Honestly, what bothers me most about "Amok Time" is that there's a medieval fight-to-the-death ritual still on the books on Vulcan that the Elders will allow to be pressed into service in the modern age.
Its not really a choice though is it?
Its a biological necessity. I suppose the ritual and the weapons are niceties but in the end someone has to die if challenge is made.
I'm sure the Vulcans would use drugs or anything to stop the pon farr if they could. Tuvok couldn't do anything to stop it 100 years later.