The first thing I thought was "wow, aweee" because it wasn't to a picture of someone else, it wasn't porn and to me it was connecting, missing your intimacy, you after all you haven't had sex due to your accident this was the next best thing for him to have that, with you.
In addition the boys can state that a month without sex is very difficult for an active man not in the act of it but in the need for the release of sperm... They know more than me

Don't be hurt, hug him and thank him for missing the intimacy with "you" and tell him you understand that he has to release it's nothing to do with masterbation rather the needed release..
SO....overstep the boundaries here with him, get out of the comfort zone and be willing to let your relationship evolve to a different level.
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