My husband usually sacrifices "his orgasm" because the pain afterwards is very bad. Its not in his genital area. It seems like a bad head rush. He must stand up immediately, tilts head backwards as if looking at the ceiling. Then after about 1-2 min of this, he must lie down because he gets sharp pains in arm,shoulder & neck area. He takes bisoprolol hctz 5mg/6.25 and amlodipine 5 mg for high blood pressure. He has had his heart checked(they ran the dye) and no blockage. He is 42 and this has been going on for 3 years. However, he once ran out of meds for bout 2 wks and it seemed as the symptoms were not as bad and he actually enjoyed ejaculating. He has no problem with ED, still going strong in that department. Is this a common side effect of his meds, or could it be more serious? He will not discuss this with his dr., i guess he is too embarrassed. What should/could be done?