i also need to add that he is only 19 years old and other than abdominal migraines he is in good health. could a childhood injury be the cause..because one was endured.

Firstly may I point out that orgasm and ejaculation in a male are two separate processes. What I think you are asking is that your partner does not have an orgasmic experience that you (or he) considers to be the 'right one.' Seeing he can come to a satisfying orgasm using a front-on pressure procedure, you and he both know that orgasm is possible.

What I recommend is avoiding that basis for comparison and experimenting with more positions, techniques or equipment (?) with the intent of pleasure. With less anxiety, orgasm may occur of it's own accord. The psyche can have a powerful effect. Time and trial will expand the ranges of pleasurable experience/s. If the problem persists despite all this, a visit to a sex therapist may be a good idea.

Best Wishes, Melissa BEE

Reviewed by Sexual Health Editorial Team