Anorgasmia

I am 35 and for my entire life, I have been unable to orgasm/ejaculate while awake (with one exception, noted below).  I have had nocturnal emissions (wet dreams) since I was 13, and still do frequently - sometimes a month apart, sometimes twice in one night.  For this reason, and since it's been my entire life, I am assuming my problem is psychological.

I have always been able to get an erection - whether from physical contact with a woman, looking at or thinking about sex or attractive women, or for no reason whatsoever.  I tried masturbation in my teens, and while I can get erect, I'm never been able to get to ejaculation.  Several times during my earlier sexual encounters in my 20s, I was unable to get an erection, however, likely due to nervousness.  I had my testosterone checked and there was nothing physically wrong.  The doctor gave me some Levitra samples just to give me a "boost" and get my confidence back.  It generally works (unless I'm drunk, and even then, I'm usually OK).

I currently use Levitra with my girlfriend and have always been able to get an erection. However, I cannot climax.  The only time I've ever had an orgasm while awake was when I was 27 and watching erotic women's wrestling (basically semi-porn).  I wasn't even consciously masturbating, just sort of "playing with myself."  In the eight years since, this hasn't happened again.

I'm not overly concerned in the near term; however, ultimately, I would like to have children, so this has to be dealt with sooner or later.  

Appreciate any insights.

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