conclusions Pornography use by men is associated with decreased sexual function in their wives, particularly in dimensions such as orgasm, satisfaction, and lubrication. However, its effects vary across different dimensions of sexual function. These results highlight the importance of raising couples' awareness about the consequences of pornography consumption on marital relationships. Disclosure No