What Can I Do About My Inability To Ejaculate?

QUESTION:

Dear Dr. Heller,

I have a problem when having sex with my wife where I can't ejaculate.  We have sex for an hour and sometime I get off but most of the time I don't.  I love having sex with my wife and have a good erection but it seems that no matter what we try it takes forever and she is very upset and so am I.  What do I need to do for help.  I just don't feel sensitive enough or something.

Please help.

ANSWER:

Anxiety is usually the biggest problem.  The screening test I use for my patients will likely be very useful to you.  Treating anxiety problems can make a huge difference. 

Your physician can check your male hormone levels, but this is unlikely to be helpful.

Treating problems like yours is what sex therapists specialize in, and getting a consultation in this regard would be wise.