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Hims and Roman are telehealth companies that sell prescription and nonprescription products to treat conditions such as erectile dysfunction and hair loss.

This article looks at both brands, the products they offer, how to order, and some frequently asked questions.

Hims and Roman are both telehealth companies that provide prescription and nonprescription treatment for various conditions. They typically market their products to males.

A note about sex and gender

Sex and gender exist on spectrums. This article will use the terms, “male,” “female,” or both to refer to sex assigned at birth. Click here to learn more.

Better Business Bureau (BBB) ratingaccredited: A+accredited: A
Average customer rating1.15 stars out of 5 on BBB

4.3 stars out of 5 on Trustpilot
1.5 stars out of 5 on BBB

2.9 stars out of 5 on Trustpilot
Consultationfree consultationfree initial consultation, $15 for an appointment with a healthcare provider
Follow up appointmentsongoing support and carefree unlimited follow-up appointments
Conditions treatederectile dysfunction

hair loss

premature ejaculation


anxiety and depression
erectile dysfunction

hair loss

premature ejaculation

testosterone support

daily health
EDsildenafil, starting from $4 per use

Viagra, starting from $70 per use

Cialis, $525 per month

tadalafil, $99 per month

Stendra, starting from $59 per use
sildenafil, starting from $2 per dose

viagra, $70 per dose

sildenafil, $34 per dose

Cialis, starting from $17 per dose

tadalafil, starting from $11 per dose
Hair lossoral finasteride, starting at $26 per month

topical finasteride & minoxidil, starting at $50 per month

minoxidil solution or foam, starting from $15 per month

thickening shampoo and conditioner, starting from $19
oral finasteride, $20 per month

minoxidil, $16 per month

finasteride and minoxidil, $35 per month
Premature ejaculationClimax Delay Spray, $31

sertraline and paroxetine, starting from $24 per month
Roman swipes, starting from $22 per month

sertraline, $24 per month
Subscriptiondelivery monthly or every 3 monthsdelivery on demand, monthly, or every 3 months
Deliveryfree delivery in discreet packagingfree delivery in discreet packaging
Insuranceno insurance coverageno insurance coverage


Hims began operating in 2017 and has headquarters in San Francisco. The company sells prescription and nonprescription treatments geared primarily for males, including erectile dysfunction (ED), hair loss, and premature ejaculation. Hims has a sister company, Hers, which sells female health products.

Hims also sells skin products, including anti-aging, wrinkle, acne cream, and various medication treatments for mental health conditions. Hims also provides psychiatry assessments and individual and group therapy sessions.

Hims is a subscription company, and people receive their treatment every month or once every 3 months.

Learn more about Hims.


New York-based Roman also launched in 2017. The company sells prescription and nonprescription treatments for ED, hair loss, and premature ejaculation.

In addition, Roman offers treatments for skin conditions, such as eczema and excessive sweating. They also sell various daily health supplements, including multivitamins and products for testosterone support, stress relief, and prostate health.

Roman is also a subscription company. People will receive their treatment on demand, monthly, or every 3 months.

Please note that the writer of this article has not tried these products. All information presented is purely research-based and was correct at the time of publication.

Medical News Today follows a strict product selection and vetting process. Learn more here.


Hims has an accredited page with the BBB. At the time of publishing, the BBB gave the company an A+ grade. However, customer reviews averaged 1.15 out of 5 stars.

Reviewers on Trustpilot gave Hims an average rating of 4.3 out of 5 stars.

Positive reviews frequently mention convenience and knowledgeable doctors. Negative reviews report poor communication with customer service staff and difficulty canceling subscriptions.


Roman has accreditation with the BBB. At the time of publishing, the organization gave the company an A grade.

However, customer reviews on the BBB website gave Roman an average rating of 1.5 stars out of 5. Trustpilot reviews average at 2.9 stars out of 5, although there were very limited reviews on this page.

Some of the positive reviews mention convenient appointments and on-time shipments. Negative reviews mention higher prices than competitors and difficulty canceling subscriptions.

Hims and Roman offer similar prescription medication for ED.

Learn more about the different ED treatments available.

Hims ED

Hims has the following ED treatments available:

  • Sildenafil: This PDE5 inhibitor helps people have and maintain an erection by increasing blood flow to the penis.
  • Viagra: This product is brand-name sildenafil and uses the same active ingredient, sildenafil citrate.
  • Stendra: This product is another PDE5 inhibitor that can help people have and maintain an erection.
  • Cialis: This product is a PDE5 inhibitor that increases blood flow in the penis to help people have and maintain an erection.
  • Tadalafil: This product is the generic version of Cialis.

Roman ED

Romans sells the following ED treatment:

  • sildenafil
  • Viagra
  • generic Viagra manufactured in the same factory as Viagra
  • Cialis, available on a daily and as-needed basis
  • generic Cialis, available on a daily and as-needed basis

Hims and Roman sell prescription and nonprescription treatments for hair loss.

Hims hair loss

Hims sells the following prescription hair loss treatments:

  • Oral finasteride: This pill may help prevent new hair loss by preventing testosterone from converting to dihydrotestosterone (DHT). Higher levels of DHT can prevent new hair growth.
  • Topical finasteride: Hims sells a topical version of finasteride.
  • Minoxidil solution or foam: Minoxidil (Rogaine) is another treatment that may help prevent hair loss. This medication encourages the growing stage of hair and prevents hair from falling out of the follicles.

Hims also sell nonprescription hair loss products. People can buy thickening shampoo and conditioner and biotin gummies, which may help maintain hair health, from the company’s website.

Roman hair loss

Romans have the following hair loss treatments available:

  • finasteride
  • minoxidil
  • finasteride and minoxidil

Hims premature ejaculation

Hims offers prescription and nonprescription treatment for premature ejaculation.

Climax Delay Spray is a nonprescription desensitizing product that people can spray on their penis to delay ejaculation.

Hims offers the antidepressants sertraline and paroxetine to treat premature ejaculation. While these medications treat anxiety and mood disorders, such as depression, Hims offers these antidepressants for off-label use to treat premature ejaculation.

Some companies offer medication in a way that the Food and Drug Administration (FDA) has not approved, meaning that the way the company prescribes the medication is not how the label recommends. This is known as off-label use. A person should consider contacting their doctor before taking medications in this way.

Roman premature ejaculation

Roman also sells prescription and nonprescription treatments for premature ejaculation.

Roman Swipes is a desensitizing product that people can wipe onto their penis to help delay ejaculation. Each box contains eight single-use wipes.

A healthcare professional may prescribe sertraline for off-label use to treat premature ejaculation.

Hims and Roman both sell prescription and nonprescription products for a variety of conditions. A person can order nonprescription products directly from the website.

Hims prescription treatment

To order prescription treatment, people must create an account and discuss their symptoms with a licensed healthcare professional. This consultation takes place online.

If the healthcare professional finds that medication is suitable, they write a prescription. Hims then ships the medication to the person in discreet packaging. The shipping is free, and the package arrives in 5–7 business days.

Hims offers free consultations and ongoing care. However, insurance companies do not cover the costs.

Roman prescription treatment

To order prescription treatment, a person completes an online questionnaire about their medical history and symptoms, and uploads a photo of their ID.

A healthcare professional reviews this questionnaire to determine the best approach and writes a prescription, if necessary.

Roman offers free follow-ups, but an online consultation with a healthcare professional costs $15. Insurance companies do not cover the costs of these sessions or treatment.

The company offers free shipping in discreet packaging. People receive their packages 2 days after ordering.

Using either Hims or Roman may have certain benefits and downsides.


Before making an order, a person might consider:


  • There is a wide range of products for male health.
  • Consultations are free.
  • Shipping is free.
  • People can opt for a subscription service for some medications.


  • Some reviewers found customer service staff difficult to communicate with.
  • Orders may take longer to arrive than those of competitors.


Before making an order, a person might consider:


  • The company says it has free, fast shipping.
  • Its subscription service may be convenient.
  • It offers a free initial consultation.


  • Some customers found canceling the subscription difficult.
  • Some report that Roman is more expensive than its competitors.

Hims and Roman provide safety information for all products. For example, some common side effects of erectile dysfunction medication include:

  • headache
  • nasal congestion
  • sensitivity to light

Additionally, the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) recommends that a person seeks medical attention if their ED medication causes a prolonged erection or if any vision or hearing loss occurs.

Both Roman and Hims supply finasteride for hair loss problems. Some common side effects of finasteride can include:

  • ED
  • decrease in ejaculate volume
  • increase in the risk of high-grade prostate cancer

People should inform the healthcare professional that prescribes treatment if they are on any other medication. Certain drugs can interact with other medications, which can lead to potentially life-threatening conditions.

For example, people who take nitrates and PDE5 inhibitors for ED have an increased risk of developing potentially serious low blood pressure.

Below are some frequently asked questions about telehealth companies and treatment.

Are there any other treatments for ED?

The NIDDK says that there may be alternative treatments to medication for ED. They recommend some lifestyle changes, such as stopping smoking, limiting alcohol consumption, and staying physically active.

People may also consider other treatments, such as vacuum erectile devices, to help them have and maintain an erection. People should discuss all treatment options with their doctor.

Learn about other natural ways to treat ED here.

Are there any other ways to prevent hair loss?

There are many treatments available for hair loss, including:

  • Hair transplant: This treatment involves a surgeon moving healthy hair from another part of the scalp to an area with thinning hair.
  • Platelet-rich plasma: This treatment involves taking blood from a person, separating the plasma from the blood, and injecting the plasma into the scalp.
  • Laser devices: Some companies sell laser devices for home use that may help encourage hair growth. People should only buy products that the FDA has approved.

Learn more about how to treat hair loss here.

Are online pharmacies safe?

The FDA says that a safe, legal pharmacy always requires a prescription from a licensed doctor and has a physical address and telephone number within the United States.

Pharmacies should also have a license to operate in the state where they do business and have a state-licensed pharmacist to answer customer queries.

The FDA has a list of online pharmacies to avoid on its website.

Hims and Roman are telehealth companies that sell health products for males. Some options include prescription ED medication, hair loss and premature ejaculation treatments, and nonprescription general health products.

Both companies offer consultations and follow-up appointments with healthcare professionals to discuss prescriptions and any side effects. Reporting any side effects is important.