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Gonorrhea is a common sexually transmitted disease that affects both men and women. New Gonorrhea infections are reported at over 600,000 per annum in US alone and of course many cases go unreported.
The disease is common and if left un treated can be fatal.
So, what exactly is it how do you know if you have it and how to you treat and prevent it? Let’s find out.
Gonorrhea Definition
Caused by bacteria know as Neisseria gonorrhoeae which grows and spreads in the warm, moist areas of the reproductive organs including the cervix, the urethra and the fallopian tubes in women
The bacteria also grows in the anus mouth, throat and the eyes.
Gonorrhea How Do you Catch It?
Is spread through contact with the penis, vagina, mouth, or anus.
Contrary to what some people believe ejaculation does not have to occur for gonorrhea to be transmitted and infect a person.
Gonorrhea Symptoms
Men with gonorrhea sometimes have no symptoms at all, others have some signs or symptoms that appear up to five days after infection; symptoms can take up to a month to appear.
Symptoms include an intense burning sensation when during urination and or a white, yellow, or green discharge. Sometimes men also will see their testicles swell up.
Most women who are infected however have no obvious symptoms.
When a woman does have symptoms, they can be non-specific and are often mistaken for a bladder or vaginal infection.
The initial symptoms in women include a burning sensation when urinating, increased vaginal discharge and vaginal bleeding.
Symptoms of infection of the anus in both men and women can include discharge, itching, soreness, bleeding, or pain when going to the toilet.
Rectal and anus infection also may cause no symptoms at all.
In women, gonorrhea is a common cause of pelvic inflammatory disease (PID).
PID can lead to internal abscesses and severe long term pelvic pain. PID can damage the fallopian tubes causing infertility or increase the risk of entopic pregnancy a potentially fatal condition where a fertilized egg grows outside the uterus, normally in the fallopian tubes.
In men, gonorrhea can cause epididymitis, a painful condition of the testicles that can lead to infertility.
Gonorrhea can also spread to the blood stream and enter the joints and this can be fatal if left un treated. Finally, those infected with Gonorrhea are more likely to receive the HIV virus that causes AIDS.
Gonorrhea Detection
A doctor will normally obtain a sample from the parts of the body likely to be infected. Gonorrhea that is present in the cervix or urethra can be diagnosed by taking a urine sample.
Gonorrhea Cure
Several drugs can be used to cure gonorrhea.
However, drug-resistant strains of gonorrhea as many people with gonorrhea also have Chlamydia, another sexually transmitted disease.
Antibiotics for both infections are therefore given together.
Although medication will stop infection, it will not reverse any permanent damage done.
People who have had gonorrhea and have been treated can get the disease again if they have sexual contact with persons infected with gonorrhea.
Gonorrhea Prevention
Is a sexually transmitted disease, it is therefore advisable to know something of your partners sexual history and be sure they are not infected before sexual intercourse.
Condoms can also reduce the risk of transmission of gonorrhea.
Consult your doctor
This is just a brief introduction to Gonorrhea and anyone thinking they have the disease should seek medical advice from their doctor.
Gonorrhea as we have seen can cause serious health problems and even lead to death so make sure you consult your doctor and get help as soon as possible.
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Chapter Seven
Lilli Ann [Work and Play and Colleen]
Many things were starting to happen after the tournament was over. It seemed my life had stopped for a moment in time. I had been working five to six days a week, mostly five. Met a guy, my age called Dan, at the karate studio one evening, he was just watching, and we got talking, and I helped him get a job at Lilli Ann. He was assigned to Mr. Green and would eventually be reassigned down stairs in the packing department. I was assigned in another department, which was one floor lower than his. He started falling in love with a Spanish gal, and wanted me to help him out by asking her why she was so down right rude to him. And so I did, it must have worked because they started dating, thereafter.
Well Dan’s brother came into town, he was eighteen-years old, and again Dan and I were both twenty-one. The landlord would not allow two people in their apartment so I talked to my landlady and they ended up renting out the big room. I liked them both, but Dan was a little more level headed. His brother smoked pot night and day, Dan occasionally.
About this time my mother said she was coming down to visit me after Christmas, which was not too far off. And so many things were happening. And as the weeks passed by I would often go downtown San Francisco after work and go to the double feature movies, they were older ones but very cheep, .75 cents during the day, before 6:00 PM, and afterwards walk around. I can remember a few times walking down a side street by a little café and Hell’s Angels were hanging out there. One time one of the Hell’s Angels, gave me a strange look but paid me little heed, and went back playing some kind of game. I had to walk around all the motorcycles for they hand them parked in the street, on the sidewalk, and every which way… and them seeing me trying to dodge the bikes to get around them, probably gave them a little groan, one that might have meant, ‘…don’t tip them over sunny.’ And I didn’t bump any.
At work a few of the Spanish gals up in Mr. Green’s area were eyeballing me up, but I found out they were married and so I paid little attention to them afterwards. And a few Japanese girls, older women talked to me often, but I never got to dating any of them. Then one evening, after work, Colleen with her sparkling white Catholic seen me waiting for a ride by a street car stand, and asked where I was going, I said down by mission street, and offered to give me a ride. She was around thirty-three years old, whit a healthy looking body, and was hunting I presume—that is, looking for something.
Colleen
As she drove down Mission Street, she knew exactly where Lilli Ann was, I guess many people did, it was very famous for women’s exclusive clothing, they had dresses in Harpers Bazaar, some famous magazine, and advertised in London, Paris, New York, and here in San Francisco. I closed the window a bit in the car, the air was cool this morning, I told her, but I shouldn’t complain, it was nothing like Minnesota; for weather in December at 57 degrees is like heaven sent; I had heard them say on the radio, that it was going to get to 66 degrees before the end of the day. Not bad, in Minnesota we’d have about forty inches of snow by now, and most likely it would be about three to five below zero. January was the coldest month, in Minnesota usually, reaching many times ten degrees below zero or lower, and February had all the snow it seemed, sometimes twenty inches in one month; sometimes sixteen inches in one day. Some years we had ninety inches of snow.
I was inclined to ask her for a date, even though she looked much older than I, but she said first, as I opened the door to get out,
“Do you drink wine?”
“Occasionally,” I said, for I used to drink some back home, but it was that cheep Ripple crap or Thunderbird, rotten gut stuff. But I didn’t want to tell her that.
“The dry wine is even better than the sweet if you have the right bottle, and it’s aged some…” she added as I stood up next to the car, “I’ll pick you up after work, say 4:30 PM, does that sound good?” What could I say, the Cadillac girl was leading, and I had nothing better to do. I hadn’t gone to karate practice going on three weeks now. I think Yamaguchi was a little disappointed in me, surely not his black belt bunch though.
“Ok,” I said as I started to turn around and walk inside of the three story building. Things were always happening so fast these days I hardly ever questioned anything. Dan had me meet a friend a week ago, some guy who was selling dope, pot or whatever, we talked and he offered me a job at twice the amount I was making, but I turned him down, I didn’t want to be his or any bodies body guard, end up dead with some heroin stuck in my ass, or down my throat. This was safer, work here at $.1.75 per hour, and just enjoy life; live longer.
It was funny, when I stopped to talk to a young man, my age who wanted a quarter, and back in those far off days, they were all over San Francisco, --at any rate, I told him to go get a job, and he asked how much I made in a week, I said $70-dollars, and he laughed, saying: “I make more than that in a day, $75.” Oh well, I guess I still have values. I just couldn’t sit down on the street corner and beg; it wasn’t even a thought. Or should I say, it never occurred to me.
٭
The day went fast, Dan was flirting with his new Spanish girlfriend, who worked in the office at Lilli Ann; I think she was happy I set them up, but I was a little jealous now, I guess I would have like to date her, but I was always drinking, going to movies, and before karate, running around town. No real time I suppose. I think she was wondering why I didn’t smile as much as I did before when I met her halfway going up and down the stairs a few times a day. But I tried. My mother wrote and said he’d be in town now in January. Not too far off.
It was 4:35 PM, I just slammed the heavy door behind me to Lilli Ann, and there on the street was that white Catholic, and Dan was not too far behind me, he’s seeing me go to the car, I told myself, not looking in back of me, I’ll hear about it tomorrow.
“See yaw later Chick,” Dan said, I think it was to get Colleen’s attention; I turned around and smiled a bit and shook my head.
“I did show up, didn’t I, I bet you thought I wouldn’t?” Said Colleen.
“Not sure what I thought,” I admitted, and I seem to put on a dumb look.
“I always like wine in the fall, --woops, soon to be winter in a week or two.”
“Always --” I said-, opening up her car door, and getting in.
“Always my new friend, now let’s go to the Bay and look at the Golden Gate.” I nodded my head yes, for I even liked walking along the bank and dock area, by the railroad tracks also.
As we got to a certain spot, evening was starting to set in, the once white clouds were turning light-gray, and I opened up the window a little. I loved to grab the moment, absorb what was happening. San Francisco was so very much different than my conservative St. Paul, and it seemed like I was starting to own it a little. There in front of me was the beautiful Golden Gate Bridge, I would never forget it. I had walked across it, seen it a dozen times, and I just never got tired of it; but one thing, I only walked across it once, it is far…longer than one imagines. It was a settling evening. The cars with their horns, the people at work, I was starting to calm down. The night was creeping in. On one hand I was hoping it would never end, and on the other hand, it was a fast pace city for me, it could slow down a bit.
“Are you thirsty Chick,” said Colleen.
“Oh yes, very much…” I took the bottle from her and drank right out of the top. She pulled out two glasses, then hesitated, and put them back in her back seat saying, “We really don’t need them I see.” I guess I might have seemed a little uncouth, but it was me.
For awhile we talked about the earth quake everyone was talking about; how the evangelist’s were saying San Francisco was going to be sunk to the bottom of the ocean. Many people were taking long vacations to get out of town. It was supposed to be on a certain week end coming up (or within the month of January). They talked about it at the bar, at Lilli Ann, every where.
She smile, said,
“Of course,” as she took a drink. I think she was thinking about her youth; --for whom at twenty-one runs around looking for a glass when you got a bottle. We sat just drinking, and looking at the Bay and the bridge, silent for awhile, some people don’t like too long of a period of silence, but it can be golden, --she lit a cigarette, and so did I, and we took turns drinking. She told a few dirty jokes, and I pretended to think they were funny, and when she laughed I laughed, not because they were funny, but because she was.
She commented, “You’ll have to let me know when they have the fabric sales down at Lilli Ann, I want to buy as much as I can.” I didn’t quite understand what she was talking about then, but I did find out later on that they had sales about every four months, and employees could buy fabrics not usable. I would however purchase some for her, during our short time romance.
“Let’s go eat,” she commented.
“Where…” I said.
“I’ll pick up something at a store or restaurant.”
“That’s perfect,” I replied, as I put the cork back into the bottle, there was not much left to the wine.
Colleen stopped in front of a fancy restaurant, --went inside and ordered some burgers made up for us.
“Dolores Street right,” she asked, and I gave her the address, “They’ll taste better relaxing at your apartment.” She said. I explained she was welcome but I only had a small room, and my friend, whom was Dan, she remembered the person who had said, “By Chick”, lived in the other room next to me, --I explained we shared bathrooms.
“So she rents out rooms,” she commented.
“Yaw, why, you need one?”
“Not quite yet, but could be soon, or in a month or so,” she ended her replied with.
As she stopped in front of the mansion I lived in, my hunger had changed from food to lust, or so it seemed, the burgers did not seem at all appealing; none the less, we went directly to my room.
As we entered the room she looked about, “Quite cute, and yes, you were not kidding, it is small, but cozy, enough for a single man. I had a little dresser by the side of the bed where I kept an ashtray, and a light, along with a little radio. A closet in along side of the bed, a little to the right of the doorway you might say, a window behind me overlooking my bed, and the door to the bathroom on the right also, of the bed; --if I was laying on my back I’d be looking at the doorway in front of me
She put the burgers on the small table, took a last drink of the wine, gave it to me, there was one swallow left, I drank it, as she undressed, then she jumped under the covers. She had big breasts and a semi tight body for her age. She was not thin, nor fat, quite healthy looking. I got a hard-on immediately, and like a dog in heat, we pulled our lust together and she grabbed my item and directed it to her warmth.
We made love for about 45-minutes, and I fell to my side a bit, rested, and pulled her over to me again, and stuck my penis back into her private area. She was very warm inside, and my body shook as I climaxed.
“We should get some sleep Chick,” she said with a chuckle. It seemed she found what she wanted, but I felt a little out classed for some reason. She had a degree I had found out while sitting by the Bay over looking the Golden Gate and she worked as a legal assistant. I couldn’t sleep, so I looked at some of the roof tops of the houses out my window; San Francisco was very complicated for me, all its old and new mixed into a whole, and Colleen laying next to me. But I told myself to go to sleep, tomorrow was another day. As I rolled my body back under the covers, I could not hear anymore car horns, the radio was quiet, Dan and his brother must have fallen asleep, and his girlfriend gone home. The wind was making a bit of noise on the window sill, but that was tranquilizing, if anything.
Chapter Eight
The Christmas Party
Well, Dan was dating the Spanish lady, and Colleen was coming over picking me up on regular bases now. She even got to know the Colonel a little, and Dan and his brother Jack. I think she was eyeing up the little bedroom by Dan’s big room. In-between our dating that is.
During this period in San Francisco I was working, and I wasn’t seeing Goesi much, going to the movies as I usually did, and we had a Christmas party coming up in a few days. Mom had written and I expected her to be flying into San Francisco, in two weeks. From here she’d stay a week then fly down to see my brother in Montclair, Southern California.
The weather got a little colder also, but why argue it was still in the 50’s during the day, and low 40’s at night. Some rain but not much. I now was running the dogs for the Colonel; I had a hell of a time taking the “Beast,” out. I called him that because he was up to my waste when on all fours, and had teeth almost like a saber tiger; he looked more like a wolf than a dog. He ran like a horse, and I had a choke chain on him; --thank god I could run with him, I think he liked that. And people jumped every which way when they seen us coming: --and a few times he got away from me whereas the panicked started all around me, people jumping far away from the on coming beast, I didn’t blame them.
The Confrontation
I knew when I left San Francisco, I’d miss the dogs. Matter-of-fact, one night a neighbor came over and was hollering at the Colonel, and threatened her about the dogs, I was in the hallway upstairs listening, had a few beers in me, I came down slowly, and she told the guy to go because I was the one running the dogs, which the guy noticed, and that with my karate, and temper it might not work out too good if he sticks around;” adding, she said,
“I think he heard you hollering at me.”
“So what, let him come…” and then out of the blue I was five feet from him on the outside stairway, he was two steps down, and the Colonel was against the beam of the door way.
“You better take care of them dogs and shut them up before…”
“Before I kick you ass, that that…” I leaped toward the man with my hands in the air as to block the man if he thrust the knife at me, and landed on the second to last step, about two feet in front of him, and in a circular motion, threw several blocks to off set his focus, he jumped back, pulled out a two inch knife, he was terrified.
“You better not come closer,” he said. I started laughing.
“And you mister, better shut your mouth, go home and never, I mean never come around here again, and if I find out you’ve cause any trouble for my landlady, I’ll find you and stick that knife up your ass…….get out of her NOW!!” He moved as fast as he could. Yes, I had my wild moments, as most people have.
Said the Colonel, “I hope he doesn’t cause trouble for me, but I sure liked the way you handled him,” and she had a smile half a mile wide.
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Natural breedings don't always occur. Timing is critical. Even when you think the time is right, the female may refuse to stand for the male or the male may not be interested in the female.
If nature proceeds normally, the female's vulva will enlarge and soften as the time nears to breed. She may begin to tease or "flag" the male that the time is right and the time is now or never....The male and female will engage in a period of play and foreplay. The male will attempt to mount the female within minutes of this foreplay. If the female is ready, she will whip her tail aside, presenting her rear to the male, and stand steady awaiting the male to penetrate her. This is an assertive invitation of the female toward the male to begin the mating process. Not all females, especially a first time female, will remain in a ready position once the male attempts to mount. She may slip out from under him and run in another direction. This oftentimes frustrates the male, but he will chase after her and try it again. For some matings, it may be necessary to assist. You might have to hold the female for the male to get his job done. More often than not, however, nature does take its course and the mating is done quite naturally. Some females never make a sound. Other females, especially a first time female, may scream a blood-curling scream, but do not be alarmed. This usually subsides and by the end of the procedure/mating period, she is laughing and holding her tongue out as if to say: "Well, that was not so bad after all. I just thought it might not be a good idea there in the beginning, and I thought Mommy might have to rescue me or something." If the female is violent and struggles or fights to get away from the male, the male can become injured. You might need to softly talk to your female and keep her calm so as not to pull and jerk the male into an injury. Females can also injure themselves if they decide to be "stubborn." The actual mating period can last as long as two weeks in the Shih Tzu. Mating should be attempted every two days to allow the male to recuperate.
You might try breeding small dogs on a large table covered with a nonslip surface. A stair riser can be used when the male is smaller and being mated to a larger female. Females can surprise you. They may be an absolute sweet pee otherwise until mating begins and then they can turn into a wild cat. You might need to muzzel the female to keep her from biting the male. And visa-versa, you might need to muzzel the male to keep him from biting the female to rebuke her resistance toward him. Muzzling the male and female or both can also prevent them from biting you during the assistance of a mating. When females become more experienced, the blood-curling screams diminish and she sometimes is even more flirtatious than the male, and engaging much more in a foreplay period with the male. I think she starts to enjoy the mating period more as she matures.
When the male mounts the female he will normally grab and hold her rear quarters, his forelegs wraped around her waist. He will balance himself on his hind legs and pull the female into him. Once the male enters the female his penis will engorge and create a "tie." The large and rigidly swollen "knob" of the penis keeps the coupling pair connected. The female's vaginal wall muscles automatically contract in response to the penile engorgement, thus they are "locked" together. A tie is not absolutely critical for conception, but it is nature's way of helping to ensure the female will become impregnated.
On the average, a "tie" will last from 10 to as long as 45 minutes. A brief tie could be indicative of an incomplete ejaculation of the male, but does not mean there will be no resulting puppies, nor does a longer tie insure a greater coneption rate. It is rare that the couple's tie will last longer than 45 minutes and would be a vet emergency. The male will determine the sex of your puppies. The female will determine how many puppies by the number of ova ripened to accept fertilization.
Artificial insemination is a practice now more common than before. As a result breeding to a "superstud," that would otherwsie be unaccessible because of geographic location or whatever is now possible. Artificial insemination is the introduction of sperm into a female's genital tract by instruments.
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Generic drugs are the substitutes available for a branded drug. The functioning and efficiency of generic drugs are identical to the branded medication. These drugs are available on much cheaper rate in comparison to the predecessor from which these are derived. Generic drug producers can sell their products on much cheaper price because they don’t have to bear expenses of drug development. Production of generic drug is not good for drug developing company but it is beneficial for customers as they can get similar efficacy medication on lower price.
Erectile dysfunction (ED) is a diseases related with capability of making love. Erection of penis is essential for love making but ED stops erection of penis and debars a man from happy sex life. For centuries people have been searching for a proper aphrodisiac which can help in erectile dysfunction. Their search came to end when high efficacy drugs like Viagra, Levitra and Cialis are launched in the drug market. All these medications almost have a great success rate of around 80 to 90 percent. Particularly, Levitra is successful in 88% cases. However, there is a problem related with all these drugs, that is, their high cost. It is not feasible for a common man to use them every time he wants to make love.
Fortunately, there are generic drugs available for Levitra. Meltabs, Soft tab, Kamagra are few generic drugs for tabs Levitra. For understanding the functioning of these generic drugs knowledge about the working of Levitra is essential. The working of Levitra is primarily dependent on its active ingredient Vardenafil, which is present in the tablet as Vardenafil hydrochloride trihydrate. This chemical inhibits the function of phosphodiesterase-5, which is responsible for bringing back penis in relaxed position. Vardenafil restricts the action of phosphodiesterase-5 so that during love making penis will not fall back. Hence, it enables the man suffering from ED to live sexual life normally.
Meltabs, the generic version of Levitra has Sildenafil Citrate as its active component, whose action is similar to action of Vardenafil. Meltabs has Sildenafil Citrate compounded with a non active gel in pills form. This generic drug for Levitra absorbs in the blood more quickly than other drugs in this category. Other drugs in the same category take approximately 30 to 90 minutes to produce erection of penis while this timing for Meltabs is around 20 to 30 minutes. Kamagra is another generic drug for Levitra, which is product of an Indian pharmaceutical company Ajanta Pharma Limited. Kamagra also contains Sildenfil Citrate as its active ingredient. Veega and Soft tab are few other prominent generic drugs for Levitra, which are generally produced in countries where there is a low labour cost. But, these generic drugs are available for the global population.
Generic drugs for Levitra can have some mild and temporary side effects like Levitra; for more detail, you can consult with your doctor. All these drugs are oral prescription medication, which means doctor’s prescription is necessary to use them. Generic drugs are highly cost effective for user; so if your doctor permits you can easily switch over to generic drug for Levitra.
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Definition of Erectile dysfunction
Erectile dysfunction (ED) is the inability of a man to achieve or maintain an erection sufficient for his sexual needs or the needs of his partner. Erectile dysfunction is sometimes called as “impotence”.
The term "erectile dysfunction" can mean the inability to achieve erection, an inconsistent ability to do so, or the ability to achieve only brief erections.
Ayurveda defines Erectile dysfunction or ED as follows.
Sankalpapravano nityam priyaam vashyaamapi sthreeyam ||
na yaathi lingashaithilyaath kadaachidyaathi vaa yadi |
Shwaasaarthaha swinnagaatrshcha moghasankalpacheshtitaha ||
mlaanashishnashcha nirbeejaha syodetat klaibyalaxanam |
This means even though a man has a strong desire to perform sexual act with a cooperative partner, he can not perform sexual act because of looseness (absence of erection) of his phallus (penis). Even if he performs sexual act with his determined efforts he does not get erection and gets afflicted with tiredness, perspiration and frustration to perform sex.
Physiology of erection
The two chambers of penis (corpora cavernosa,) which run throught the organ are filled with spongy tissue. The corpora cavernosa are surrounded by a membrane, called the tunica albuginea. The spongy tissue contains smooth muscles, fibrous tissues, spaces, veins, and arteries. The urethra, which is the channel for urine and semen runs along underside of the corpora cavernosa.
Due to sensory or mental stimulation, or both, the erection begins. Due to impulses from brain and local nerves the muscles of corpora cavernosa relax and allow blood to flow in and fill the spaces of spongy tissue.
The flow of blood creates pressure in the corpora cavernosa, making the penis expand. The tunica albuginea helps trap the blood in the chambers, thereby sustaining erection. When muscles in the penis contract to stop the inflow of blood and open outflow channels, erection recedes.
In ayurveda physiology of erection and ejaculation is described as follows
Vrishunow basthimedram cha naabhyuuru vankshnow gudam|
Apaanasthaanamantrasthaha shukra mootra shakrunti cha||
The “apaanavayu” one of the five types of vayu is located in the testicles, urinary bladder, phallus, umbilicus, thighs, groin, anus and colon. Its functions are ejaculation of semen, voiding of urine and stools.
Shushruta explains the process of erection and ejaculation as When a man has desire (iccha) to have sex, his response to touch increases (Vayu located in skin causes flow of signals from skin to brain, thus causing sensation of touch). This causes arousal or “harsha”. Arousal or Harsha intensifies actions of vayu and at this moment highly active vayu liberates the teja or heat of pitta. Thus tejas and vayu increase body temperature, heart beat and blood flow causing erection.
Causes of ED
Erection requires a sequence of events. Erectile dysfunction can occur when any of the events is disturbed. Nerve impulses in the brain, spinal column, around the penis and response in muscles, fibrous tissues, veins, and arteries in and around the corpora cavernosa constitute this sequence of events. Injury to any of these parts which are part of this sequence (nerves, arteries, smooth muscles, fibrous tissue) can cause ED.
Lowered level of testosterone hormone: The primary male hormone is testosterone. After age 40, a man's testosterone level gradually declines. About 5% of men that doctors see for erectile dysfunction have low testosterone levels. In many of these cases, low testosterone causes lower sexual interest, not erectile dysfunction.
The whole male body responds to testosterone.
Even sushruta has illustrated about this response of body to the element “Shukra” . He has said "yatha payasi sarpistu goodashchekshow raso yatha shareereshu tatha shukram nrinaam vidyaadhbishagwara." This means the shukra (the element which helps in reproduction) is present all over the body.
This can be explained with the following examples:
1. The ghee is present in milk in an invisible form. This is extracted from milk using many processes.
2. The sugar is present all over the sugarcane. It is extracted by subjecting the sugarcane to number of processes.
Same way shukra is present all over the body. But the cream of shukra (semen) comes out of the body only during the process of ejaculation. But this process of ejaculation needs a joyful union of mind and body.
Decrease in production of “Shukra” causes erectile dysfunction.
Over exertion - physically and mentally: Working for long hours in office, mental stress at office and home, short temperedness ,insufficient sleep cause erectile dysfunction.
These causes are explained in ayurveda as "shoka chintaa, bhaya, traasaat .... " which means that erectile dysfunction or Impotence occurs due to grief, fear, anxiety and terror.
Strained relationship with sexual partner: Erectile dysfunction also occurs when there is a disliking towards sexual partner.
Ayurveda describes this as "naarinaamarasamjnatwaat..." means disliking for women.
Diseases that cause Erectile dysfunction: Neurological disorders, hypothyroidism, Parkinson's disease, anemia, depression, arthritis, endocrine disorders,diabetes, diseases related to cardiovascular system also become reasons for erectile dysfunction..
According to ayurveda the diseases which cause erectile dysfunction are "Hritpaandurogatamakakaamalashrama..." - Heart diseases, anemia, asthma, liver disorders, tiredness. Apart from these the imbalance in tridoshas also cause impotence or erectile dysfunction.
Consumption of medicines, drugs and tobacco: Using antidepressants, tranquilizers and antihypertensive medicines for a long time, addiction to tobacco especially smoking, excessive consumption of alcohol, addiction to cocaine, heroin and marijuana cause erectile dysfunction.
In ayurveda texts these causes have been said in brief as "rukshamannapaanam tathoushadham" - "dry food, drinks and medicines" cause impotence or erectile dysfunction.
Trauma to pelvic region: accidental injury to pelvic region and surgeries for the conditions of prostate, bladder, colon, or rectal area may lead to erectile dysfunction.
These causes are mentioned as abhighata (trauma), shastradantanakhakshataha (injury from weapons, teeth and nail.) in ayurveda.
Other reasons: Obesity, prolonged bicycle riding, past history of sexual abuse and old age also cause Erectile dysfunction.
Ayurveda describes the cause of impotence or erectile dysfunction due to old age as follows. "diminution of - tissue elements, strength, energy, span of life, inability to take nourishing food, physical and mental fatigue lead to impotence."
Remedies for ED
ED is treatable at any age. The total treatment in for impotence is called as “Vajikarana therapy” in ayurveda. As this therapy increases the strength of a man to perform sexual act, like a horse, it is called 'Vaajikarana'. ('Vaaji'=Horse.)
Vaajikarana therapy leads to
• Happiness.
• Good strength. • Potency to produce healthy offspring.
• Increased span of erection.
Eligibility for vajikarana therapy.
1. The vajikarana therapy should be administered to persons who are between 18 to 70 years of age.
2. These therapies should be administered only to a self controlled person. If this therapy is administered to a person who does not have self control, he becomes nuisance to society through his illegitimate sex acts.
Psychotherapy
Decreasing anxiety associated with intercourse, with psychologically based treatment helps to cure ED. The patient's partner can help with the techniques, which include gradual development of intimacy and stimulation. Such techniques also can help relieve anxiety when ED from physical causes is being treated.
Same treatment is illustrated in ayurveda. It has been said “A woman who understands a man and is liked by him, along with erotic environment act as best aphrodisiac.“
Drug Therapy
Numerous herbal preparations are mentioned in Ayurveda to treat ED or impotence. It has been said that people who have strong sexual urge, who want to enjoy sex regularly have to consume these preparations regularly to replenish the energy, vigor, stamina and strength. These preparations also supply the nutrients which are necessary for production of semen.
Ayurveda tips to overcome ED
1. Consuming herbal preparations to rejuvenate the reproductive organs.
2. Massaging the body with a herbal oil which gives a relief from physical exertion and also acts as aphrodisiac.
3. Practicing Yoga and Meditation to overcome mental exertion and to cope up with stress.
4. Sleep at least for 8 hours a day.
5. Avoiding the consumption of alcohol, tobacco, heroin etc.
6. Exercise regularly.
7. Avoid hot, spicy and bitter foods.
8. Favor sweets, milk products, nuts and urad dal.
9. Add little ghee in your diet.
10. Give a gap of four days between two consecutive intercourses
