Roman Review: Is Ro Worth It for ED Treatment in 2025?

Roman (now operating as Ro) has been in the men's telehealth game since 2017. They've built a reputation for personalized provider interactions and innovative products like Ro Sparks and Daily Rise Gummies. But are they actually worth it compared to competitors? Here's our honest review.

What Is Roman (Ro)?

Roman is a men's health telehealth platform that launched in 2017 as part of Ro, a broader direct-to-consumer healthcare company. They specialize in ED treatment, premature ejaculation, hair loss, and other men's health concerns.

What sets Roman apart is their focus on ongoing provider relationships. Unlike some competitors where you might feel like a ticket number, Roman emphasizes personalized messaging with your assigned provider and unlimited follow-ups at no extra cost.

Roman ED Medications

Roman offers both traditional ED medications and innovative compounded products:

Roman Pricing

Honest take on pricing: Roman isn't the cheapest option for generic ED medications—competitors like BlueChew and Lemonaid often beat them on per-dose cost for basic sildenafil and tadalafil. Where Roman shines is their Daily Rise Gummies (competitive daily tadalafil pricing) and Ro Sparks (unique combination product).

How Roman Works

1. 1
   Complete online evaluation – Answer questions about symptoms, medical history, medications, and cardiovascular health (~20 minutes)
2. 2
   Provider reviews your info – A licensed provider in your state reviews within 24 hours and may ask follow-up questions via messaging
3. 3
   Discuss treatment options – Provider recommends medication and dosage; you can message back with questions
4. 4
   Prescription issued – If approved, your prescription is filled through Ro Pharmacy Network
5. 5
   Free 2-day shipping – Medication arrives in discreet packaging within 4-7 business days

Roman also offers phone and video consultations with your provider—not just messaging. This is a differentiator from some competitors. You can request a video call if you want more direct interaction.

Beyond ED: Other Roman Services

Roman isn't just for erectile dysfunction. The platform offers:

• •Hair Loss: Finasteride, minoxidil, and combination treatments
• •Premature Ejaculation: PE wipes, sertraline (off-label)
• •Testosterone Support: Supplements and testing
• •Heart Health: Screening and monitoring
• •Cold Sores/Herpes: Antiviral treatments
• •Weight Loss: GLP-1 medications

Pros and Cons

What Users Say

Roman has a 3.9/5 rating on Trustpilot based on thousands of reviews. Common themes:

What users love: Easy sign-up process, discreet packaging, provider responsiveness, ability to delay subscription shipments when not needed, annual recertification for ongoing safety.

What users complain about: Some report medication prices are higher than competitors, occasional billing issues, and delivery delays. A few users noted unauthorized charges after cancellation attempts.

Roman vs Competitors

Is Roman Worth It?

Roman is worth it if:

• • You want daily tadalafil (Daily Rise Gummies are competitively priced)
• • Ro Sparks' combination formula appeals to you
• • You value personalized provider interactions
• • You want phone/video consultation options
• • You're interested in bundling ED with other men's health services

Consider alternatives if:

• • You want the absolute lowest price on generic sildenafil (try BlueChew or Lemonaid)
• • You want Stendra (avanafil) - Roman doesn't offer it
• • You prefer chewable formats (BlueChew or Hims Hard Mints)
• • You want to use insurance

Key Takeaways

1. 1. Roman offers unique products like Ro Sparks and Daily Rise Gummies
2. 2. Daily tadalafil pricing is competitive at ~$2/dose for gummies
3. 3. Provider interactions are more personalized than some competitors
4. 4. Generic sildenafil/tadalafil tablets are pricier than BlueChew or Lemonaid
5. 5. Free consultations and unlimited follow-ups
6. 6. Available in all 50 states
7. 7. No insurance accepted, HSA/FSA acceptance varies