Dear service user, Thank you for writing to HCM. I understand your concerns about erectile dysfunction and delayed orgasm (climax). You should continue anti hypertensive medicines as per your physician s advice. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, you will lose erection. Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about ejaculation. You must try to enjoy and only enjoy. Discuss with her what really turns you ON. The medications like Tablet Tadalafil 10 mg once at least 30 mins before sexual activity, up to 20 mg/dose. Max: Once daily often helpful in similar situation along with behavior modification I suggested above. It is a prescription medication and should be taken under medical supervision. Discuss with your physician. Testosterone injections can be continued as per endocrinologist s advise. Wish you good health.