
Nx Protocol
Desire
For wanting intimacy again and enjoying a more satisfying sex life, with a treatment option focused on low desire.
Explore hormone care, vaginal health, and sexual wellbeing with care that starts with you.
Explore your options Hear from our patients ↗
Women’s Health

More than a treatment
Bring your questions about hormones, vaginal comfort, desire, and intimacy. Your clinician can help you understand your options and choose a personal next step.
Tell your clinician what has changed, when it started, and how it affects your day.
Review your history, the formulation being considered, and any testing or additional evaluation needed.
Revisit symptoms and side effects with your clinician to decide whether the plan still fits.
Your timeline
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
Compare ingredients, forms, and prices before you begin your assessment.
| Treatment | Form / plan | Price & billing | Explore |
|---|---|---|---|
DesireSexual Health – Desire (PT-141) - Nasal Spray | Nasal spray | Price pending | View option ↗ |
Balance & DesireWomen's Hormones (HRT) – BiEst / Progesterone / Testosterone Combo Cream | Topical combination cream | Price pending | View option ↗ |
BalanceWomen's Hormones (HRT) – BiEst / Progesterone Combo Cream | Topical combination cream | Price pending | View option ↗ |
Comfort & RenewWomen's Hormones (HRT) – Vaginal Health (Estradiol / DHEA) - Vaginal Cream | Vaginal care | Price pending | View option ↗ |
ComfortWomen's Hormones (HRT) – Vaginal Health (Estradiol) - Vaginal Cream | Vaginal care | 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
Choose a treatment and complete its assessment when enrollment is available.
Review your options, including any labs or video visit needed for a decision.
If prescribed, begin treatment and stay connected through your patient portal.

Personal care.
Part of your everyday.
The Nirvanix community
A few words from the people who know us best.
The people behind Nirvanix
Meet our founder and members of the Nirvanix clinical team. Your online clinician is assigned according to your treatment and state.

Founder
A board-certified emergency medicine physician who founded Nirvanix Health in Austin.

Physician Assistant
A physician assistant with experience in emergency medicine and a focus on listening to patient concerns.

Registered Nurse
A registered nurse with experience in emergency medicine and mental health.
Bring the changes that affect your day: hot flashes, night sweats, sleep disruption, vaginal dryness, discomfort with sex, or changes in your periods. Note when they started and how often they happen. Hormone care starts with those concerns, rather than a goal of reaching a particular lab number.
No. The choice depends on your symptoms, age, time since menopause, and medical history. Tell your clinician about any unexplained bleeding, blood clots, cancer history, and whether you have had a hysterectomy. Those details help determine which treatments and further evaluation are appropriate.
No. Compounded preparations are not FDA-approved, and “bioidentical” does not mean safer or more effective. ACOG recommends FDA-approved menopausal hormone treatments over compounded preparations when appropriate approved options exist. Ask why a compounded cream is being considered and what the alternatives are.
Bring your medication and supplement list, recent relevant test results, menstrual or menopause history, and a short symptom record. Include treatments you have tried and what helped or caused problems. You do not need to purchase a broad hormone panel before asking which tests, if any, would be useful.
Yes. Nonhormonal medicines and other approaches may help with particular menopause symptoms. Tell your clinician whether you prefer to avoid hormones or have been advised against them, and which symptom matters most to you. The catalog does not show every option a clinician may recommend.
Your next step
A little context can help you find a clearer direction.
Find my starting point ↗