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Strange question. It's about their sex life, so of course it affects her. There are many couples where it's no problem at all, but when you're seriously addicted your sex life goes down the drain. Real-life women and "normal" sex don't reach the threshold to excite you anymore. Then there may be other reasons - maybe she thinks his preferences are disgusting, his porn is misogynistic, he no longer has desire for her, ... we don't know. Some people feel watching porn is just as bad as cheating, some don't care. But if it's serious enough for therapy their relationship must have been suffering badly for some time already.