Dr. Ara Chitchyan specializes is using Regenerative Medicine approach to address health concerns specific for men. These include diagnosis and treatment of:

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• Erectile Dysfunction

• Peyronie's disease

• Post Prostate Surgery or Other Treatment related sexual dysfunction (penile surgery, injuries)

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We offer:

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• Overall assessment of health

• DIagnosis

• Treatment

  • Oral medications​

  • PRP - P-shot

  • Trimix and similar injectables

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Why choose us?

 

At ARA, we are passionate about improving men’s health and wellness through available traditional treatments and regenerative medicine procedures. Dr. Chitchyan offers personalized care that is tailored to each patient’s unique needs. We believe that male general wellness is an important aspect of overall health, and we strive to provide the highest level of care to all our patients.

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• After hours and weekend spots are available

• Individualized approach

• We believe in what we do

• Discretion is guaranteed!

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Why do you offer these services?

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As a physician Dr. Chitchyan is trained in treating impairment of any organ and organ system. So knowing potential of Regenerative Medicine it was not such a difficult decision for him to learn more and begin using orthobiologics (PRP, stem cells and exosomes) in an area that is often not spoken about - male sexual performance.

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Facts about that thing

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• 40% of men at age of 40 have Erectile Dysfunction (ED)

• average size of penis in US is 

  • flaccid 3.61 inches​

  • erect 5.17 inches

    • iPhone 14 dimensions: 5.78X2.81 inches

• 85% of women are satisfied with the size of the penis of their partner

• 55% of men are satisfied with the size of their penis

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How can we help?

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In more ways than you might think! With the advancements in medicine, there are things that few years ago were not considered possible.

• Conventional ED treatment - pills

• Injectables: custom made mixes (Trimix etc) - guaranteed to cause an erection!

• PRP injections (P-shot)

  • Both treatment of ED, and the only minimally invasive procedure known to increase penis size​

• Stem cell injections

  • Fat grafting - taking adipose tissue from under the skin and transferring it under the skin of the penis, after processing and concentrating stem cells found in the fat

• Exosomes

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Why is procedure called P-shot?

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It is named after Greek God Priapus who famously had permanent erection. Interestingly, initially that effect of PRP was not known and basically the procedure was named after a side effect, although very desirable, but still - side effect. 

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Why not use an online doctor for treatment like Hims etc?

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First of all cost. Did you know that the same amount of ED treatment in your local pharmacy with a coupon available for general use is about 10 times cheaper? 

But then why talk with a stranger over the video who is trying to quickly ask a question and move on (I am talking about virtual consultation needed for prescription)?

At ARA we offer personal approach. We can spend as much or as little time as you feel is needed to address your issue. Let us explain it to you why this or that option might be better option for you. Knowing what causes your particular case is as important as treatment itself.

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Benefits of Regenerative Medicine procedures for men

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1. Improved sensitivity

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2. About an inch increase in size: both length and girth.

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3. Firmer and longer lasting erections

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4. First line and arguably, most effective treatment for Peyronie's disease

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When it comes to possible increases in size, these are usually visible immediately to some extent but more so they are apparent closer to 6 months after the procedure. Girth increases faster, length - slower and not as much as we would have hoped for. It is a toss up if gains are permanent or temporary. It is worth mentioning that without identifying and eliminating factors that caused you to need this, obviously damage will continue and sooner than later you will need another treatment.

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Main reasons for Erectile Dysfunction can be grouped into somatic (have a diagnosed cause) or psychogenic. Most of the time these overlap and co-exist. Stress, depression, lack of sleep, low energy levels - all can cause ED. All these need to be taken into consideration prior to choosing treatment.

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(if you feel convinced by now - contact us now; as with any other content on this website, rest of this page is written by Dr. Chitchyan; it contains mix of scientific data as well as his personal opinions which are based on science; hopefully you will find the reading educational and entertaining!)

 

Why is it that important for Men to have Healthy Sexual Function?

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Even if someone has mild issues with erection, when it comes time to perform that minor issue becomes an elephant. Once that happens it takes a lot more effort to regain confidence to even try again in the same or similar situation. It might get to the point of developing fear of sex. 

Think about it, sex is one of the major pleasures that we experience in our lives. Other pleasures - food and sleep. Because let's be honest nobody enjoys working, working out, dieting, staying up or staying abstinent! Out of those three enjoyments, sex is pleasurable without effort, without compromise. Food - you have to buy it, obtain it, hunt the prey down, cook it etc. Sleep - well, who has time to sleep? Sex - guilt free, don't need anything, and - let's face it - if there is a partner involved - great, but really not a necessity. So, it is important to have this particular form of enjoyment. To simply improve metabolism in your brain, regulate levels of neurotransmitters, release endorphins etc. It all starts with the desire. Desire then translates into action, if there is motivation. Many things can go wrong in this process. Desire is affected by Dopamine and Serotonin levels. These neurotransmitters also modulate motivation. If the desire and motivation are there - this will translate into action.

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Many things can go wrong in this chain of events. Depression will affect serotonin and dopamine levels. Medications may reduce of increase those levels. Even if everything in the brain works, further down the chain, vascular supply may impair the erection. There might be hundreds of reasons - from flu and other acute infection, to taking ibuprofen for example - all these can cause that dreaded erectile dysfunction.

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So, let's talk about it! You are not alone, chances are the next guy you talk to has it too... 

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If you feel uncomfortable scheduling appointment by calling us - send me a message. Contacting through this page will get you directly in touch with me. Ask any questions you may have

 

How do PRP and other regenerative medicine products work?

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As far as we can tell, regeneration of tissues is dependent on three different processes:

a. Signaling

b. Migration of stem cells

c. Vascular regrowth and collagen synthesis

Normally an injured tissue is able to initiate this cascade by exposing signaling molecules that activate platelets and when interacting with white blood cells broadcast that informations to the rest of our body. This is not always the case. If injury is too small, it may not trigger a major response or any response. Sometimes, injury is outside of reach of white cells. Sometimes the area has no stem cells and low levels of growth factors. 
Any of Regenerative Medicine products attempt to address one or more stages of that process in the absence of injury. Platelets address all three, but without specific order. Stem cells orchestrate all these processes.

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That’s why we offer regenerative treatments for Peyronie’s Disease as well as penis enlargement and erectile dysfunction. Moreover, we help our clients maintain a healthy lifestyle and manage their medications to ensure a good quality of life.

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As part of your consultation, we will go over following:

• Comprehensive health assessment

  • including review of your current medications​

  • we will gladly call your PCP to discuss potential changes to your medications 

• Review of exercise routine

• Diet evaluation

• ED diagnosis

• Mood assessment

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Hopefully it is clear by now that at ARA you get more than just a P-shot. All inclusive procedure price includes Initial Evaluation and at least 1 if not more follow up sessions. We also provide samples of oral ED medications if those can potentially be effective.