my boyfriend is 55 years old. He did not have intercourse for over a year and when he began again just a few months ago, at the point of climax he has pain that lasts through the climax and for several minutes afterwards. The ejaculation is not thick and it is a creamy white so we are concerned about this, but his insurance does not kick in for a bit yet which is why he had not told me sooner. He also has difficulty maintaining his erection but we don't know it that is psychological because he knows it will hurt or physical. We have tried a couple of different non-Yohimbe containing meds for this that have had no real effect. What is your best guess on diagnosis and prognosis without having a medical exam.