Answer:
Howard should seek treatment.
Explanation:
It is possible that in the given situation where Howard reaches orgasm only after some time from intercourse, he might have inhibited orgasm disorder. He should look for a doctor and get it treated.
Inhibited orgasm disorder also cause personal distress. This condition is possible in both men and women. There are no relationship difficulties (this is also one of the reasons for orgasm disorder) in the given case as it is mentioned they are happily married for some years now.