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Some people don't seem to have the need for sex and others lose the drive early in life. Without sex I shriveled up and nearly died. In every way that can be measured, my life spiraled out of control and I had no desire to live any more.
So I left my wife and started seeing high-end companions, and completely turned my life around. So cite Maslow all you want. I know what it feels like to come within a hair's breath of pulling the trigger. And I know what the one thing was that stopped me - sex.
From my point of view, women who deny this are no different than men who deny that rape is a terrible thing. How much worse does it have to get than "I don't want to live any more" before people listen? Thank goodness for companions. I was too far gone emotionally to even think about dating back then.
And no, masturbation isn't even a shadow of the real deal. It is as much about human contact and intimacy as it is ejaculation. For a man it is all a part of the same package. What I missed most after a decade was touch, not intercourse. I recall one day that I was trying to remember the last time someone hugged and kissed me, and I couldn't. At that point I wept like a baby.
I would add that I feel sorry for people who don't suffer like some of us. The pain is inversely proportional to the pleasure. When I am with a beautiful woman or a woman I love, I am about the happiest man on earth. It is the only true bliss I have ever known in life.