Q. I am a 66-year-old male in very good health. My wife and I have relations twice a week. My problem is difficulty in reaching orgasm. I satisfy her just fine but not myself. This is very frustrating.
I am in very good shape, work out regularly, take supplements and am on natural testosterone replacement. I do take Diovan daily for hypertension. Could this be the problem? Do you have any suggestions?
A. It doesn’t seem likely that the Diovan is to blame. The only study that addressed this question found that Diovan improved sexual function (Blood Pressure, Dec. 2003-supplement).
An old-fashioned herbal remedy may be helpful. Yohimbine is derived from the bark of an African tree. In a recent study, this herbal extract restored orgasm in about half of the men treated (Asian Journal of Andrology, May 2007). A doctor familiar with its use should supervise this treatment, especially since it can raise blood pressure.