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Roman is an alternative men’s healthcare system aimed at providing medications for a variety of health issues. Here’s an in-depth review of its services for erectile dysfunction.

If you’re interested in men’s health services but don’t want to make a trip to the doctor in person, you may have come across the brand Roman.

In this article, we’re taking a close look at the brand: its services, what’s behind the hype of its popular erectile dysfunction (ED) treatments, other products you can try, and whether it’s worth checking out.

Roman is a men’s health service that specializes in treatments for ED, premature ejaculation (PE), and other men’s health conditions.

It’s a sub-brand of a company called Ro. Ro launched in 2017 with the intention of providing “end-to-end” consumer healthcare service, according to the company. Ro seeks to help with all parts of your medical journey, including scheduling appointments, filling prescriptions, and more.

Roman focuses specifically on providing services for men’s health. The brand is most known for its ED medications that have the same active ingredient as brands like Viagra and Cialis. But Roman also provides:

  • online and in-person appointment services through an online dashboard
  • prescription fills and refills with licensed pharmacies
  • treatments for viral infections
  • hair and skin treatments for hair loss, eczema, cold sores, and more
  • generic forms of common treatments for allergies, heart health, and smoking cessation
  • nutritional supplements for stress relief, weight management, and more

Roman claims to make prescription products easier to access through a subscription-based, telehealth model.

When you want a prescription for ED medications, hair loss products, or another medication, you can go through Roman’s website and answer a few questions.

You’ll also need to submit a picture of your photo ID and a clear photo of your face. A licensed healthcare professional then reviews your information and, if you’re a good candidate for telemedicine, they will fill the prescription for you.

Certain U.S. states require the additional step of a video chat with one of Roman’s healthcare professionals. These professionals are doctors with independently owned practices.

You may need to submit some additional information, too. If you’re getting a prescription for ED medication, you’ll need to provide an accurate blood pressure reading from within the last 6 months. And if you’re signing up for hair loss medication, you’ll need to provide photos of your hairline from different angles.

If you meet the criteria for Roman telemedicine and your prescription is approved, you’re ready to order.

You select whether you want a quarterly or monthly subscription for your medications, or if you want a one-time purchase. Within 2 days, the products are mailed to your home in an unmarked box and in discreet packaging.

You can cancel the subscription whenever you want.

Roman doesn’t currently accept health insurance as a form of payment.

Roman’s generic ED treatments are its most popular offering. The company provides brand-name Viagra, generic Viagra (sildenafil), brand-name Cialis, and generic Cialis (tadalafil).

Here’s a brief overview of the ED medications Roman provides:

ED medications at Roman are not covered by insurance, but there are lower cost generic versions of Viagra and Cialis available that can help you save money each month. Here’s a breakdown of how much Roman charges for each ED treatment:

Branded Viagra

  • $90 for a single 25-, 50-, or 100-mg oral tablet

Sildenafil (generic Viagra)

  • $4 for a single 25-mg oral tablet
  • $6 for a single 50-mg oral tablet
  • $10 for a single 100-mg oral tablet

Branded Cialis

  • $20 for a single 5-mg oral tablet
  • $80 for a single 10- or 20-mg oral tablet

Tadalafil (generic Cialis)

  • $11 for a single 5-mg oral tablet
  • $44 for a single 10- or 20-mg oral tablet

Daily tadalafil (generic Cialis)

  • $8 for a single 2.5- or 5-mg oral tablet

See Roman’s website for a full list of medications and prices.

Note: All prices are current as of February 2024.

If you’re experiencing ED symptoms, it may feel intimidating or even embarrassing to ask for help. Roman helps remove some of that discomfort by helping you talk with a doctor online and get medications shipped discreetly to your door.

In addition, Roman’s products are shipped in unmarked boxes, so anyone who sees the package won’t be able to tell what’s inside.

The Roman website says that customers’ information is highly secure. However, the company’s privacy policy does note that any data Roman collects from customers may be shared with third-party advertisers.

Roman currently has a A+ rating on the Better Business Bureau (BBB) website and a 4 out of 5-star rating on Trustpilot as of February 2024.

Some customers complain about being charged for automatic renewal without permission or experiencing slow shipping speeds. However, many of the 5-star reviews praise the fast shipping speeds and quick responses from customer service, so user experience can vary.

Roman has responded to numerous customer reviews in great detail and offers a customer service contact email for any issues with incorrect or misplaced orders.

Roman does not allow returns of prescription medication due to regulatory issues.

Customer reviews

Roman displays customer reviews on its website.

Only positive reviews are displayed. Customers praise treatment plans, fast shipping, and great response times from customer service. Photos are included with some reviews.

Reviews from other sites aren’t as uniformly positive.

At the time of publication, third-party review site Trustpilot displays over 600 reviews, with 69% of those reviews rating Roman a 5 out of 5.

One of the Trustpilot reviews relates to pricing, saying that competitors offer the same medications and doses for significantly less.

Also at the time of publication, Roman’s rating on the BBB website landed at 1.31 out of 5 stars with 32 customer reviews. Positive reviews point to feeling at ease when talking about concerns with the medical team.

Negative reviews point to several issues:

  • late response times from customer service representatives
  • unauthorized charges for canceled subscriptions
  • not receiving subscriptions after being charged for them
  • concerns about privacy relating to personal information
  • lack of choices when picking a doctor for telemedicine appointments

Read more about how Roman stacks up with competitors.

Both sildenafil and tadalafil are part of a drug class called phosphodiesterase-5 (PDE5) inhibitors and have been approved by the FDA for prescription use under the supervision of a doctor.

However, be sure to talk with your doctor about possible risks, interactions, or side effects of using any Roman medications, especially when using PDE5 inhibitors in high doses.

Keep in close communication with your doctor in case you notice any new symptoms.

PDE5 inhibitor side effects

Some side effects are possible with sildenafil and tadalafil, including:

  • rash
  • flushing
  • redness
  • muscle aches
  • sore throat
  • back pain
  • headache
  • runny nose
  • indigestion
  • erection that lasts longer than 4 hours (priapism)
  • blurry vision

If you’re taking nitrates (medications for chest pain) such as isosorbide dinitrate (Isordil), isosorbide mononitrate (Monoket), and nitroglycerin (Nitromist, Nitro-Dur, Nitrostat), tell your doctor. Taking these medications with PDE5 inhibitors can cause dangerously low blood pressure.

Roman vs. Hims: Wondering which of these two companies is better?

Roman and Hims are two of the best online pharmacies for ordering Viagra online. But which one is right for your needs? We compared Hims versus Roman to break down their prices, customer reviews, and subscription policies to help you make a more informed decision.

Read our review of Hims vs. Roman.

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When you meet with your doctor, you may not know which questions to ask about your ED care. Here are a few questions to get you started.

Questions for ED care

  • Does my ED have a physical cause? How can I know?
  • Are there any other possible causes?
  • How can I test whether I have ED?
  • Will my ED only last for a while or could it be longer term?
  • How can I know what treatment is best?
  • Are there alternatives to these medications?
  • What are nonprescription treatments for ED?
  • Should I be managing other health conditions along with my ED?
  • What shouldn’t I do while I’m taking these medications?
  • Do I need to see a urologist or another type of specialist?
  • Are there any educational materials I can look at online?
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Some doctors suggest that you visit a urologist if your ED medication isn’t helping you get and keep an erection 50% of the time or more.

If you have a chronic health condition or your doctor suspects an underlying condition might be contributing to ED, you may need further tests or a consultation with a specialist to find the right treatment.

Many emotional and psychological factors can also cause ED, so your doctor may also refer you to a mental health professional.

The effects of Viagra can last up to 4–6 hours, while Cialis can last 24–36 hours after taking a dose.

Erections should not last more than 4 hours, though. Erections lasting longer than 4 hours are considered a serious side effect that requires emergency treatment.

Generally, healthcare professionals recommend taking an ED treatment like Cialis on a daily basis or Viagra as needed before sex but no more than once per day.

It’s worth noting that each Revatio pill contains 20 mg of sildenafil and is prescribed to treat pulmonary hypertension. Treatment for pulmonary hypertension involves taking three Revatio pills per day. The same dosage should not be used for ED.

While you may see discussions online about taking multiple 20 mg sildenafil tablets per day, this is likely in reference to pulmonary hypertension treatment. Sildenafil for ED should always be taken as prescribed, which is typically one pill per day maximum.

Cialis and tadalafil can be prescribed for benign prostatic hyperplasia (BPH), even if you’re not experiencing ED symptoms. A daily 5-mg dose of tadalafil is common for BPH, but your doctor may recommend a different dosage.

Ask your doctor for a recommendation.

Younger people can experience ED. In that case, a doctor may prescribe ED medication to people ages 18 years and older.

If you’re not experiencing symptoms of ED and you haven’t been given a prescription, don’t take ED medication.

Sildenafil and tadalafil are FDA approved for prescription use under doctor supervision. However, that doesn’t mean they come without risks or side effects.

Pay attention to any new symptoms, and talk with your doctor about possible risks, interactions, or side effects of using Roman medications. This is especially important if you use PDE5 inhibitors in high doses.

Roman ED medications typically begins working after about 30–60 minutes. However, taking daily Cialis means that you could potentially be ready for sex without having to take the pill ahead of an anticipated encounter.

If you’re feeling self-conscious about ED and don’t have access to a healthcare plan that covers treatments, Roman can help fill the gap by offering safe, reliable treatments.

Roman provides physician consultations and discreet packaging so you can effectively manage this common condition.