Difficulty with ejaculation

I can be on top of my girlfriend for half an hour without releasing any sperm. This has been going on for the past three months and it is causing a lot of frustration in my relationship. Kindly help me.

Suleiman (by SMS)

• No sperm at 18

Delayed ejaculation can be caused by factors ranging from side effects of some medications, excessive drug use, stress or other underlying medical problems such as diabetes, hormonal problems, hypertension or blockage of the sperm ducts. In addition, treatment depends on the underlying cause, but it might include taking a medication or making changes to medications you currently take, undergoing psychological counselling, or addressing alcohol or illegal drug use. Psychotherapy can help by addressing underlying mental health problems leading to delayed ejaculation, such as depression or anxiety. It’s also used to address psychological issues that directly affect your ability to ejaculate. Counselling might involve seeing a psychologist or mental health counsellor on your own or along with your partner.