I have noticed that even during sex I have a difficult time even getting aroused unless the girl lets me be rough with her (choking, hitting) and even still I often want to be even more violent. This has begun to bother me however because I realize I cannot have a healthy relationship with someone I respect because sexually I feel a need to degrade women. Normal sex and normal pornography just do nothing for me. I realize that my thoughts are sadistic, I just dont know what can be done about it. I want to be able to enjoy healthy sexual activities but feel unable too. I feel like Im unable to have both sexual arousal and respect for the same person. It is also near impossible to find someone to argee to participate in all my sadistic fantacies.

*grin*
For some people who have urges of whatever kind (not just the ones you've described), the grow stronger over time, and the temptation to act on them becomes harder to deny.
When you think about it realisticly, its the states fault when people snap and kill a bunch of people because they donot have support available to get help and most of them dont care enough to spend all their money on treatment.
Ive even thought before the best thing for me would to be inpatient at a psych hospital for a while but I have to commit a crime first to get there.
Its honestly even made me think of commiting crime so I could get help with some issues.
What you've said is true and it's a sad commentary on the state of the healthcare system in this country when it comes to mental health issues.
I wish I could offer you advice beyond what I've already said, but I just don't have any other answers. Sorry.