Background: Anterior cruciate ligament (ACL) injuries are among the most common ligament injuries having social, mental, and spiritual effects as well as physical effects, reducing the quality of life. Sexual health plays an important role inreproduction as well as in the physical, intellectual, emotional, and social aspects of life. Aims: In this study, we compare male patients with conservative and surgical treatment after ACL rupture in terms of sexual health. Methods: The sexual health statuses of 41 male patients diagnosed of ACL rupture followed by conservative or surgical treatment were evaluated before treatment, in the 6 months and at the 1 year after treatment and compared using the International Index of Erectile Function-5 (IIEF- 5). Results: When the mean IIEF-5 scores followed with surgery and conservative treatment were compared at 6 months, it was observed that the scores of those receiving surgical treatment were significantly lower (p = 0.005). When the mean IIEF-5 scores at 1 year were compared, it was seen that the surgical treatment scores were significantly higher. (p = 0.012). Conclusions: This study has shown that surgical treatment for ACL rupture has more positive effect on male sexual life in the long term compared to conservative treatment.