The character in this panel has proven that he has no ability chill out enough to get to the next level, so he chooses to take an unknown dose of a hallucinogen instead. Which gets us to this page. The character is sexually frustrated, which is why so much of his hallucination has overt sexual imagery.

(Heavy Metal Sky Doll Special, Summer 2006 – Page 82 Sky Doll #2: Aqua by Barbucci and Canepa)