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

Roman (now called Ro) is one of the original men's telehealth platforms. They offer ED medications, hair loss treatments, and more through online consultations. But are they still competitive in 2025? Here's our honest review.

Our Rating

3.8/5

Pros

  • ✓ Free online consultations
  • ✓ Unlimited follow-up appointments
  • ✓ Wide range of dosage options
  • ✓ Branded and generic options
  • ✓ Free 2-day shipping
  • ✓ Ro Sparks combo medication

Cons

  • ✗ Higher prices than competitors
  • ✗ No insurance accepted
  • ✗ No chewable sildenafil
  • ✗ Some user complaints about billing
  • ✗ No vardenafil option

What Is Roman (Ro)?

Roman launched in 2017 as one of the first telehealth platforms focused on men's sexual health. The company has since rebranded to "Ro" and expanded beyond ED to offer:

Ro partners with licensed healthcare professionals and US-based pharmacies to provide FDA-approved medications. The consultation process is free, and medications are shipped directly to your door in discreet packaging.

How Roman Works

  1. 1
    Complete online assessment – Takes about 15 minutes. Answer questions about your symptoms, medical history, and lifestyle.
  2. 2
    Provider review – A licensed healthcare provider reviews your information within 24 hours. They may ask follow-up questions or schedule a video call if needed.
  3. 3
    Prescription (if approved) – If appropriate, you'll receive a prescription. You choose your medication and subscription plan.
  4. 4
    Free shipping – Medications arrive in 2 days via discreet packaging. Ongoing refills ship automatically based on your plan.

ED Medications Available

Roman offers a solid selection of ED medications, including both brand-name and generic options:

Medication Type Duration Price Range
Sildenafil (generic Viagra) Tablet 4-6 hours $4-11/dose
Viagra (brand) Tablet 4-6 hours ~$90/dose
Tadalafil (generic Cialis) Tablet Up to 36 hours $4-11/dose
Cialis (brand) Tablet Up to 36 hours $12-70/dose
Daily Rise Gummies Gummy (7mg tadalafil) 24+ hours (daily) $8-12/day
Ro Sparks Sublingual (sildenafil + tadalafil) Fast-acting combo $12/dose

What Is Ro Sparks?

Ro Sparks is a compounded sublingual tablet that combines both sildenafil and tadalafil. Because it dissolves under the tongue, it's absorbed faster—working in about 15 minutes on average. It's designed to give you both the quick onset of sildenafil and the longer duration of tadalafil. Note: Compounded medications are not FDA-approved as combinations, though the individual ingredients are FDA-approved.

Pricing: How Roman Compares

Let's be direct: Roman is generally more expensive than competitors like Hims and BlueChew for equivalent medications.

Medication Roman Hims BlueChew
Sildenafil (generic) $4-11/dose $2-7/dose $3-5/dose
Tadalafil (generic) $4-11/dose $2-8/dose $3-5/dose
Daily tadalafil $8-12/day $1-2/day N/A
Consultation Free Free Free
Shipping Free 2-day Free $5/month

Roman's pricing is on the higher end, especially for daily tadalafil where Hims offers significantly better value. However, Roman does offer more dosage flexibility and the unique Ro Sparks compounded option.

Roman vs Hims vs BlueChew

Choose Roman If:

  • • You want Ro Sparks (the fast-acting combo medication)
  • • You prefer tadalafil gummies over pills
  • • You want brand-name Viagra or Cialis specifically
  • • You value unlimited free follow-up appointments
  • • You're also interested in their testosterone or fertility services

Choose Hims If:

  • • You want the best daily tadalafil pricing
  • • You want more medication options (Stendra, vardenafil)
  • • You prefer chewable ED meds (multiple flavors)
  • • You also need hair loss treatment (better oral minoxidil options)
  • • You want more shipping frequency options

Choose BlueChew If:

  • • You want the lowest per-dose pricing
  • • You prefer chewable tablets (more convenient)
  • • You want vardenafil (generic Levitra) as an option
  • • You only need ED treatment (nothing else)

User Experience

Based on our research and user reviews:

Roman has a 3.9/5 rating on Trustpilot but only 1.28/5 on BBB (based on 36 reviews). The BBB rating reflects a small sample of complaints rather than broad user satisfaction.

Hair Loss Treatment

Roman also offers hair loss medications:

For hair loss, Roman's finasteride pricing is reasonable, but their topical minoxidil is more expensive than Keeps or Hims. If you want oral minoxidil, you'll need to look elsewhere.

Try Roman

Free consultation, free 2-day shipping, unlimited follow-ups.

The Bottom Line

Roman is a legitimate, established telehealth platform with a solid track record. However, in 2025, they're no longer the price leader:

Our Verdict

Roman is a good option if you want their unique Ro Sparks combo medication, prefer gummies over pills, or value their unlimited free follow-ups. However, for standard sildenafil or tadalafil, you'll find better pricing at Hims or BlueChew.

If you're on a budget or just want straightforward ED meds at the lowest price, we'd recommend BlueChew for as-needed use or Hims for daily tadalafil.

Key Takeaways

  1. 1. Roman is legitimate – US-based pharmacies, licensed providers, FDA-approved medications
  2. 2. Pricing is on the higher end – Competitors offer better value for equivalent medications
  3. 3. Ro Sparks is unique – Fast-acting combo not available elsewhere
  4. 4. Free consultations and unlimited follow-ups – Good ongoing support
  5. 5. Free 2-day shipping – Discreet, fast delivery
  6. 6. No insurance accepted – FSA/HSA cards work though
  7. 7. Better for some, not for others – Consider your specific needs and budget

Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. ED medications are prescription drugs with potential side effects and drug interactions. Do not take with nitrates. Consult with a qualified healthcare provider to determine if these medications are appropriate for you.

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