Seconly, if it is normal, do women close to that age range understand that it may take longer, and that they may have to help him with some physical stimulation? It seems some women 45-60 whom I have dated understand and are willing to be patient, but others are not willing.

I am 28, my wife was very supportive during my “Lacking”. She is 20. She understood that what was happening was not my fault or hers. I had a colectomy, that affects nerves. Any good lady should understand.
Now, with herbs, we going at it like before. But since I have no other problems, herbs are safe. After five months of nothing,weboth found the new forst time far more meaningfulthan ever. It truly enhanced our bond in marriage.