Dealing w/severe sex perf anx w/wife. cant seem to calm my mind for weeks now. would viagra or cialis give me an erection despite the mental block?

Sex anxiety: I see that you have hyperlipidemia and hypertension. These MAY provide some clues as to why you are experiencing ED. There may also be a psychological component. Please start by seeing your family doctor. If nothing hormonal or vascular is found consider seeing a clinical psychologist to manage anxiety. ED meds will simply delay medical treatment. Peace and good health.