I'm 52 with type 2 diabetes, and high blood pressure, both controlled with medication. In the last year or so my ejaculate force and amount has been decreasing. My endo said that is completely normal. But what is most upsetting is my ability to get erect and to ejaculate has also started to change in a negative way. I also take a testosterone shot weekly and have normal levels now. I have much more ability to get erect and ejaculate in the morning and it steadily decreases throughout the day. I've started to use a ring at the base of my penis and that does help but doesn't totally solve the issues. I'm sure there are medications for the erection problems, but I'm more concerned with the inability to orgasm. Please help.