You might be confused because Maslow thought sex was on the same level as food and sleep.
Of course, today, the idea that men need sex simply because they are alive is repulsive.
Of course, today, the idea that men need sex simply because they are alive is repulsive.
People can adapt to this lack more gracefully than they can adapt to drowning, but it's not a thinking process being addressed here. This is an animal drive and you can't switch it off just because it's ungraceful.
For example, some people need food, but they don't deserve it just because they're alive. We call that hunger.
Other people need housing, but they don't deserve it just because they're alive. We call that homelessness.
Some need sex, but they don't deserve it just because they're alive. We call those people incels.