Abstract
This study examines the sexual and psychological conditions of men with Bilateral Congenital Bilateral Absence of the Vas Deferens (CBAVD), a rare condition that contributes to male infertility, and compares it with healthy fertile men. A total of 52 patients with CBAVD and 66 healthy, fertile men who attended our infertility and andrology clinic were included in the study. Patients with cognitive impairments, language barriers, significant comorbidities, or a history of urogenital surgery were excluded. Reproductive hormone levels and semen volumes were evaluated. In addition, sexual status was investigated with validated questionnaires such as the International Index of erectile function, Male sexual health questionnaire, and Premature ejaculation profile. Semen volume was significantly lower in CBAVD men. The results showed that there was no significant difference between the CBAVD and control groups in terms of erectile function, orgasmic function, and sexual relationship satisfaction. However, sexual desire and overall satisfaction were found to be higher in the CBAVD group. The study suggests that CBAVD may not be a direct etiological factor for erectile dysfunction or premature ejaculation.