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Optimal Medical Group

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United States
Fresno, CA
Optimal Medical Group

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Juan Chavez, MD and Lucia Mireles-Chavez, MD, FAAP have been practicing medicine for more than 15 years in Central California. Both have developed a deep appreciation for the need for Preventative and Restorative Age Management Medicine centered on evidence-based medical research. After years of training and the realization that consumers in Fresno were traveling to Beverly Hills and San Francisco for services, the couple envisioned and opened Optimal Medical Group in Northwest Fresno. This exciting new Medical Practice provides a wide-range of services for the people of the Central Valley to experience Age Management Medicine. The philosophy of the medical practice includes: balancing the whole body through nutrition, exercise and hormone optimization. The couple says, "We practice these same strategies and plans in our lives and have seen a remarkable difference in our overall health and that of our families. We invite you to visit our website or give a call to learn more about the incredible opportunities available to you right here in our Valley."

01/23/2026

Struggling with low libido and tried everything without lasting results?

Discover how O-Shot therapy addresses physical causes of decreased desire restoring s*xual function naturally 👇

➡️ O-Shot helps increase low libido in women by injecting concentrated platelet-rich plasma from your blood into vaginal and cl****al tissues, stimulating nerve regeneration, improving blood flow, enhancing tissue sensitivity, & increasing natural lubrication.

How O-Shot addresses low libido:
✔️ Blood drawn and processed to concentrate platelets containing powerful growth factors
✔️ PRP injected precisely into vaginal walls, G-**ot area, and cl****al tissues under local numbing
✔️ Growth factors trigger angiogenesis creating new blood vessels improving circulation for arousal
✔️ Stimulates nerve regeneration enhancing sensitivity and physical response essential for desire

Physical improvements restoring libido:
✔️ Increased vaginal and cl****al sensitivity to touch improving pleasure during intimacy
✔️ Enhanced natural lubrication eliminating dryness-related pain that suppresses desire
✔️ Stronger more intense or***ms from improved nerve function and blood flow
✔️ Better tissue health and elasticity reversing age-related or hormonal tissue changes

⚠️ O-Shot therapy effectively helps low libido by regenerating vaginal and cl****al tissues, working best as part of comprehensive treatment addressing hormonal, psychological, and relationship factors.

📖 What Helps Low Libido O-Shot Explained:
https://omgwellnessmd.com/blog/what-helps-with-low-libido-in-women/

📅 Book your consultation:
https://omgwellnessmd.com/contact-us/
📞 559-840-0066

*xualWellness

01/22/2026

Considering wave therapy for erectile dysfunction and wondering if it's right for you?

Discover the benefits, risks, and realistic expectations for this non-invasive ED treatment 👇

➡️ Wave therapy for erectile dysfunction uses low-intensity acoustic waves to improve pe**le blood flow, stimulate new blood vessel formation, and enhance tissue health through natural healing mechanisms.

Key Shockwave benefits for erectile function:
✔️ Addresses root vascular causes by repairing damaged vessels rather than temporarily masking symptoms
✔️ Non-invasive treatment requiring no surgery, anesthesia, or incisions with zero downtime
✔️ Long-lasting improvements persisting months or longer especially when combined with lifestyle changes
✔️ May restore spontaneous erectile function reducing or eliminating need for oral medications

Who benefits most:
✔️ Men with mild-to-moderate vasculogenic ED from diabetes, hypertension, or cardiovascular disease
✔️ Those seeking medication-free solution or unable to tolerate oral ED drugs
✔️ Patients who respond to PDE5 inhibitors but want longer-lasting natural improvements
✔️ Men with early erectile changes wanting to prevent progression before severe dysfunction develops

⚠️ Wave therapy offers effective non-invasive option for mild-to-moderate vascular ED with minimal risks, working best for carefully selected patients with realistic expectations.

📖 Wave Therapy for ED Complete Guide:
https://omgwellnessmd.com/blog/wave-therapy-for-erectile-dysfunction/

📅 Book your consultation:
https://omgwellnessmd.com/contact-us/
📞 559-840-0066

*xualWellness

01/21/2026

Dealing with persistent low libido that lifestyle changes and medications haven't fixed?

Discover how O-Shot injections target physical causes of low desire restoring s*xual function naturally 👇

➡️ O-Shot treats women's low libido by injecting concentrated platelet-rich plasma from your blood into vaginal and cl****al tissues, stimulating nerve regeneration, improving blood flow, enhancing tissue sensitivity, and increasing natural lubrication.

How O-Shot restores libido:
✔️ Blood drawn and processed to concentrate platelets containing powerful growth factors
✔️ PRP injected directly into vaginal walls, G-**ot area, and cl****al tissues using precise technique
✔️ Growth factors trigger angiogenesis creating new blood vessels improving circulation for arousal
✔️ Stimulates nerve regeneration enhancing sensitivity and physical response to stimulation

Physical improvements women experience:
✔️ Increased vaginal and cl****al sensitivity to touch improving pleasure during intimacy
✔️ Enhanced natural lubrication eliminating dryness-related discomfort that inhibits desire
✔️ Stronger more intense or***ms from improved nerve function and blood flow
✔️ Better tissue health and elasticity reversing age-related or hormonal changes

⚠️ O-Shot effectively treats low libido caused by physical tissue changes by regenerating function, working best combined with addressing hormonal and psychological factors.

📖 Women's Low Libido O-Shot Treatment Guide:
https://omgwellnessmd.com/blog/women-low-libido-treatment/

📅 Book your consultation:
https://omgwellnessmd.com/contact-us/
📞 559-840-0066

*xualWellness

01/20/2026

Considering supplements for erectile dysfunction but wondering if they actually work or if P-Shot is better?

Discover what science says about ED supplements versus PRP injections for lasting results 👇

➡️ ED supplements like L-arginine, ginseng, and h***y goat w**d lack robust clinical evidence and FDA regulation with inconsistent quality and potential drug interactions, while P-Shot PRP injections deliver concentrated growth factors directly to pe**le tissue improving blood flow, tissue regeneration, and erectile function through proven regenerative mechanisms.

Why supplements often disappoint:
✔️ Don't address underlying vascular damage, nerve issues, or tissue health problems
✔️ Require ongoing daily use with effects stopping immediately after discontinuation
✔️ Potential dangerous interactions with blood thinners, blood pressure medications, and nitrates
✔️ Expensive over time with questionable return on investment given weak evidence

P-Shot advantages over supplements:
✔️ Targets root physical causes through tissue regeneration not temporary symptom masking
✔️ Results emerge within weeks lasting 12-18 months versus daily supplement dependency
✔️ Uses your own blood components minimizing side effects and safety concerns
✔️ Backed by growing clinical evidence showing measurable improvements in erectile function

⚠️ ED supplements lack strong evidence and don't address physical causes, while P-Shot regenerates tissue providing lasting improvements through proven mechanisms.

📖 Supplements vs P-Shot Comparison Guide:
https://omgwellnessmd.com/blog/best-supplement-for-erectile-dysfunction/

📅 Book your consultation:
https://omgwellnessmd.com/contact-us/
📞 559-840-0066

*xualWellness

01/17/2026

Noticing changes in your s*x drive that feel confusing, frustrating, or distressing?

Low libido in women often shows up long before physical symptoms appear, and recognizing the signs early matters 👇

➡️ Low libido symptoms in women usually involve a persistent drop in s*xual interest, fewer s*xual thoughts, and feeling disconnected from intimacy. When these changes last for months and cause personal distress, they may signal an underlying hormonal, emotional, tissue-level, or medical issue rather than a temporary phase.

Common signs of low libido in women include:
✔️ Ongoing lack of interest in s*x or difficulty feeling mentally aroused
✔️ Fewer s*xual thoughts, fantasies, or desire for intimacy
✔️ Feeling disconnected from your s*xual self or avoiding intimacy
✔️ Vaginal dryness, discomfort, or pain with s*x
✔️ Emotional tension, guilt, irritability, or stress related to s*x

Ways low libido can be addressed:
✔️ Identifying hormone shifts, medication side effects, stress, or medical conditions
✔️ Addressing vaginal tissue health, blood flow, and sensitivity
✔️ Counseling or s*x therapy to support emotional and relationship factors
✔️ O-Shot (PRP injections) to support circulation, lubrication, sensitivity, and comfort using your body’s own platelets

⚠️ Low desire that lasts 3–6 months or longer, causes distress, or affects your relationship deserves professional evaluation. Many causes are identifiable and treatable.

📖 Low Libido Symptoms & Signs in Women: How to Recognize and Act Quickly
https://omgwellnessmd.com/blog/low-libido-symptoms-signs-in-women/

📅 Book your consultation:
https://omgwellnessmd.com/contact-us/
📞 559-840-0066

*xualHealth *xualWellness

01/16/2026

Struggling with erectile dysfunction and unsure where to turn for real answers?

Learn how an erectile dysfunction specialist helps identify the real causes of ED and builds a treatment plan that goes beyond a quick prescription 👇

➡️ Erectile dysfunction often develops from reduced blood flow, hormone changes, chronic conditions, medications, stress, or lifestyle factors. Treating ED effectively starts with understanding what’s driving it in your body.

Common causes of erectile dysfunction:
✔️ Reduced blood flow from diabetes, high blood pressure, heart disease, or smoking
✔️ Hormone changes, including low testosterone levels
✔️ Medication side effects from blood pressure drugs, antidepressants, or prostate treatments
✔️ Stress, anxiety, depression, and relationship strain

How an erectile dysfunction specialist helps:
✔️ Detailed evaluation of blood flow, hormones, medications, and overall health
✔️ Personalized treatment plans instead of one-size-fits-all pills
✔️ Lifestyle and metabolic support to improve circulation and erectile response
✔️ Advanced options like PRP (P-Shot) and shockwave therapy to support pe**le tissue health

⚠️ Ongoing er****on problems, low libido, or difficulty maintaining er****ons for weeks or months should be evaluated rather than ignored.

📖 Erectile Dysfunction Specialist in Fresno, CA:
https://omgwellnessmd.com/blog/erectile-dysfunction-specialist-in-fresno-ca/

📅 Book your consultation:
https://omgwellnessmd.com/contact-us/
📞 559-840-0066

*xualHealth

01/15/2026

Experiencing low s*xual desire after menopause that’s affecting intimacy or causing frustration?

Learn why this happens and what actually helps 👇

➡️ Low s*x drive in women after menopause is usually linked to hormonal changes, vaginal dryness or pain, medications, sleep problems, emotional stress, and relationship factors. As estrogen and testosterone levels decline, desire, arousal, and comfort during s*x often change, but these issues are often treatable.

Common reasons libido drops after menopause:
✔️ Lower estrogen and testosterone reduce blood flow, lubrication, and s*xual sensitivity
✔️ Vaginal dryness and genitourinary syndrome of menopause cause discomfort or painful in*******se
✔️ Medications for depression, anxiety, or blood pressure may suppress desire
✔️ Poor sleep from hot flashes, night sweats, or insomnia drains energy and interest
✔️ Stress, mood changes, body image concerns, and relationship strain affect intimacy

Treatment options that help restore comfort and desire:
✔️ Vaginal estrogen, moisturizers, and lubricants reduce dryness and painful s*x
✔️ Hormone therapy or carefully monitored testosterone for select women
✔️ Counseling or s*x therapy to address emotional and relationship factors
✔️ Lifestyle support for sleep, stress, confidence, and overall well-being
✔️ O-Shot (PRP injections) to support vaginal tissue health, blood flow, sensitivity, and arousal

⚠️ Low libido that lasts for months or causes distress is not “just aging.” Evaluation can uncover treatable causes and real solutions.

📖 Low S*x Drive in Women After Menopause: Causes and Solutions
https://omgwellnessmd.com/blog/low-s*x-drive-in-women-after-menopause/

📅 Book your consultation:
https://omgwellnessmd.com/contact-us/
📞 559-840-0066

*xualWellness

01/14/2026

Dealing with erectile dysfunction after prostate surgery and wondering if it’s permanent?

Here’s what most men aren’t told about recovery timelines and what actually helps 👇

➡️ Erectile dysfunction after prostate surgery is almost universal at first due to nerve trauma and reduced blood flow, but for many men it improves gradually over 12–24 months as nerves heal and pe**le tissue recovers. Recovery depends on age, overall health, pre-surgery er****ons, and whether nerve-sparing surgery was possible.

What to expect after prostate surgery:
✔️ Severe erectile dysfunction is normal in the first few months, even with nerve-sparing techniques
✔️ Early signs of recovery often appear around 3–6 months as partial er****ons
✔️ The main recovery window is 6–18 months, when nerve signaling slowly returns
✔️ By 18–24 months, many men regain er****ons firm enough for in*******se, often with treatment support
✔️ Up to 50–60% of men may have persistent ED, especially with non–nerve-sparing surgery or other health conditions

Options that support recovery:
✔️ Structured pe**le rehabilitation to protect tissue health during nerve healing
✔️ Oral ED medications, vacuum devices, and pe**le injections to improve blood flow
✔️ PRP-based treatments like the P-Shot may be considered as part of a broader rehab plan
✔️ For long-term ED beyond two years, pe**le implant surgery offers a reliable solution

⚠️ Erectile dysfunction after prostate surgery is rarely an “all or nothing” outcome. Early treatment, realistic expectations, and specialist-guided rehabilitation can significantly improve long-term results.

📖 How Long Does Erectile Dysfunction Last After Prostate Surgery?
https://omgwellnessmd.com/blog/how-long-does-erectile-dysfunction-last-after-prostate-surgery/

📅 Book your consultation:
https://omgwellnessmd.com/contact-us/
📞 559-840-0066

**leRehabilitation *xualHealth

01/13/2026

Considering supplements for low libido but wondering if they actually work or if O-Shot is better?

Discover what science says about libido supplements versus PRP injections for lasting results 👇

➡️ Low libido supplements lack robust clinical evidence and FDA regulation with inconsistent quality and potential drug interactions, while O-Shot PRP injections deliver concentrated growth factors directly to vaginal and cl****al tissues, improving blood flow, nerve sensitivity, and lubrication through proven regenerative mechanisms.

O-Shot advantages over supplements:
✔️ Targets root physical causes through tissue regeneration not temporary symptom masking
✔️ Results emerge within weeks lasting 12-18 months versus daily supplement dependency
✔️ Uses your own blood components minimizing side effects and safety concerns
✔️ Backed by growing clinical evidence showing measurable improvements in s*xual function

What women experience with O-Shot:
✔️ Increased arousal capacity with improved physical response to stimulation
✔️ Enhanced cl****al and vaginal sensitivity improving pleasure during intimacy
✔️ Stronger more intense or***ms from improved nerve function and blood flow
✔️ Better natural lubrication eliminating dryness-related discomfort during s*x

⚠️ Supplements lack strong evidence and don't address physical causes, while O-Shot regenerates tissue providing lasting improvements through proven mechanisms.

📖 Supplements vs O-Shot Comparison Guide:
https://omgwellnessmd.com/blog/low-libido-supplements-for-women/

📅 Book your consultation:
https://omgwellnessmd.com/contact-us/
📞 559-840-0066

*xualWellness

01/10/2026

Experiencing erectile difficulties after vasectomy and wondering if they're connected?

Discover the truth about vasectomy and ED plus solutions if problems develop 👇

➡️ Vasectomy doesn't directly cause erectile dysfunction as the procedure only blocks s***m transport without affecting testosterone production, blood flow, or nerve function required for er****ons.

Why ED might develop after vasectomy:
✔️ Psychological factors including performance anxiety or subconscious association between procedure and s*xual function
✔️ Coincidental timing as many men undergo vasectomy in 30s-40s when age-related vascular changes begin
✔️ Pre-existing cardiovascular risk factors like diabetes, hypertension becoming symptomatic around same time
✔️ Rare surgical complications involving nerve damage or chronic pain affecting s*xual confidence

Treatment options available:
✔️ P-Shot (PRP therapy) delivers growth factors improving pe**le blood flow and tissue health regardless of ED cause
✔️ Oral medications like sildenafil or tadalafil effectively treat vascular-related erectile difficulties
✔️ Counseling and s*x therapy address psychological factors contributing to post-procedure ED
✔️ Treating underlying conditions like diabetes or hypertension improves erectile function

⚠️ Vasectomy doesn't cause ED physiologically, but addressing any erectile concerns promptly ensures optimal s*xual health and confidence post-procedure.

📖 ED After Vasectomy Guide:
https://omgwellnessmd.com/blog/erectile-dysfunction-after-vasectomy/

📅 Book your consultation:
https://omgwellnessmd.com/contact-us/
📞 559-840-0066

*xualWellness

01/09/2026

Tried everything for low s*x drive but nothing restores your desire and intimacy?

Discover how O-Shot PRP therapy addresses physical causes of low libido naturally 👇

➡️ O-Shot treats low s*x drive in women by injecting concentrated growth factors from your blood into vaginal and cl****al tissues, stimulating nerve regeneration, improving blood flow, and enhancing natural lubrication.

What women experience:
✔️ Increased s*xual desire and spontaneous thoughts about intimacy within weeks of treatment
✔️ Enhanced arousal capacity with improved physical response to stimulation
✔️ Stronger more intense or***ms from improved nerve sensitivity and blood flow
✔️ Better natural lubrication eliminating dryness-related pain and discomfort during intimacy

Who benefits most:
✔️ Women experiencing low libido related to menopause, aging, or tissue changes
✔️ Those with arousal difficulties despite adequate desire and emotional connection
✔️ Women dealing with painful in*******se from vaginal dryness or tissue thinning
✔️ Anyone seeking natural regenerative approach without ongoing medication dependency

⚠️ O-Shot addresses physical causes of low libido by regenerating tissue and improving function, working best as part of comprehensive treatment approach.

📖 Low S*x Drive Treatment O-Shot Guide:
https://omgwellnessmd.com/blog/low-s*x-drive-in-women-treatment/

📅 Book your consultation:
https://omgwellnessmd.com/contact-us/
📞 559-840-0066

*xualWellness

01/08/2026

Wondering about erectile dysfunction treatment costs in Fresno and what you'll actually pay?

Discover pricing for different ED treatments from medications to advanced regenerative options 👇

➡️ Erectile dysfunction treatment costs in Fresno vary widely from $10-50 monthly for generic oral medications, $1,000-2,000 per P-Shot PRP session, $15,000-25,000 for pe**le implants, with insurance coverage depending on treatment type and medical necessity, making cost transparency and payment options essential when choosing providers.

P-Shot PRP therapy costs:
✔️ Most patients need 1-3 treatments initially with maintenance sessions every 12-18 months
✔️ Insurance rarely covers P-Shot as it's considered elective regenerative procedure
✔️ Financing options are available to make the treatment more affordable

Advanced treatment options:
✔️ P-Shot treatments
✔️ Shockwave therapy
✔️ Pe**le implant surgery
✔️ Vacuum er****on devices
✔️ Testosterone replacement therapy

Optimal Medical Group pricing:
✔️ Transparent pricing discussed during initial consultation based on individual treatment plan
✔️ P-Shot PRP therapy available with competitive Fresno area pricing
✔️ Comprehensive evaluation included identifying most cost-effective treatment approach
✔️ Payment options and package discounts available for multiple sessions

⚠️ Treatment costs vary significantly; choosing effective options addressing root causes may reduce long-term expenses versus temporary solutions.

📖 ED Treatment Cost Fresno Guide:
https://omgwellnessmd.com/blog/erectile-dysfunction-treatment-cost-in-fresno-ca/

📅 Book your consultation:
https://omgwellnessmd.com/contact-us/
📞 559-840-0066

*xualWellness

Address

7206 N Milburn Avenue #106
Fresno, CA
93722

Opening Hours

Monday	8am - 5pm
Tuesday	8am - 5pm
Wednesday	8am - 5pm
Thursday	8am - 5pm
Friday	8am - 4:30pm

Telephone

+15598400066

Website

https://linktr.ee/omgwellnessmd

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Want your practice to be the top-listed Clinic in Fresno?

Our Story

Juan Chavez, MD and Lucia Mireles-Chavez, MD, FAAP have been practicing medicine for more than 15 years in Central California. Both have developed a deep appreciation for the need for Preventative and Restorative Age Management Medicine centered on evidence-based medical research. After years of training and the realization that consumers in Fresno were traveling to Beverly Hills and San Francisco for services, the couple envisioned and opened Optimal Medical Group in Northwest Fresno. This exciting new Medical Practice provides a wide range of services for the people of the Central Valley to experience Age Management Medicine. The philosophy of the medical practice includes: balancing the whole body through nutrition, exercise and hormone optimization, and exercise plans tailored to help you achieve your optimal health. The couple says, "We practice these same strategies and plans in our lives and have seen a remarkable difference in our overall health and that of our families. We invite you to visit our website or give a call to learn more about the incredible opportunities available to you right here in our Valley."

Find out more at ► https://www.omgfitnessmd.com

Optimal Medical Group is located in Fresno, California at: 7206 N. Milburn Ave #106A Fresno, California 93722