Online interviews were collected from 13 gay and bisexual men who access the Internet for sexual purposes. Participants were recruited from man-for-man Internet chat rooms and screened for sexual compulsivity using the Sexual Addiction Screening Test for Gay Men (G-SAST). Interviews were analyzed using qualitative methodology, specifically grounded theory. Among participants, compulsivity, denial, mood altering effects of online sexual behavior, online dissociation, and need for social connectedness emerged as common themes. The online sexual activities engaged in by men who have sex with men are discussed. Implications for future research and limitations of the study are provided.