I m 73, in good health, HBP meds since mid 1980s, two lumbar fusions (L3-4, L2-3) a new hip. Still have good erections with a little help (Viagra 100, cialis 20); but recently the orgasms have either been absent or very small imitations of the pumping ejaculations of last year, a few months ago. The rushing desire has also faded such that a hot woman doesn t do much. So how do I get the big orgasms back, or must I accept age related sexual decline? Thanks for your consideration. Duane