Is this embarrassing to bring up?

It is the reason a lot of people never get treated, and it should not be. This is an ordinary medical conversation in a closed room with a clinician who has it every week. You control how much detail you go into and nothing is discussed anywhere but the exam room.

It should feel like warmth and mild pressure rather than pain. No anesthesia is used. Tell your clinician the moment it stops being comfortable, because the temperature and energy are adjusted in real time.

How many Votiva sessions do I need?

A series of three, spaced four to six weeks apart, is the standard. Each session runs about thirty minutes. Maintenance is often revisited around a year later depending on how you are doing.

Does the blood-draw treatment actually work?

The honest answer is that the evidence is still developing and results vary between people. It is a reasonable option for some patients as part of a broader plan. It is not a guaranteed outcome, and anyone telling you otherwise is ahead of the research.

Why do I need labs and a cardiovascular check for an erection problem?

Because the blood vessels involved are small, and difficulty there can appear years before a cardiac event does. Checking is not bureaucracy. It is the part of the visit most likely to find something that genuinely matters.

Will hormone treatment fix this on its own?

Sometimes it is a large part of the answer and sometimes it is not the problem at all. That is exactly what the labs are for. Hormone treatment is used when the numbers and the symptoms agree, not as a default.

Can I come with my partner?

Yes, if you would like to. Some people prefer it and some strongly prefer the first conversation alone. Either is fine, and it does not change the care.

Votiva and shockwave have essentially none, though intercourse is avoided for a short period after Votiva. A blood-draw treatment usually means a few days of tenderness or swelling with specific aftercare instructions. You get the exact timeline for your treatment before you book it.

It depends on which treatment your workup points to, and several of these are priced as a series rather than a single visit. You get the full number at the consult before anything is scheduled, and financing is available through Cherry.

Sexual wellness in Chatsworth.

Discreet, clinician-led care for changes in comfort, function and desire, starting with finding out what is actually causing them.

Book Sexual Wellness Or call 323-673-2611

Starts with: A private consult and a workup
Care team: Narine Chilyan, DNP and Aram Mkhitarian, DO
Options: Votiva, shockwave, pelvic floor work
Votiva protocol: About 30 minutes, 3 sessions 4 to 6 weeks apart
Device on site: InMode Votiva

Several different treatments for several different causes.

Sexual wellness here is a category rather than a single treatment. Votiva by InMode uses radiofrequency to heat internal and external tissue, stimulating collagen and improving blood flow, and it is used for laxity, dryness, discomfort and reduced sensation. A blood-draw treatment uses a portion of your own blood, prepared in clinic, and places it into tissue to prompt a healing response. Shockwave uses acoustic pulses to encourage blood flow, most often in men with erectile difficulty. Pelvic floor work and hormone treatment sit alongside these.

Which of those is right depends entirely on the cause, which is why the workup comes before the treatment. Low desire, pain and erectile difficulty are symptoms with long differential lists: hormonal change, cardiovascular disease, diabetes, medication side effects including antidepressants and blood pressure drugs, thyroid disease, sleep loss, depression and relationship stress. Treating tissue when the cause is a medication or an undiagnosed vascular problem wastes your money and can delay a diagnosis that matters. Erectile difficulty in particular can be the first sign of cardiovascular disease.

It is also worth being straight about the evidence. Votiva has a reasonable track record for tissue-level symptoms. Blood-draw treatment and shockwave research is still developing and results vary between people. You will be told what is well established, what is promising and what is uncertain, and then you decide.

Whether this is the right treatment for you.

Worth booking if

Vaginal dryness, discomfort or laxity after childbirth or through menopause
Reduced sensation or difficulty reaching orgasm
Erectile difficulty or reduced performance where a cardiovascular and hormonal workup has been done or is being done
Low desire you want properly investigated rather than guessed at
You want this handled privately by a clinician rather than ordered online

Probably not if

You have an active genital or pelvic infection, or an untreated sexually transmitted infection
You are pregnant or recently postpartum without obstetric clearance
You have a history of gynecologic or prostate cancer, or any undiagnosed genital bleeding or lesion, until that has been evaluated
Your symptoms are being caused by a medication that should be reviewed first
You are on anticoagulation or have a bleeding disorder, which rules out a blood-draw treatment
You want a guaranteed outcome, which no treatment in this category can offer

What happens in the room.

A conversation in a closed room
The first visit is history: what changed, when, what medications you take, what else is going on with sleep, mood and stress. Nothing is rushed and nothing is discussed at a front desk. This visit sets the workup, and often it means labs and a cardiovascular assessment come before any treatment.
Votiva, if that is the plan
A small handpiece delivers radiofrequency to external and internal tissue while the temperature is monitored. It takes about thirty minutes and it should feel like warmth rather than pain. There is no anesthesia and no downtime, though you will be asked to avoid intercourse for a short period afterward. The course is three sessions spaced four to six weeks apart.
Blood draw or shockwave, if that is the plan
For the blood-draw treatment, blood is drawn from your arm, prepared in clinic, and the concentrated portion is placed after the area is numbed. For shockwave, a handpiece delivers acoustic pulses across several short sessions with nothing injected and no numbing needed. Both are done in a private room, and you go back to your day afterward.

How it is run here: Votiva, about 30 minutes, a series of 3 spaced 4 to 6 weeks.

Who performs this at Chatsworth.

Narine Chilyan

DNP, AGNP-C

Over a decade in healthcare, from ICU critical care to functional medicine. MSN from Chamberlain University, DNP from Charles R. Drew University. Created the Ten Top Tips for Transforming Health - a habit-based program for lasting weight loss and vitality. Her mission at KAYU: redefine beauty and wellness as one.

Read the full bio

Patients on sexual wellness.

5.0 average from 29 Google reviews

No one has reviewed sexual wellness by name yet. The rating above is the clinic's, across every service it performs.

Risks and what we tell every patient.

These are medical treatments performed by licensed clinicians after a history and examination. They are not offered on request, and several of them are not appropriate until other causes have been ruled out.

Erectile difficulty and low libido can be the presenting sign of cardiovascular disease, diabetes, hormonal disorders, depression or a medication side effect. Treating the symptom without investigating the cause can delay a diagnosis that matters more than the symptom does. The workup is not an upsell.

Votiva and other radiofrequency treatments deliver heat into tissue. Expected effects are temporary warmth, redness, swelling and mild discharge. Uncommon effects include burns, blistering, pigment change, scarring and persistent pain. Pain during the session is reported immediately rather than endured, because the settings are adjustable.

The blood-draw treatment involves drawing blood and placing a concentrated portion of it. Expected effects include bruising, swelling, tenderness and temporary numbness. Less common effects include infection, bleeding, nerve irritation and a lasting change in sensation. It is not given to people on anticoagulation or with bleeding disorders, active infection, or certain blood conditions. Evidence for this approach in sexual function is still developing and results vary between individuals.

Shockwave therapy is generally well tolerated, with temporary discomfort, redness or bruising being the usual effects. It is avoided over active infection, over a known lesion or mass, and in people with bleeding disorders. Evidence here is also still developing and no specific result is promised.

None of these treatments are performed during pregnancy. Any undiagnosed genital bleeding, lesion, mass or pelvic pain is evaluated before treatment rather than treated through, and a history of gynecologic or prostate cancer requires clearance from the treating specialist.

Tell your clinician about every medication and supplement you take. Antidepressants, blood pressure medicines, hormonal contraception and several other common prescriptions affect sexual function directly, and reviewing them is often the highest-yield step in the whole process.

Sexual Wellness questions.

Is this embarrassing to bring up?: It is the reason a lot of people never get treated, and it should not be. This is an ordinary medical conversation in a closed room with a clinician who has it every week. You control how much detail you go into and nothing is discussed anywhere but the exam room.
Does Votiva hurt?: It should feel like warmth and mild pressure rather than pain. No anesthesia is used. Tell your clinician the moment it stops being comfortable, because the temperature and energy are adjusted in real time.
How many Votiva sessions do I need?: A series of three, spaced four to six weeks apart, is the standard. Each session runs about thirty minutes. Maintenance is often revisited around a year later depending on how you are doing.
Does the blood-draw treatment actually work?: The honest answer is that the evidence is still developing and results vary between people. It is a reasonable option for some patients as part of a broader plan. It is not a guaranteed outcome, and anyone telling you otherwise is ahead of the research.
Why do I need labs and a cardiovascular check for an erection problem?: Because the blood vessels involved are small, and difficulty there can appear years before a cardiac event does. Checking is not bureaucracy. It is the part of the visit most likely to find something that genuinely matters.
Will hormone treatment fix this on its own?: Sometimes it is a large part of the answer and sometimes it is not the problem at all. That is exactly what the labs are for. Hormone treatment is used when the numbers and the symptoms agree, not as a default.
Can I come with my partner?: Yes, if you would like to. Some people prefer it and some strongly prefer the first conversation alone. Either is fine, and it does not change the care.
Is there downtime?: Votiva and shockwave have essentially none, though intercourse is avoided for a short period after Votiva. A blood-draw treatment usually means a few days of tenderness or swelling with specific aftercare instructions. You get the exact timeline for your treatment before you book it.
What does it cost?: It depends on which treatment your workup points to, and several of these are priced as a series rather than a single visit. You get the full number at the consult before anything is scheduled, and financing is available through Cherry.

Often booked alongside.

This care also exists remotely. See how sexual wellness works through KAYU online.

Find out what is actually causing it.

A private consult and the right workup establish whether the answer is a medication review, a hormone problem, a vascular issue or a tissue treatment, and that order matters.

Book Sexual Wellness

Or call 323-673-2611