Having a focus toward the market prevents me from going insane with this kind of problems. A disturbing element is a disturbing element, but a picture is better than no picture. Productivity matters.
If I didn't have this kind of approach, and if I only stick to the ars gratia artis philosophy, I would easily fall in a deep hole of self-defeating perfectionism. Besides, as our "artistic" product is the way we want other to see us, this carries the risk of being sucked into a narcissistic spiral bordering with mental masturbation. You know, producing something beyond reproach and criticism. Not less than perfect.
At the beginning of the thread I was tempted to suggest to the OP "just shoot for stock agencies", but I refrained as I think it was a bit overboard as an answer, one cannot change so brutally his own approach to photography, his motivations to photograph.
Anyway, I like the process because it makes me stay with my feet on the ground. Good enough quality, good enough composition, good enough light makes good enough a picture. Money which arrives actually satisfies my ego more than compliments. When somebody pays to publish a photo of yours, choosing it among hundreds of competing ones, it makes your ego feel better no less than a good comment at an exhibition.
I don't want to compare myself to any great artist of the past, but I am sure that all the Michelangelo and the Caravaggio of all times had this same kind of problems, they certainly saw imperfections everywhere in their work. They would have reworked the opera continuously if they didn't do that for a living, and for a client. The fact is: they saw the defects, the clients in most cases didn't.
Leonardo da Vinci worked on its MonNa Lisa* for years and years, continuously reworking countless details. That's because it wasn't a work that he would (ever more) give to a client. If he hadn't worked for clients, he would have produces quite a few works, I suppose.
* That really is Monna Lisa, florentine dialect for Madonna Lisa, Lady Elizabeth. "Mona" in north-east dialects (such as Venetian) means "cunt", and by extension "girl" and "stupid person" (don't shoot at me for the polical incorrectness ). In both cases Mona Lisa really is an unfortunate deformation