Erectile dysfunction

Common questions

Roman is a telemedicine company that provides a discreet, convenient, and affordable way for you to receive erectile dysfunction (ED) treatment from a doctor or nurse practitioner—all without leaving the couch. If you’re interested in treatment, it starts with an online visit. The online visit will ask you about your symptoms, your medical history, and other basic information. You’ll also be asked to upload a photo of your ID to verify your identity. Once you have done all of this, a doctor or nurse practitioner will review everything, determine if you’re a candidate for ED treatment through telemedicine, and craft a personalized treatment plan for you.

To treat erectile dysfunction (ED), Roman offers oral medications known as phosphodiesterase 5 (PDE5) inhibitors. PDE5 inhibitors are considered one of the mainstays of ED treatment by the American Urological Association. There are many different types of PDE5 inhibitors that differ by how quickly they start working, how long they last, their side effects, and more. Each prescription is tailored to the individual patient. The specific PDE5 inhibitors offered by Roman are:

Viagra (see important safety information) Generic Viagra (see important safety information) Sildenafil (see important safety information) Cialis (see important safety information) Generic Cialis (see important safety information)

According to Viagra’s (see important safety information) 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 erectile dysfunction (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 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.

Yes, in most cases. Erectile dysfunction (ED) can be diagnosed by a healthcare professional based on a patient self-reporting their symptoms and medical history.

Healthcare professionals on the Roman platform use telemedicine technologies to diagnose ED in the same way they diagnose patients in person. Doctors or nurse practitioners ask you questions to evaluate your symptoms and make sure it’s safe and appropriate to prescribe ED medication. The doctors and nurse practitioners on the Roman platform use your answers to diagnose your condition and create a treatment plan. That’s why it’s vital you answer each question to the best of your knowledge and ensure that every communication with your doctor or nurse practitioner is truthful, accurate, and thorough.

In addition, it’s strongly recommended that you let your doctor or nurse practitioner order laboratory tests to assist in trying to understand the cause of your ED. These tests are optional and not a requirement for receiving treatment, but more information is always useful for diagnosis and treatment.

Your blood pressure is an important part of determining whether it’s safe for you to take erectile dysfunction (ED) medication. It can be dangerous to take ED medication if your blood pressure is above or below a certain value.

To complete a comprehensive medical history during your online visit, you need to enter your most recent blood pressure reading within the last six months. If you haven’t had your blood pressure taken within the last six months, you can get a free blood pressure reading at thousands of locations across the country. Enter your location into higi or Pursuant Health to find a place near you that offers free, clinically verified blood pressure readings.

If you’re measuring your blood pressure at home, make sure the device has been “clinically validated.” You can purchase a device online or at your local pharmacy. We recommend an upper arm cuff over a wrist or finger blood pressure monitor.

Before taking your blood pressure, it’s important to avoid the following factors that may cause your blood pressure to temporarily rise:

  • Cold temperatures

  • Exercise

  • Caffeine

  • Stress

  • Smoking

  • Certain medications (check the label on your device)

When you’re ready, find a quiet place and sit for 5–10 minutes. Make sure you’re relaxed and have recently urinated (a full bladder can affect your reading). Roll up your sleeve so that your arm is bare. Apply the cuff on your upper arm and follow the directions on the device.

Please make sure to take at least two readings. Enter the higher of the two readings during your online visit.

Oral erectile dysfunction (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 treatments Roman offers are oral PDE5 inhibitors in the form of sildenafil citrate (see important safety information) and tadalafil (see important safety information). If you’d like to pursue alternative ED treatment, we recommend speaking with a healthcare professional in person.

Orders ship in discreet boxes with all medication in single-use packs. These single-use packs are not childproof. Childproof packaging is available upon request by emailing [email protected].

Orders are shipped to ensure medication is received as soon as possible.

Enter your location into higi or Pursuant Health to find the nearest location to get a free, clinically verified blood pressure reading. Higi stations are available free of charge at Rite Aid nationwide, and Pursuant Health stations are available free of charge at Walmart nationwide.

Important safety information

What you should know before taking sildenafil.

Important safety information

What you should know before taking Viagra.

Important safety information

What you should know before taking Cialis