However, if I am alone, with porn, I am easily able to masturbate and can get off a few times a day. How is it that I can jerk off to pictures that mean nothing to me, but can't come for the woman I love the most? I've spoken with a doctor and he said medically there is nothing wrong with my penis. What do you suggest we do? We are really getting frustrated and just want to be able to please each other.

It’s always good to go to a doctor, but it’s obvious that if you can have an orgasm when masturbating that there is nothing physically wrong with you and the problem is psychological. What this doctor should have then said is that you should go to see a sex therapist. And that’s what I’m going to advise you. Your main problem is that because you worry about having an orgasm. Those very same worries are preventing you from having one. Since this has been a long-lasting problem, I don’t think that you can treat this by yourself and require professional counseling. A sex therapist should be able to help you. It won’t take many sessions and will be well worth the expense, if your insurance doesn’t cover it.