Better sex is within reach 

Erectile dysfunction happens to millions of men. Don’t worry. We can help.

Treatments starting at $4/dose

Free online consultation

US-licensed healthcare providers

Free, discreet shipping

Genuine, FDA-approved treatments

gain intimacy back with Roman ED treatment

About Erectile Dysfunction

It's more common than you think

Erectile dysfunction (ED) is the inability to get or maintain an erection. It happens to millions of men at all ages. But there’s good news! ED isn’t the end of your sex life. We can help with clinically proven prescription treatment available online.

52%

of men ages 40-70 experience some form of erectile dysfunction in their life.

52% of men ages 40-70 experience some form of erectile dysfunction in their life (Feldman, 1999). Erectile dysfunction (ED) is the inability to get or maintain an erection. It happens to millions of men at all ages. But there’s good news! ED isn’t the end of your sex life. We can help with clinically proven prescription treatment available online.

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. Here is what causes erectile dysfunction.

Yes, there are several options for treating ED including branded Viagra (sildenafil), generic Viagra, and Cialis (tadalafil). 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.

Viagra and generic Viagra have the same active ingredient: sildenafil citrate. Both medications work similarly in the body and have similar side effects. However, they differ in 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. Here are the main differences between Viagra and Sildenafil.

You'll have access to proven ED medication

Ro offers genuine erectile dysfunction treatment, delivered straight to your door, if prescribed. Get started with our online visit to see if treatment is right for you.

Viagra pill packet from Roman with the little blue pill

Viagra

Sildenafil

Starting at $90/dose on a recurring plan*


Viagra, a type of medication known as a PDE5 inhibitor, is used to treat erectile dysfunction. Choose this option if you want the brand name medication from Pfizer. Learn more about Viagra.

Get started
Sildenafil Citrate, generic for Viagra, pills with Ro pill packet

Generic Viagra

Sildenafil

Starting at $4/dose on a recurring plan*


Generic Viagra and Viagra are both FDA-approved and contain the same active ingredient - sildenafil. The difference? Generic Viagra is up to 90% cheaper than Viagra. Learn more about generic Viagra.

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Tadalafil, generic of Cialis, pills with Roman pill packet

Generic Cialis

Tadalafil

Starting at $8/dose on a recurring plan*


Generic Cialis and Cialis are both FDA-approved and contain the same active ingredient - tadalafil. The difference is price. Tadalafil can be taken daily or as-needed. Learn more about generic Cialis.

Get started
Cialis pills with Roman pill packet

Cialis

Tadalafil

Starting at $20/dose on a recurring plan


Cialis, a type of medication known as a PDE5 inhibitor, is used to treat erectile dysfunction. It can be taken daily or as-needed, and it lasts up to 36 hours. Learn more about Cialis.

Get started

Genuine ED treatment, delivered to your door

74% of patients saw improvements*

  • "My experience with Ro has been an absolute pleasure. It's very convenient. I have improved my relationships. I'm not spending hundreds and hundreds of dollars on treatment. It's very affordable."

    JASON B.

  • "I’ve used Ro for about one year. It's been very successful. I use it for periodic ED and I always have confidence that it's going to work. It never failed! "

    RICK V.

  • "The Ro experience is great and super easy. It brought me and my wife together a little closer, being married for 18 years. That feels good! Thank you. Ro, I appreciate everything and appreciate the doctors. "

    SETH H.

  • "I can have my prescriptions delivered directly to me, no driving to the doctor's office. They've done a great job with their physicians, consulting me about my specific needs. If they can help, they can help me, they can help you."

    VINCENT A.

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

Do you ever have a problem getting or maintaining an erection that is satisfying enough for sex?

The Roman way

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 from your mobile device

Free 2-day shipping (discreetly packaged)

No commitment—cancel whenever you want

Answer a few questions about your health.

Report your symptoms and medical history to a US-licensed healthcare professional.

A US-licensed healthcare professional 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.

Schedule follow-ups with your physician or nurse practitioner. Note: you should continue to receive regular, in-person care in addition to using Roman.

Backed by experts

Our team of experts are committed to helping you reach your goals

  • Dr. Melynda Barnes, MD

    Dr. Melynda Barnes, MD

    Chief Medical Officer, Ro

    "We believe in delivering supportive and empowered care to improve health-related quality of life so people can have full, satisfying, and productive lives."

  • Dr. Deepa Ravikumar, MD

    Dr. Deepa Ravikumar, MD

    Senior Medical Director

    "We’re changing the way patients think about—and get—healthcare. Now through Ro, patients can visit with a provider, get a diagnosis, and receive treatment—all without leaving home."

  • Dr. Raoul Manalac, MD

    Dr. Raoul Manalac, MD

    Senior Director, Clinical Product Strategy

    "From diagnosis to delivery, our healthcare providers are with patients every step of the way. We’re here to guide them, celebrate their wins, and help them hit their health goals."

FAQ: Erectile dysfunction

Is ED medication effective?

According to Viagra's FDA-approved prescribing information, between 63% and 84% of patients reported an improvement in their erections after taking Viagra.

Learn more about treatment effectiveness

What is the difference between Viagra and generic Viagra?

Viagra and generic Viagra have the same active ingredient: sildenafil citrate. Both medications work similarly in the body and have similar side effects. However, they differ in 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.

What is the difference between sildenafil citrate and tadalafil?

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. Tadalafil usually takes 30 minutes to two hours to start working and then lasts for about 36 hours.

Can I take ED medication more than once per day?

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

Will ED medication automatically give me an erection?

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.

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