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 dont 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.
HelloThanks for your query, based on the facts that you have posted it appears that your boyfriend has painful ejaculation. This is mostly due to Prostatitis. Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Routine urine tests and culture 2) Ultrasound scanning of abdomen and pelvis and Trans Rectal Ultrasound Scanning. Taking broad spectrum antibiotics for 3-4 weeks help to resolve his problem. Chat Doctor.