Brief Answer:
Sex therapy, no self medication

Detailed Answer:
Thank you for asking

I read your question and i understand your concern. performance issues are common in forties and with history of hypertension erectile dysfunction can be considered. Sex therapist should be consulted, coital frequency should be reduced and let them decide what management would be wise for performance issues. But no way one should self medicate for erectile dysfunction . Complete examination is advised and ruling out all the possible contraindications is necessary before administering any performance enhancing pill. Talk to a sex therapist and let them help,

I hope it helps. Take good care of yourself and dont forget to close the discussion please.

Regards
Khan

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