I'm new to the hobby and in my late 40s.  Sex has always been a curiosity for me but I haven't made it a priority until recently.  The problem is I've never been able to pop except during the occasional wet dream which is rare...only once or twice a year, if that.   I can get erections (with precum) by viewing certain porn (and while being with a provider) but achieving actual orgasm while awake has been virtually impossible no matter what type of stimulation I try.  I've found that sex with providers can be very pleasurable for me even if I don't pop, and I'm OK with this if I have to live with it, but I'm wondering if there are treatments (or medications) that could drastically improve things?

first get thoroughly checked out to make sure that there is no possible physical cause -  but don't be surprised if your journey does not eventually take you to a therapist of some sort....

I once went to a urologist for a particular problem and a female physician's assistant gave me a prostate massage to relieve pressure. Oh my! She was youngish and a buxom redhead. To this day, one of my masturbatory scenes involves undressing her and fucking her on the examination table. I gloriously climax every time.

I agree with Markus Ketterman.  

This is definitely a question for your doctor.  It could be something as simple as low testosterone which is easily correctible.   But no way for anyone on an anonymous review board to give you an accurate answer.

Nick's typo still stuck with me when he meant to say "boink her" but auto-corrected to "boil her".  
Boiling a girl certainly does sound fun though, but I'm guessing we'd have to have a stove, propane, and some boiling water. lol

especially in a bound angle position,  in proper breathing and breath control,  hydration and nutrition, when it comes to sexual wellbeing....

it just seems odd to me that no type of stimulation has EVER put me over the edge, even when I was younger.  I've definitely had some amazing wet dreams which leads me to believe I'm physically capable, but, as I said, they're all too rare.  The yoga and tantric message suggestions sounds very interesting and.I'll definitely consider that, as I've definitely been able to be "in the moment" while dreaming. I may get checked out by a urologist at some point but I'm still hopeful I'll have better luck over time as more provider opportunities present themselves.   Thanks for the insights!

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A visit to a good tantrika might be just the ticket to getting past this blockage.

Also follow the advice on rest, hydration, and nutrition to which I'll add checking on your Vitamin D levels.

My doctor found mine low a few years ago and so I started taking 1,000 IU/day and I think that has had a great positive effect on my sexual health.

The stuff is cheap and what could be easier?

in my self and others....