Hi,Dear,Thanks for your query to HCM. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from- Erectile dysfunction from Anti-hypertensive/thiazide diuretics/Betablocker drug side effects/ by causing the reduced flow in the spongiosa from reduction in the effective blood volume,which reduces ultimately reduces the high bp in patients with high bp. There is another view which says that the mere anxiety of the side effects of anti-hypertensive drugs,can lead to ED-whith shrinkage in size. Besides these causes-the high tension life style with smoking and alcohol/obesity/ diet style, mostly adds to the ED in such cases. Sufficient rest / plenty of fluids / Bland Diet with avoidance of alcohol and smoking, could recoup the general health and would reduce the ED. Reduction in diet and your body weight if need be with Regular exercises with 30 mts brisk walk, would go a long way in reducing the ED problem with you. Besides this Sildenaphil (Viagra)is the optional drug if need be, if sexual arousal is normal and is essential step in Erectile function.If you are on nitrostat for chest pain with high bp, never take Viagra. Expert advise with psychiatrist would help you to come out of this problem effectively. Hope this would resolve your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS