That scene never bothered me because MOST of the time, before that scene, Tom was depicted as being more of a womanizer type. But him saying "I want
to do it with you, but I won't
in your comprised state of mind" is when you start to see him in a different way. I like the Tom who respects women, especially the Tom who loves and respects B'Elanna. I am a fan of those two. The producers let their relationship grow instead of just throwing them together last minute.
I dunno, just my opinion.