Hi Dr. Purushottam welcomes you to HCM virtual clinic! Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options. 1] Please do not panic. 2]Consider it to be a good news that you are experiencing sexual arousal. 3] Usually, if you indulge in masturbation in relaxed and happy mood, you can achieve good quality orgasm. 4] Medicines for high blood pressure , usually cause dilatation of blood vessels, that can be a reason for arousal sensation. If your blood pressure is under control; you can very well go ahead to get orgasm. 5] I will also suggest to start Kegel s exercise 2 to 3 times a day with 20 movements each time. This will help in achieving good quality orgasm. 6] In my opinion, once you get calm, relaxed and achieve orgasm; your anxiety will come down. this will also help to get control over blood pressure. 7] Please relax and enjoy life and be thankful to GOD for the all he has offered us. I hope my answer helps you. Thanks. Wish you great health.