Sexual health

E.D. treatments, prescribed online

Don’t put your love life on hold. Get medication prescribed by a real,
US-licensed healthcare professional. All from the comfort of home.

Treatments starting at $2/dose

US-licensed healthcare professionals

74% of patients taking the 50 mg dose of Viagra reported an improvement

See Important Safety Information

Sexual health

E.D. treatments, prescribed online

Don’t put your love life on hold. Get medication prescribed by a real, US-licensed healthcare professional. All from the comfort of home.

Treatments starting at $2/dose

US-licensed healthcare professionals

74% of patients taking the 50 mg dose of Viagra reported an improvement

See Important Safety Information

About ED

Erectile dysfunction (ED) is the inability to get or maintain an erection adequate for sex. There are many different causes, but ED ultimately occurs when there is too little blood flow into the penis and too much blood flow out, partially due to an enzyme called PDE5.

COMMON QUESTIONS

There are many common causes of ED, including heart disease, blood vessel disease, diabetes, certain medications, obesity, cigarette smoking, depression, anxiety, stress, and more. Sometimes ED is caused by a combination of factors, and sometimes a specific cause is never determined.

Yes, there are several options for treating ED. Before starting any kind of treatment, it’s important to be evaluated by a healthcare professional for possible underlying causes that might also require treatment.

You should see an in-person healthcare professional if you are experiencing other worrisome symptoms or if you have other health conditions that might be related to ED, such as heart disease or diabetes.

52% of men experience some form of erectile dysfunction in their life. Source.

Treatments for ED

We offer prescription medications clinically proven to help improve erections.

Requires prescription through online visit with a US-licensed healthcare practitioner

Sildenafil

$2/dose
Starting at
Authorized Generic medication manufactured in the same factory as branded Viagra. Sildenafil citrate is the active ingredient in Viagra, generic Viagra, & Sildenafil.
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Viagra

Sildenafil

$70/dose
Starting at
Authorized Generic medication manufactured in the same factory as branded Viagra. Generic Viagra starting at $34/dose.
Get started Important Safety Information

Cialis

Branded Tadalifil

$17/dose
Starting at
Manufactured in Puerto Rico by Eli Lilly. Generic Cialis starting at $11/dose.
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What to expect

How you take the medication depends on your prescribed treatment plan. Your provider can help you decide which treatment is appropriate.

Sildenafil citrate (in Viagra and Sildenafil) should be taken 30 minutes to 4 hours prior to sexual activity and usually starts working within 30–60 minutes.

Next, we will ask some questions about your symptoms and medical history to see if treatment is right for you.

Results

Our treatments are backed by real data and trusted by real medical professionals. No snake oil, no gimmicks.

74% of patients taking the 50 mg dose of Viagra reported an improvement in their erections (Source)

Member stories

Side effects

These are the recorded side effects for PDE5 inhibitors, the class of drug which each of our treatments fall under.

Before taking any PDE5 inhibitor, you should know: People who are taking organic nitrates (e.g., Im-Dur, Nitrobid, Isordil) or nitrites should not take PDE5 inhibitors, as the combination can reduce blood pressure to dangerously low levels. People with cardiovascular conditions who have been advised by a healthcare professional to avoid sexual activity should not take PDE5 inhibitors, as they can worsen cardiovascular conditions.

found in Viagra, generic Viagra, and sildenafil

Mild to moderate side effects

Headache

Upset stomach

Trouble sleeping

Diarrhea

Nose bleed

Muscle aches

Nausea

Stuffy nose

Fever

Severe Side Effects

Erections that last several hours. Tell your doctor right away if you have an erection that lasts more than 4 hours

Decreased eyesight or loss of sight in one or both eyes.

Sudden decrease or loss of hearing

Heart attack, stroke, irregular heartbeats, and death. Most of these happened in people who already had heart problems

More shortness of breath than usual

Low blood pressure. Symptoms of low blood pressure include feeling faint or dizzy

If any of these severe side effects occur, seek medical care immediately.

These are not all the possible side effects of
sildenafil citrate. See Important Safety Information for more.

found in Cialis and generic Cialis

Mild to moderate side effects

Headache

Upset stomach

Pharyngitis (sore throat)

Infection

Flushing

Muscle aches

Nausea

Stuffy nose

Back pain

Severe Side Effects

Heart attack, stroke, irregular heartbeats and death have happened rarely. Most, but not all, of these men had heart problems before taking Cialis. It is not known if Cialis caused these problems.

Abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision.

If any of these severe side effects occur, seek medical care immediately.

These are not all the possible side effects of tadalafil. See the Important Safety Information for more.

Discuss it all with your healthcare provider

Concerned about the potential side effects of treatment? Not a problem. You’ll be matched with a U.S.-licensed healthcare professional who will offer guidance, answer your questions, and help if you experience any side effects.

Pricing

With Roman, all you’ll ever pay for is the cost of your medication. No co-pays, no insurance claims, no hassles.

Next, we will ask some questions about your symptoms and medical history to see if treatment is right for you.

  • Starting price for 1 dose of sildenafil (active ingredient in Viagra)*$2
  • Your first visit with a doctorFree
  • 2-day shipping on medicationsFree
  • All future visits with your doctorFree
  • Total$2 per dose

* Note that price may vary based on strength and frequency of use


How Roman Works

Technology has enabled a massive shift in the way healthcare can be provided. With Roman, you can receive expert quality care from your phone or computer, without ever leaving the comfort of home.

Do everything right from your mobile device

Free 2-day shipping (discreetly packaged)

No commitments – cancel whenever you want

The Roman way

  • Answer a few questions about your health. Report your symptoms and medical history to a U.S.-licensed healthcare professional who will determine the treatment best suited for you and then follow up via secure messaging in your Roman portal.
  • Receive free, 2-day shipping for treatment. If treatment is prescribed, you’ll receive it within 2 days—packaged discreetly and shipped for free.
  • Get free follow ups for ongoing care. Continue to take and adjust your treatments. Schedule follow-ups with your physician or nurse practitioner. Note: you should continue to receive regular, in-person care in addition to using Roman.

The old way

  • Find a doctor who accepts your insurance
  • Make an appointment with the doctor
  • Travel to the doctor’s office
  • Sit in the waiting room until the doctor is ready for you
  • Consult with the doctor to get your prescription
  • Drive to the pharmacy to pick up your prescription

Is Roman legit?

5 Million Virtual Visits

Everything Roman does is scientifically backed and vetted by leading experts in men’s health. We’re changing healthcare for good, and we know it’s worth it. Because when men feel better, the people who love them do, too.

In the news

Start your online visit

Next, we will ask some questions about your symptoms and medical history to see if treatment is right for you.

FAQs

For any additional questions, please reach out to care@ro.co. We can also be reached by phone at (888) 798-8686, Monday – Friday, 9:30am-5pm EST.

According to Viagra’s FDA-approved prescribing information, between 63% and 82% of patients reported an improvement in their erections after taking Viagra. Other PDE5 inhibitors work in a similar way in the body and are also effective. In fact, PDE5 inhibitors are considered one of the mainstays of ED treatment by the American Urological Association.

It’s important to note that ED medication doesn’t work for everyone and everyone’s reaction to a medication is unique. If you don’t see results right away, your doctor or nurse practitioner may recommend trying the medication multiple times under different circumstances. They may also change your dosage depending on your reaction to the medication and any side effects.

Viagra, generic Viagra, and sildenafil all have the same active ingredient: sildenafil citrate. All three medications work similarly in the body and have similar side effects. However, they differ in terms of dose and price.

Viagra and generic Viagra come in doses of 25 mg, 50 mg, and 100 mg. Generic Viagra is cheaper than Viagra, but some men may prefer taking the branded version.

Sildenafil is the generic form of a medication called Revatio. Revatio is FDA-approved for the treatment of pulmonary arterial hypertension, a type of high blood pressure in the lungs. The active ingredient in Revatio is sildenafil citrate, which is the same as the active ingredient in Viagra and generic Viagra. However, generic Revatio comes in doses of 20 mg. This allows healthcare professionals to prescribe generic Revatio off-label at doses of 20 mg, 40 mg, 60 mg, 80 mg, and 100 mg. This closely approximates the doses of Viagra and generic Viagra but allows for more options. Generic Revatio is also the cheapest form of sildenafil citrate available.

Sildenafil citrate is the active ingredient in Viagra, generic Viagra, and sildenafil. Tadalafil is the active ingredient in Cialis and generic Cialis. The main difference between the medications is how long they last. Sildenafil citrate usually takes about 30 minutes to one hour to start working and then lasts for about four hours. This is good for patients who are able to plan when they engage in sexual activity. Tadalafil usually takes 30 minutes to two hours to start working and then lasts for about 36 hours. This is good for patients who want more spontaneity when it comes to sexual activity.

There are also other important differences between the medications. For example, sildenafil citrate is less effective when taken with food and it can cause temporary blue vision (as if you’re looking through blue-tinted glasses) in some users. Tadalafil can be taken with food and is much less likely to cause temporary blue vision in users. Tadalafil can also be taken daily at lower doses.

ED medication should not be taken more than once in a 24-hour period.

Eating fatty food can reduce the rate and total amount of absorption of Viagra and other forms of sildenafil citrate. Therefore, it is recommended that Viagra/sildenafil citrate be taken on an empty stomach to achieve the best effect. Food does not have a similar effect on Cialis or other forms of tadalafil.

Mixing ED medication with alcohol is not recommended and can increase the risk of side effects.

No, ED medication will not automatically give you an erection. You still need to be sexually aroused or stimulated to achieve an erection—ED medication simply makes this process easier when the time is right.

Oral ED medications are extremely effective, but they don’t work for everyone. Other treatment options for ED include lifestyle modifications (e.g., exercise, dietary changes, quitting smoking, limiting alcohol use), surgery, penile vacuum pumps, and other ED medications. Every treatment comes with risks and benefits that you should fully understand before moving forward with any treatment plan.

Currently, the only ED treatment Roman offers are oral PDE5 inhibitors in the form of sildenafil citrate and tadalafil. If you’d like to pursue alternative ED treatment, we recommend speaking with a healthcare professional in person.

Cialis and generic Cialis have the same active ingredient: tadalafil. Both medications work similarly in the body and have similar side effects. However, they differ in terms of price. Generic Cialis is cheaper than Cialis, but some men may prefer taking the branded version.

Off-label usage of a medication refers to using the medication for purposes that have not specifically been approved by the FDA. Healthcare professionals have the discretion to prescribe medications off-label if they believe it is an appropriate course of treatment for a particular patient.

Viagra, generic Viagra, and sildenafil are meant to be taken as needed for sexual activity. The medication should be taken approximately 30 minutes to one hour before sexual activity and the effects last for approximately four hours. Viagra, generic Viagra, and sildenafil should be taken on an empty stomach for the best effect. You should not take more than one dose in a 24-hour period.

Cialis and generic Cialis can be taken as needed or daily. When it is taken daily, only the lower doses (2.5 mg and 5 mg) are prescribed. You should only take the medication as prescribed for you.

When used as needed, the medication should be taken at least 30 minutes to two hours before sexual activity and the effects last for approximately 36 hours. When used daily, the medication should be taken around the same time every day. You should not take more than one dose in a 24-hour period.

Taking ED medication alone will not necessarily make you want to have sex. This is because ED medication doesn’t directly affect your sex drive, or libido. That being said, having a stronger erection may make some men feel more confident—and this increased confidence may make men more willing and excited to engage in sex.

When used as needed, the medication should be taken at least 30 minutes to two hours before sexual activity and the effects last for approximately 36 hours. When used daily, the medication should be taken around the same time every day. You should not take more than one dose in a 24-hour period.