Premature ejaculation, or not having an ejaculation for a long time, or even not having one at all, can there be an orgasm?

Patient's question:

There is when my husband's penis will orgasm 2 to 3 minutes after insertion,
but sometimes it takes more than half an hour without orgasm, and I also start to feel pain. Moreover, my husband becomes impatient and restless, constantly changing positions. Sometimes he orgasms, but sometimes he loses interest and does not orgasm until the end.
Is there something wrong with my husband?
How many minutes after insertion is considered normal for orgasm?
Does premature ejaculation or prolonged lack of orgasm, or no orgasm at all, lead to climax?

Doctor's answer:

Your husband is normal. As for the issue of not ejaculating for a long time or not ejaculating for a long time but losing interest, the reason might be with you.
I suggest you learn more about sexual knowledge and take the initiative in bed. For example, if your husband hasn’t ejaculated for a long time, you could try the woman-on-top position to give him a break. Maybe there will be an unexpected turn of events. Generally, once the penis enters the vagina without control, it can lead to ejaculation within 2-3 minutes, which is normal.

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