In my opinion it’s always better not to use medication if the problem can be controlled by other, more natural means (e.g., emotional adjustment through psychological counseling and groups, 12-step SA or SLAA) just like it’s probably better to get all of one’s vitamins and minerals from eating the right foods instead of using supplements.
However, there are sex and love addicts whose obsessions, compulsions and acting out constantly push them towards destructive action (marital difficulties, losing a job, legal issues and criminal behavior, life-threatening situations and disease, financial problems, etc.) I’m speaking here of sex addicts and not the married guy who is attracted to a new female employee at the office. “Normal” (whatever that means–it’s relative) men will be able to cope; sex addicts may obsess and act out in negative ways. Sex addicts have an illness and they need a crutch when other means fail. The question then becomes: “When am I a sex or love addict?” Passing out pills like jelly beans in over-the-counter fashion would be a mistake, but medication should be offered after competent medical/psychological evaluation.
Of course, there is another “normal” means to control sexual urges (sometimes). Masterbation can be used instead of medication, but there are moral considerations (at least for Catholics) as well as relationship and psychological issues.
I’ve discussed the specific issue of medication as relief for compulsive masterbation. The medical and behavioral professionals I’ve spoken to respond with “What’s all the fuss about?!” On the secular side, auto-erotic behavior is fun and good for you; their only preoccupation is “How much is too much?” However, masterbation is normal and healthy. (They are willing to concede a problem when “self-love” replaces one’s ability to “make love” to one’s spouse.)
If I introduce morality, a “Christian” doctor (we all know Catholics are not Chrisitans–tongue in cheek) will tell me it’s not prohibited in the Bible (not even the old Onan thing counts; besides women don’t “spill seed” when engaging in autoeroticism). If I say I’m Catholic, this means my beliefs are based on early Christian taboos against extramarital sex in order to counter the use of sex in pagan rituals. Or, my Catholic beliefs about sexual morality stem from supposedly celibate churchmen (but we all “know” they cheated anyway) who base their teaching on man-made reasoning from Medieval Scholasticism instead of Scriptural truth.
“But, Doc, I just want a pill!” Nope–not to deaden the desire to masterbate–that would be abnormal.