Nx Protocol
Connection
An oral blend for erection and desire goals, designed around a more satisfying sex life and feeling closer to your partner.
Build and keep that confidence.
Discuss sexual health concerns privately and explore treatment options with a clinician who considers the whole picture.
Explore your options Hear from our patients ↗
Sexual health
Intimate confidenceSexual functionCloser connection
Find your starting point
Sexual health,
personalized.
Get to know the options. Your clinician helps determine which, if any, fits your health and goals.
5 products
Nx Protocol
Desire
For wanting intimacy again and enjoying a more satisfying sex life, with a treatment option focused on low desire.
Nx Protocol
Confidence
Get and keep a firmer erection when aroused, so you can spend less time worrying about performance and more time enjoying intimacy.
Nx Protocol
Arousal
Personalized help with getting aroused and enjoying sex, when you want intimacy but your body is not responding as you would like.
Nx Protocol
Intimacy
For closeness, arousal, and enjoyment in your intimate life, with the convenience of a nasal spray.
More than a treatment
Confidence starts with being able to ask.
Desire, arousal, and erectile function are different concerns. Your history, medications, and goals help a clinician understand which options may be appropriate.
Describe what changed
Talk about your symptoms, how long they have been present, and what matters most to you.
Review medication safety
Share your current prescriptions and heart health history before considering treatment.
Find the right follow-up
Discuss how to assess response and when symptoms need further evaluation.
Your timeline
A clear path. One step at a time.
Your care has milestones, not a promised finish line. Your clinician sets the schedule around your needs.
Choose your goal and complete a health assessment. Share your history, medications, and what you would like to change.
A clinician reviews your information and decides whether labs, a visit, or further evaluation are needed.
Review the recommended approach, costs, and instructions. A prescription is issued only when appropriate.
Share questions, symptoms, and tolerability with your care team. Your clinician decides when to reassess.
Review progress and any required testing. Your plan can be revisited as your health and goals change.
Care milestones are illustrative. Timing, testing, and treatment depend on your clinical review.
The details, side by side
Find the option to discuss.
Compare ingredients, forms, and prices before you begin your assessment.
| Treatment | Form / plan | Price & billing | Explore |
|---|---|---|---|
ConnectionSexual Health - Tadalafil + Oxytocin + PT-141 - Oral Tab | Oral combination | Price pending | View option ↗ |
DesireSexual Health – Desire (PT-141) - Nasal Spray | Nasal spray | Price pending | View option ↗ |
ConfidenceSexual Health – Tadalafil (Daily / Low Dose) - 3 Month Supply - Oral | Oral treatment · Daily / low-dose option | Price pending | View option ↗ |
ArousalWomen's Sexual Health – Arousal - Cream | Topical cream | Price pending | View option ↗ |
IntimacyWomen's Sexual Health – Intimacy (Oxytocin) Nasal Spray | Nasal spray | Price pending | View option ↗ |
Prices and eligibility may vary. Final fees and billing terms are shown before payment. Your clinician determines whether treatment is appropriate.
How we work
Your next chapter
starts with you.
Tell us about yourself
Choose a treatment and complete its assessment when enrollment is available.
Connect with a clinician
Review your options, including any labs or video visit needed for a decision.
Follow your personal plan
If prescribed, begin treatment and stay connected through your patient portal.
Nirvanix Health
Personal care.
Part of your everyday.
The Nirvanix community
Care that feels personal.
A few words from the people who know us best.
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The people behind Nirvanix
A personal approach to care.
Meet our founder and members of the Nirvanix clinical team. Your online clinician is assigned according to your treatment and state.
Founder
Shane Ali, MD
A board-certified emergency medicine physician who founded Nirvanix Health in Austin.
Physician Assistant
Allie
A physician assistant with experience in emergency medicine and a focus on listening to patient concerns.
Registered Nurse
Julia Freudenberger
A registered nurse with experience in emergency medicine and mental health.
Questions about sexual health
No. Desire, arousal, and erectile function are different concerns. Describe what changed, when it happens, and any pain or other symptoms. Tadalafil can help with erectile dysfunction when appropriate, but it does not increase sexual desire.
The assessment starts a clinical review; it is not an automatic prescription. Your clinician may ask follow-up questions, request tests, or recommend a visit. Persistent erectile difficulties can also be connected to other health conditions or medicines, so include your broader health history.
Share every medicine and supplement, including other erectile-dysfunction treatments. Tadalafil must not be combined with nitrate medicines such as nitroglycerin, recreational nitrates known as poppers, or riociguat. Ask your clinician or pharmacist to review the full list before starting.
A combination contains additional active ingredients, so its evidence, risks, and instructions need a separate review. Research on tadalafil alone does not establish the effectiveness of a multi-ingredient combination. Compare the full ingredient list and ask what each ingredient is intended to address.
No. Those schedules have different prescribing instructions and may use different doses. Follow your prescription and ask your clinician before changing the schedule or taking extra doses. Selecting another website option does not change your current prescription.
Tell your clinician what you tried, how you used it, and any side effects so they can reassess treatment. Get medical help immediately for an erection lasting more than four hours or sudden loss of vision or hearing.
Your next step
Start with what
matters to you.
A little context can help you find a clearer direction.
Find my starting point ↗