Background & Aims: Sexual compatibility is one of the important elements in the formation of sexual function, and couples' perception of sexual compatibility predicts sexual satisfaction. The existence of balance in sexual compatibility between couples is considered an important factor in the continuation of married life. Due to the multidimensional nature of the concept of sexual compatibility, it seems that this type of compatibility is related to many factors, but this issue has received little attention from researchers. For this reason, the aim of the present study was to determine the factors related to the sexual compatibility of married women referring to selected health centers of Iran University of Medical Sciences in Tehran.
Method: The present study was cross-sectional in nature. Three hundred married women from comprehensive health centers affiliated with Iran University of Medical Sciences were included using a multi-stage sampling method. Participants were selected from 14 health centers within the network of Iran University of Medical Sciences. The data collection tools consisted of a demographic questionnaire and a sexual compatibility questionnaire for spouses. Data analysis was conducted using Stata software version 14, which facilitated descriptive statistics. Qualitative variables were summarized using frequency and percentage, while quantitative data were expressed as mean and standard deviation or median and interquartile range, as appropriate. Mann-Whitney, Kruskal-Wallis, and multivariate linear regression analyses were employed to interpret the data.
Results: The mean sexual compatibility score showed significant associations with the occupations of women and their spouses, particularly among those working night shifts [(B = -14.84, p = 0.04) CI: -2.61,-32.3] and [(B= 12.23, p = 0.01) CI: 2.88, 21.28], respectively. Additionally, a significant relationship was found between the mean sexual compatibility score and husbands with a history of smoking or hookah or drug abuse [(p = 0.03, B = 6.57) CI:-0.31, -13.47]. The presence of a private and separate bedroom was significantly linked to sexual compatibility [(B = 7.86, p = 0.01) CI: 3.87, 8.72]. Furthermore, the frequency of sexual intercourse was also significantly connected to sexual compatibility [(B = 20.48, p = 0.001) CI: 11.60, 29.37].
Conclusion: The present study revealed that women, or their husbands who worked night shifts, were more likely to experience sexual incompatibility. Additionally, a history of smoking and hookah use in husbands was associated with reduced sexual compatibility. The findings indicated that sexual incompatibility decreased when couples had separate bedrooms and engaged in sexual intercourse more frequently. Although the couples' education and age did not correlate with sexual compatibility, it appears that the marital and sexual relationships of couples—particularly women—affected by these factors, such as night shift work or husbands who smoke or use hookah, are at greater risk of fragility. Counselors in midwifery, couple therapy, or family therapy should give special attention to these issues, considering the findings of this study. To enhance sexual compatibility, they should emphasize the importance of maintaining privacy in relationships, such as providing a private bedroom and addressing the frequency of sexual intercourse in their counseling sessions. It is also recommended that qualitative studies be conducted to explore effective strategies for reducing the risk of sexual incompatibility in couples facing these challenges.
Type of Study:
Research |
Subject:
Midwifery Received: 2025/01/19 | Accepted: 2025/03/21 | Published: 2025/03/21