Pegg asked:

1. Are there any adverse physiological effects on not getting any sex even though you constantly desire sex?

My answer: Yes. Lack of ejaculation can and does cause prostate problems. I've had prostate problems since my 30s, and my urologist suggested more frequent sex, which had to be masturbation for me since my wife was not interested in more frequent sex.

2. Is masturbation a complete/perfect alternative to sexual activity with another human being, as far as physiological effects are concerned?

I'm not a urologist, but there certainly are men in the world with no sexual outlet besides masturbation. I once asked a friend, who admitted that people thought he was gay but he was not, how he managed sexual needs. We were in a restaurant at the time. Without hesitation, and loud enough for other people to hear, he said, "I masturbate a lot!"

3. If not, are the adverse physiological effects on not getting any sex serious enough to affect a person's well-being (sleep quality, general health, immune system, efficiency at job, etc ..)?

I would have to say, and you admit, that lack of sex is not your only problem. Given your messed up childhood, you may suffer from Post-Traumatic Stress, Post-Traumatic Stress Disorder, or Complex Post-Traumatic Stress Disorder. All of those conditions are freighted with symptoms that can trouble every aspect of your life, as I well know. My childhood was probably more benign than yours, but similar, and then I got shipped off to Vietnam where I was seriously wounded after a very difficult (although blessedly short) tour of duty.

Sex aside, I'd say that your biggest problem is getting rid of the idea that "society" should have any control over your emotions and basic biology. It seems that the ethics/morals/values that your parents imbued in you haven't done you a lot of good.

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