Buddhism and sexuality - Wikipedia - Sexual practices of tibetans
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Karmamudrā is a Vajrayana Buddhist technique of sexual practice with a physical or visualized According to most Tibetan Buddhist teachers, karmamudra is necessary in order to attain enlightenment in this lifetime. For example modern day. In the Buddha's first discourse, he identifies craving (tanha) as the cause of suffering (dukkha). . According to some Tibetan authorities, the physical practice of sexual yoga is necessary at the highest level for the attainment of Buddhahood.