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Alternative to Viagra

Yoga can enhance men's sex lives by improving cardiovascular health and reducing anxiety.

By Michael Castleman

Since the introduction of Viagra, erectile dysfunction (ED) has emerged from behind the bedroom door. Thanks to Bob Dole and ambitious advertising, it has become a common term, yet it's still a condition disregarded by most men—even though approximately 30 percent of the male population has suffered from ED at one time and the risk increases dramatically as men age.

But Viagra—the most popular form of treatment despite the risk of common side effects such as flushing, headaches, and stomach discomforts—is not the only option. Other approaches have also been shown to be effective, including exercise, stress management, sex therapy, and even yoga. Considerable research suggests that the physical and emotional benefits of certain poses might help in the prevention and treatment of ED.

Erection involves both the nervous and cardiovascular systems. It begins with relaxation, according to Louanne Weston, Ph.D., a sex therapist in Fair Oaks, California. Relaxation allows blood to remain in the central body and available to the penis, instead of being directed to the arms and legs, which happens when men are stressed (the fight-or-flight reflex). As relaxation becomes sexual arousal, nerve impulses relax the smooth muscle tissue surrounding the arteries that carry blood into the penis. These arteries open and extra blood flows into the organ, causing erection. (Viagra works by spurring dilation of the penile arteries.)

Increased anxiety or stress may contribute to ED by interfering with the relaxation fundamental to erection, and practicing yoga can be a deeply relaxing experience. A study in the Indian Journal of Physiology and Pharmacology (vol. 43, 1999), assessed anxiety levels in 50 medical students who subsequently began to practice yoga and found that their anxiety levels decreased significantly. "Stress contributes to many erection problems," says Palo Alto, California sex therapist and publisher of the monthly electronic newsletter Sexual Intelligence Marty Klein, Ph.D., who recommends yoga to his clients. "Yoga reduces stress, so it can help prevent and treat ED."

Anything that damages the arteries or interferes with penile blood flow— such as smoking, alcohol, high blood pressure, high cholesterol, heart disease, and diabetes—may also contribute to ED. And research has shown that the physical benefits of yoga are particularly helpful in reducing some ED risk factors. In a study published in the Journal of the Association of Physicians of India (vol. 48, 2000), researchers had 42 men with angina (heart disease that causes chest pain on exertion) eat a heart-healthy diet, participate in moderate aerobic exercise, and take up yoga. A year later, the yoga group had significantly fewer angina attacks, lower cholesterol, and had lost more weight compared with the control group. And studies in the Lancet and Diabetes Research in Clinical Practice have indicated that yoga can help treat high blood pressure and diabetes.

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Reader Comments


I'm an older male with weight and diabetes problems, long-time yoga practitioner--yoga hasn't really helped a bit.


Making genital area strong ( the perineum esp. ) with exercises like mula bandha and aswini mudra, plus all asanas that stretch the psoas muscle ( like warrior, and pigeon ) help, but if you have real ED like after a prostatectomy viagra in conjunction with the above brings back what it used to be. Without viagra it'll be OK for you but not so much for her. I think, in the absence of a real medical problem, if you strengthen the perineum it'll be better.

Dr. Gordon

If you are interested in research on ED, the Institute for Erectile Dysfunction Research has set up a new database and resource for news and research on ED at Erectile Dysfunction Central ( ). The site is updated weekly and is available in 23 languages. The site also aggregates research and news on viagra, cialis, levitra, and natural remedies for Ed. Research abstracts on the effects of yoga on ED are available here; simply search the term "yoga" on the site.

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