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Not getting erections unless wife stimulates

Q: I am a 39-year old bank employee. Had relatively enjoyable sex life till recently. Of late I am not getting erections easily on my own even though my sex desire is okay. I get erections very easily if my wife strokes my penis. I participate in intercourse almost every other day and this has been the case for the past 5 years or so. Should I understand that this is a sign of upcoming impo.. er.. what you call erection dysfunction? Can any precautions help prevent the situation? Please help.

-JM, Vijayawada

It is normal for a person of your age and sexual experience to get erections only on direct stimulation of the genitals by the partner. In contrast, a person in his teens or early twenties would get erections easily with visual and tactile stimulation and fantasy. The need for direct genital stimulation, thus, is by no means a sign of future erectile dysfunction (I appreciate your use of the right term). Just forget the whole thing and enjoy your sex life as usual.. that's the best preventive measure!
All the best
Poosha Darbha

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