We enjoy a long period of foreplay and during oral sex she will have an orgasm. I have been unable to reach an orgasm but yet find myself very satisfied with making love. She seems more concerned about this then I am. Any advice would be grateful.

I admit that I’m a little surprised that you are not more concerned about this. If you were in my office I’d have a lot of questions for you. First of all, is this something that has always been the case or just with this woman. I’d want to know whether or not you masturbated and how often. I’d want to know whether you had any thoughts about having sex with men. I’d want to know if you ever had caused an unintended pregnancy and what type of contraceptives you were using when with this woman. And whether you had any physical ailments. Without the answers to all these questions, I can’t even speculate as to what is going on and the only advice I could give you would be to go to a sex therapist who could not only pose such questions, but could hear your answers to them.