When I had hyper sexual issues I was in a relationship, and I was very demanding. There were times when I'd get into a crying jag, because I thought I'd go mad or burst out bonkers if I didn't have sex. You can imagine how unusual it is for a man to say, "not tonight, I have a headache!"

I'm sorry to say this (I know it's terribly crude) but on those occasions where I thought I'd die if I didn't have sex right then and there, the only thing I could do was ... well... wank. Sometimes it would be five or seven times a day... very occasionally even more: I'd lock myself into the bathroom, lie down and not come out for several hours, by which time I'd be exhausted and in a lot of pain, but at least it was out of my system. Not ideal, but I've been able to limit my sexual partners to three (that's including a rapist.)

Without meaning to trigger anything, have you thought of creative wanking instead?