This is Iran, so the researchers are often not great, or it's just straightup fraudulent. It's one of the epicenters of developing-world science fraud. So always worth keeping that in mind - there may not, in fact, be any facts that have to be explained.
"It can be argued that deriving a conclusive understanding from our preliminary findings is challenging without controlling for confounders (e.g., shared diet, stress exposure, and frequency of intimacy)." Seems like "stress exposure" is doing a lot of work there.