Spouse abuse is a manifestation of domestic violence that happens in the privacy and personal environment and in most cases occurs among people who are linked due to intimacy, blood relationship and legality. Violence against women can have many serious consequences such as sexual disorders, suicide, anxiety, low self-esteem and self-efficacy, unwanted pregnancy and serious harm due to the cause of violence (even committing suicide). The main purpose of this study was to compare the spouse abuse, low self-esteem and sexual disorders between urban and rural married women. In this descriptive study, we selected 1270 respondents married women who lived in Jahroom, using random sampling. We used domestic violence, self-esteem, sexual disorders and sexual satisfaction questionnaires.According to the results, the rate of received mental, psychical, and economic violence in rural women was significantly higher than that in urban women and the rate of self-esteem in urban women was significantly higher than that in rural women and there was a significant relationship between the types of spouse abuse and distinctive of self-esteem in women. So, it seems that spouse abuse, as one manifestation of domestic violence, can affect couples' lives from different angles. It can cause bad sexual performance,reduction of self-confidence in women, and consequently disorder in interpersonal relationship.