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Erectile dysfunction, also called impotence, means that a man's penis doesn't get hard enough to have intercourse.

The man cannot get or maintain an erection (Erectile dysfunction is not the same as premature ejaculation, retarded
ejaculation or infertility.)
The major causes of erectile dysfunction include:

Vascular (blood vessel) disease - Because erections are caused by the buildup of blood in the shaft of the
penis, poor blood flow in the penis can result in problems with erections. Damage to blood vessels can be
caused by hardening of the arteries (atherosclerosis) or damage to blood vessels from trauma. Vascular
disease is believed to be the most common medical cause of erectile dysfunction.
Nerve damage (neuropathy) - Nerves must be working normally for a man to be able to get and keep an
erection. Nerve damage can result from diabetes, multiple sclerosis, prostate surgery or damage to the
spinal cord.
Psychological factors - Sexual problems sometimes are caused by psychological issues such as depression,
anxiety, guilt or fear. At one time, psychological factors were thought to be the major cause of erectile
dysfunction. Doctors now know that physical factors are present in most men. However, embarrassment or
"performance anxiety" can make a physical problem worse. Erectile dysfunction caused only by
psychological causes is found most commonly in young men.
Medications - Many medications cause problems with sexual function, including drugs prescribed for high
blood pressure, depression, heart disease and prostate cancer.
Hormonal problems - Abnormal levels of certain hormones, such as testosterone, thyroid hormone and a
pituitary hormone known as prolactin, can interfere with erections and sex drive (libido). This is an
uncommon cause of erectile dysfunction.

Symptoms
A man with erectile dysfunction has either a problem getting an erection or difficulty maintaining one. This usually
interferes with sexual activity by preventing penetration during intercourse.
Erectile dysfunction can occur suddenly or gradually. Some men slowly lose the firmness of their erections or how
long the erections last. In other men, especially those whose impotence is largely caused by psychological factors,
the problem may occur unpredictably and can improve at any time. Despite their difficulties with erections, men with
impotence often continue to have normal orgasm and ejaculation.
Your doctor will perform a general physical examination, including an examination of your penis and testes, to look for
evidence of underlying medical problems. Your blood may be tested for blood sugar (to rule out diabetes), cholesterol
and levels of certain hormones.
Occasionally, a doctor may order additional tests, such as a nocturnal penile tumescence study. This is a way to
assess how often you get erections while you sleep. A Doppler ultrasound of the blood vessels in the penis is another
test that will occasionally show a cause for poor erections.
Treatment
There are many effective treatments for erectile dysfunction. Currently, the most popular option is sildenafil (Viagra),
which is taken in pill form on an empty stomach about one hour before sexual activity. It works in approximately 70
percent of men. (It is less effective in men with neurological causes of erectile dysfunction such as prostate surgery,
diabetes and spinal-cord injury.) Sildenafil can cause minor side effects such as flushing and headache, but it has
been shown to be safe in most men, including those with heart disease. Psychological therapy such as counseling,
behavioral therapy or couples' therapy can be effective in men whose impotence is caused primarily by psychological
factors.
Yoga considers that most diseases are due to insufficient life force, either in the body as a whole, or a blockage of life
force to one part of the body.
When the whole body has lowered life force, the result is a lowered vitality level, poor health and susceptibility to
infection
Yoga provides one of the best means of self-improvement and attaining one's full potential

KHANDASANA
Kanda means a bulbous root, a knot. The Kundalini sleeps above kanda (the place near the navel where the nadis
unite and separate). It gives Mukti (emancipation) to the yogins and bondage to the fools. He who knows her knows
yoga.
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Sit on the floor with the legs stretched straight in front. Bend the knees, widen the thighs, bring the feet
towards the trunk until the heels are close to the perineum and keep the knees on the floor. The position is
similar to Baddhakonasana.
Hold the right foot with the right palm and the left foot with the left palm.
With the help of the hands, draw the feet up towards the trunk, invert the ankle, pull the knees and thighs,
and place the heels and the outer sides of the feet against the navel and chest. To start with the feet are
likely to slip down. Practice the pose for a few weeks, holding the feet firmly against the chest.
Release the hands, and either stretch the arms straight and rest the back of the hands on the knees or join
the palms in front of the chest. Keep the back erect and stay I n the pose for about 30 seconds with deep
breathing.
Advanced pupils may raise the hands, palms together, above the head. Then try to join the palms behind the
back and balance: this is the most difficult part of the asana.
Hold the feet with the hands, lower them to the floor and rest.
As the pelvic and other joints of the legs are rotated it takes a long time to master the pose.

Effect
Every muscle below the navel is exercised. The pose cures stiffness in the hip, knee and ankle joints. It restores
sexual energy and controls sexual desires.
The asana also exercises the Svadhisthana Chakra (the hypo gastric plexus) and the Manipuraka Chakra (the solar
plexus), thus helping proper digestion.