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Sexual health

Personalized treatment for performance, desire, and confidence

We combine advanced diagnostics, PDE5 inhibitors, hormone optimization, and behavioral coaching to treat the full spectrum of men's sexual health concerns from erectile dysfunction to rapid climax and low libido.

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Available Treatments

  • Deeper satisfaction

    Improve satisfaction and confidence with personalized medical care.

  • Lasting control

    Evidence-based options for stamina, control, and staying power.

  • Optimize performance

    Hormone Therapy + supplements to optimize energy and performance.

Conditions we treat

Treating the full spectrum of men's sexual health concerns

Every program begins with a consult to understand your health history, goals, and previous treatments. From there we match you with targeted medications and hands-on support.

1

Erectile dysfunction

Precision-dosed PDE5 inhibitors, vascular assessments, and lifestyle optimization plans that get to the root of inconsistent or weak erections.

Rapid starts with sildenafil and tadalafil, plus long-term strategies that improve endothelial health and testosterone balance.
2

Early climax

Neurobehavioral coaching, topical desensitizers, and off-label medications help you extend stamina without sacrificing sensation.

We evaluate hormonal, psychological, and pelvic floor contributors to create a plan that works in the moment and over time.
3

Hormone-related libido changes

Advanced lab work analyzes free/bioavailable testosterone, estradiol, thyroid, and prolactin to personalize hormone therapy.

Options range from testosterone cypionate to enclomiphene or hCG support to maintain fertility while restoring desire.

Why patients choose NEXI

Clinical expertise paired with judgment-free support

From first refill to long-term maintenance, your care team adapts quickly and communicates proactively so you feel supported every step of the way.

Coordinated medication management

Providers titrate sildenafil or tadalafil dosing, monitor blood pressure interactions, and coordinate discreet pharmacy shipping.

Whole-person coaching

Licensed therapists and health coaches address anxiety, relationship communication, sleep, and nutrition to support sexual resiliency.

Evidence-backed protocols

Treatment plans are built from American Urological Association guidelines and continually updated clinical research.

How care unfolds

A guided journey from first consult to confident intimacy

Your care team includes physicians and practitioners who collaborate on each milestone. Secure messaging keeps them close between visits.

  1. 1

    In-depth sexual health consult

    45-minute virtual visit to review erection quality, libido changes, mental health factors, and medications you've tried in the past.

  2. 2

    Advanced diagnostics

    Labs and optional penile doppler imaging evaluate hormones, cardiovascular function, and neurologic signals that influence sexual response.

  3. 3

    Integrated treatment plan

    PDE5 inhibitors, hormone optimization, pelvic floor routines, and coaching tools tailored to your lifestyle.

  4. 4

    Continuous optimization

    Follow-up visits every 4-6 weeks ensure dosing precision, manage side effects, and keep your plan aligned with relationship goals.

A dedicated team for your sexual health goals

  • Collaborative care
  • Medication, labs, and follow-ups managed through one platform
  • Responsive support whenever questions or side effects arise

Treatment eligibility is determined by our licensed clinicians after reviewing your health history, medications, and lab results.

Provider speaking with a patient via video visit

Frequently asked
questions

Have questions?

Send us a message
Most patients feel improvements in erection firmness within the first few doses of sildenafil or tadalafil. Your clinician will adjust dosing or timing based on your response and any side effects.
Yes. When appropriate, prescriptions are sent to your preferred pharmacy the same day as your consult. We can also coordinate discreet partner pharmacies that ship directly to your door.
We explore why past treatments underperformed—whether it was timing, dosing, interactions, or an untreated hormone imbalance. Many patients who failed generic pills respond once we address these factors.
Absolutely. Our program may include on-demand medications, topical therapies, and behavioral training techniques designed by sex therapists to extend stamina without numbing.
Baseline labs are recommended to evaluate hormones, metabolic markers, and cardiovascular risk. When hormonal treatment is indicated, labs are required so we can prescribe safely.
Yes. Virtual visits, at-home labs, and nationwide pharmacy shipping make it easy to start regardless of location. We maintain brick-and-mortar partners in select cities for in-person diagnostics when needed.