So, what if you suffer from delayed ejaculation and you've ruled out all physical problems and done all your counseling and sex therapy and you still haven't recovered? You want to start a family. While it's possible for a woman to get pregnant without orgasm, sadly it is necessary for the man to ejaculate or the pregnancy will not take place. If this is your situation, there are options available to you.
Artificial Insemination - In very severe cases of delayed ejaculation where the man cannot ejaculate at all, semen can be removed from the testes using a syringe and injected into the woman's vagina.
IVF - invitro fertilisation using donor sperm is also possible, or using a syringe method mentioned above. If the man is able to ejaculate when masturbating, it may be possible for him to produce a sample for IVF this way.
DIY Artificial Insemination - In less severe cases, if you want to avoid the expense of an IVF clinic, it may to possible to produce a sample during masturbation at home and then transfer it to the vagina. If you are planning on attempting this, please be careful and use an object which isn't sharp, as some women have damaged their vagina's and cervixes trying to artificially inseminate themselves. A plastic applicator such as that used with a vaginal pessary, would be suitable, or a large syringe (without the needle attachment) is also worth trying. Inseminator kits may be available from some pharmacies.