In SSMguy's case, I believe the issue is emotional, in that his wife has never successfully been treated for childhood sexual abuse, and so still equates sex with being used and violated.
Perhaps a better question for this thread would be, Are there any midlife men out there who have been HD all their lives, who still want sex at least once daily with their wives--or do such men find that completely open, connected, explorative, passionate, satisfying, mature sex leaves them requiring far less frequency?
Unfortunately, of course, those guys will never be coming to this website to commment. However, I believe Kettricken is correct that such men report being focused only on quality, not quantity.