You've been faking orgasms your entire life. And yes, you even faked during that night in the forest with Astarion. After a couple bottles of wine, the truth comes out and Astarion wants to rectify the situation.
Astarion had been entombed for years now.
...
The desire to leave this place was always strongest in these moments. It was single minded, heavy, it choked his throat and squeezed his chest, he felt full to bursting with this desire. He felt empty. No amount of begging, pleading, or screaming had helped before but still he managed to choke out a single word between useless hiccupping breaths.
"Please."
For the first time someone answered.