Question of the Week #2

From Anonymous poster:

I am only half sure it is all in my head, or based on too much (or only) masturbation.
Based on the things I've read. I have discovered I may have a full mixture of risk factors. The 4 listed in a men's medical guide for delayed ejaculation include: 1) Emotional issues, like fear or guilt 2) Alcohol consumption 3) Health problems 4) Medications (like anti depressants). All of which have appeared to be a factor in different sexual encounters throughout my adult life.
Interestingly enough, they appeared in my life in this same general order. After dating a virgin for several years, it was emotional guilt at work when it finally happened between us. Years later, drinking was a factor, because the guilt and fear were gone when I was with several other, more experienced women. Later, I discovered I had diabetes (at age 29) which specifically listed in this medical book as a risk factor, and finally medications could have been a factor a various times, depending on what I was prescribed.
Oddly enough, I'm not too concerned about completion or the big O during sex. It only becomes a factor if I am trying to be a parent, which I am not at this time. Actually, I discovered a year or two ago that my orgasm after having sex is incredible! The only problem is, I have to wait quite a few hours before it can work. There is a definite threshold line that, in me, must be crossed. It may feel more like a woman's experience of orgasm, from what I know. Now, getting an erection is not an issue, solo or not, keeping it has sometimes been an issue after long sex sessions. After we stop, I generally have to "sleep on it" in order to have the very big O , the next day. OH Wow! it's so much better than just a standard solo effort.
Well look, thanks for taking the time to read this and help post my question. However, the few initial posts seem to be off topic. Maybe they are confused about what I am asking. That is likely because it is NOT well written.
If you are interested or able to, would you please clarify it within the post? I know I am asking a lot, but I need women to reply in order to get a real idea of what to do. The points that might need to be made are 1) no erection issues and 2) no mean ex wife/girlfriend that some guy has written about to vent his own frustrations (I guess ????). FYI, I am on good terms with all my ex-lovers (if I ever saw them again), I think I was good to them. I'm planning to show one of them this post in LTAS today. She will be glad I'm trying to get more feedback (for MY future relationships)
Maybe I am over-thinking it and still trying to be "too nice/good" . What I mean is, maybe I shouldn't put a damper on the moment, and go with the flow. When she gives me an indication she is had enough, I should just stop and answer any questions later. Only trouble with that is they are usually confused even after I explain it. How do I avoid this confusion? That's my real question to you ladies (especially). I don't think guys are going to understand this like I do, unless it has happened to them in the same way over a long period of time.