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Hims vs Roman vs Ro 2026: Three-Way ED Comparison
An independent comparison of the three most popular online ED platforms. We break down pricing, medication options, consultation quality, and platform breadth so you can find the right fit.
Compare Hims, Roman, and Ro
Quick verdict
- →Best for most men (ED only): Roman. Lowest price, no subscription required, free 2-day shipping.
- →Best for bundling ED with hair loss or mental health: Hims. Genuine bundle value, polished experience.
- →Best for comprehensive men's health (ED + weight loss or testosterone): Ro. Most complete platform.
Overview
Hims, Roman, and Ro are the three most recognisable names in online ED treatment in the US. All three launched around 2017–2018, all three are licensed US telehealth platforms, and all three prescribe generic tadalafil and sildenafil without requiring a video call. On the core clinical offering, they're more similar than they are different.
The meaningful differences are in pricing structure, platform breadth, and who each is optimised for. Roman has stayed most focused on men's health at the lowest price point. Hims has expanded heavily into a multi-condition men's wellness brand. Ro has built the most comprehensive platform, including women's health and weight loss.
If you're only treating ED and want the best value, this comparison usually ends at Roman. If you have other health goals in play, read on.
| Program | Monthly Price | No video call? | Ships all states | Best for | |
|---|---|---|---|---|---|
| Hims | From $25/month | ED, Hair loss | |||
| RomanTop Pick | From $22/month | ED, Hair loss | |||
| Ro | From $34/month | ED, Weight loss |
Pricing Comparison
| Hims | Roman | Ro | |
|---|---|---|---|
| Generic tadalafil (monthly) | From $25/month | From $22/month | From $34/month |
| Generic sildenafil | From $2/dose (subscription) | From $4/dose | From $4/dose |
| Daily tadalafil | From ~$40/month | ~$39/month | From ~$45/month |
| Subscription required? | Yes for best rate | No | No |
| Shipping | Free standard | Free 2-day | Free standard |
| Consultation fee | Included | Included | Included |
Roman is the cheapest for most men. The one exception: Hims's sildenafil subscription pricing ($2/dose) is lower than Roman's $4/dose — but only if you commit to a subscription. Without a subscription, Hims costs significantly more per order.
Ro charges a premium over Roman for the same core medications. The premium is justified by platform breadth — if you're also using Ro Body (GLP-1 weight loss) or testosterone programs, the integrated platform has value. For standalone ED, you're paying more for services you don't use.
Medication Options
All three platforms prescribe generic tadalafil (as-needed and daily) and generic sildenafil. This covers the needs of most men with ED.
Hims has the broadest ED medication menu. In addition to standard generics, it offers chewable formats (faster absorption for some men) and branded medication at higher price points. Hims is the only platform of the three that offers meaningful alternatives to standard pills.
Roman offers standard generic tadalafil, sildenafil, daily low-dose tadalafil, and a testosterone + ED combination treatment — useful for men whose ED has a hormonal component. No chewable or branded options.
Ro covers the standard generics and testosterone therapy. Ro also addresses ED as part of its Ro Body program for men combining ED and weight loss treatment. No chewable formats.
Platform Breadth
This is where the three platforms diverge most meaningfully — especially if you have more than one health goal.
Hims
- ✓ED treatment
- ✓Hair loss (finasteride, minoxidil)
- ✓Mental health / anxiety
- ✓Skincare
- ✓Primary care
Best bundle: ED + hair loss
Roman
- ✓ED treatment
- ✓Testosterone therapy
- ✓Hair loss (finasteride)
- ✓STI testing
Best for: ED + testosterone
Ro
- ✓ED treatment
- ✓GLP-1 weight loss (Ro Body)
- ✓Testosterone therapy
- ✓Hair loss
- ✓Women's health (Rory)
Best for: ED + weight loss
Consultation Process
The consultation process is nearly identical across all three. You fill out a medical questionnaire covering health history, current medications, and symptoms. A licensed US physician reviews it asynchronously — no video call, no scheduled appointment.
Approval typically takes a few hours during business hours. Roman markets same-day treatment plans, which in practice means a fast response to the questionnaire. Hims and Ro have similar turnaround times. Once approved, medication ships directly to you in discreet, unmarked packaging.
All three offer ongoing messaging access to your care team for follow-up questions, dose adjustments, or medication switches. None offer 24/7 urgent care.
Still deciding?
Answer 3 questions about your priorities and get a personalised recommendation — not just between these three, but across every platform we track.
Find my best match →Who Each Platform Suits
Choose Hims if you:
- →Want to bundle ED with hair loss or mental health
- →Want chewable medication options
- →Are OK with a subscription for lowest pricing
- →Value a polished brand and app
Choose Roman if you:
Best value- →Want the lowest price for ED medication
- →Don't want a subscription commitment
- →Want fast, no-fuss access to generics
- →Are considering testosterone treatment alongside ED
Choose Ro if you:
- →Also want weight loss treatment (GLP-1)
- →Want the most comprehensive men's health platform
- →Want a platform that also covers women's health (for a partner)
- →Don't mind paying slightly more for breadth
Our Verdict
For men treating ED and only ED, Roman is the best choice. Lower price, no subscription, free 2-day shipping, and the same clinical quality as the others. There's no reason to pay more for features you won't use.
Choose Hims if you also want hair loss or mental health treatment — the bundle value is genuine and you'll spend less overall than treating each condition separately on different platforms.
Choose Ro if your goals extend to weight loss or you want the most comprehensive platform. Ro Body is one of the better GLP-1 programs available, and having ED and weight loss treatment under one roof makes sense for men working on both simultaneously.
All three are legitimate, licensed platforms with qualified US physicians. The clinical quality is equivalent. Your choice is really about pricing structure and how many health conditions you want to manage in one place.