This recommendation is based on the comparably high side effect risk of PDE5 inhibitors, especially in men with cardiovascular conditions and relative to less intense but equally effective OTC treatments like delay wipes.

Some research also points toward an onset of psychogenic erectile dysfunction in men who take ED medications recreationally or as part of their jobs (typically adult entertainers).12 Valacyclovir (generic Valtrex) is Roman's medication for cold sores or genital herpes. Valacyclovir is an antiviral medication that works by interrupting the herpes virus' ability to replicate its DNA.13 It's FDA-approved to treat cold sores (oral herpes) and genital herpes (HSV-1 and HSV-2). Valacyclovir won't cure you of the virus, but it effectively suspends the activity of a herpes virus that is actively trying to replicate. Dr. Matt Segar, a cardiologist and member of our Medical Advisory Board, says, “This essentially means the virus lays dormant (sleeping) in the body — far away from the skin surface.” If you take it when you sense an outbreak is about to happen, the drug can significantly reduce symptoms and possibly prevent the attack. In terms of side effects, Valacyclovir can cause headaches, nausea, and abdominal pain. Valacyclovir is available as a daily preventative treatment or as something you take as needed. Here’s how the dosage and pricing work out: Hims also offers valacyclovir, with nearly identical pricing for as-needed treatment but more expensive pricing for preventative treatment, even if you’re willing to subscribe at a semi-annual billing rate. That works out to $33/month compared to Roman’s $29 at 500mg. Hims does not offer a 1,000mg suppressive treatment.

Country Average Price (USD) Price Range (USD) Availability
USA 45 40-50 Widely available
UK 40 35-45 Moderate stock
Germany 42 38-48 Readily available
Canada 47 43-52 Limited stock
Australia 44 39-49 Easy to find

Hair loss is a close second to sexual health in importance for Roman’s business. Like the follicles undergoing treatment, it’s a constantly growing field.

We’ve recently seen a resurgence in the oral form of minoxidil, which may prove to be a game-changer for certain patients. Let's explore Roman’s hair loss offerings, starting with finasteride.

Discretion and Delivery: Privacy in Every Package

Physicians prescribe these drugs widely, but some common side effects of PDE5 inhibitors may include: PDE5 inhibitors also have potentially dangerous cardiovascular side effects, especially for men with blood pressure issues and those on blood pressure medications.3 If you notice any adverse reactions to the medication, we recommend temporarily ceasing treatment and contacting your doctor. Sildenafil and tadalafil can collaterally affect other PDE enzymes.4 There are other PDE5 inhibitors, like vardenafil and avanafil (Stendra), that more directly target PDE5 and can result in fewer side effects as a result. Roman does not offer such alternatives at this time. You’d have to go through a company like BlueChew or Hims to access these medications. Premature ejaculation (PE) is common, though its clinical definition is somewhat vague.5 Essentially, if you last less than a minute from the beginning of penetrative intercourse, you’re a candidate for diagnosis.

Does the price of tadalafil vary by strength?

The same can be said if your ejaculation latency time (ELT) is more than a minute but sufficiently short that it impacts your relationships or your mental health. Roman offers a discreet way for men to get PE treatment. There are two treatment options for PE: an over-the-counter topical and a prescription pill. First, let’s explore the OTC treatment. Roman Swipes for PE act by slightly dulling the sensation of the penis.

Is Roman HIPAA Compliant?

The effect is strong enough to delay orgasm without being strong enough to reduce pleasure. The active ingredient in these wipes is 4% benzocaine, a topical anesthetic. Side effects are rare and not severe, though some men are allergic. If you experience a topical allergic reaction, you should stop using it and contact your Ro doctor. Some rare contraindications also exist, so talk to your doctor about any other medications you take. Roman offers a 1mg prescription for oral finasteride (generic Propecia) to tackle androgenetic alopecia (AGA), the most common form of hair loss.14 Finasteride is a 5-alpha reductase inhibitor.15 This means it blocks an enzyme called 5-alpha reductase, which converts testosterone into dihydrotestosterone (DHT). DHT plays a direct part in AGA (also typically called male pattern baldness), and a reduction in DHT can cause a cessation and, in many cases, a reversal of hair loss.

Product Dosage Quantity + Bonus Price
Cialis Generic10mg120 + 6 Pills178.49€ 169.99€
Cialis Professional40mg30 Pills148.94€ 141.85€
Cialis Generic10mg20 Pills48.23€ 45.93€
Cialis Generic20mg90 + 6 Pills154.71€ 147.34€
Cialis Generic5mg10 Pills29.39€ 27.99€
Cialis Super Active20mg30 + 6 Pills128.09€ 121.99€
Cialis Generic60mg270 + 10 Pills443.96€ 422.82€
Cialis Generic60mg120 + 8 Pills240.18€ 228.74€
Cialis Soft Tabs20mg90 + 6 Pills216.71€ 206.39€
Cialis Generic5mg20 Pills41.99€ 39.99€

Here’s how it compares to the lowest prices available from its top competitors, Keeps and Hims: As you can see, even though the initial costs from Keeps seem lower, over time, Roman’s pricing wins out. Topical minoxidil (often known by the brand name Rogaine) was one of the earliest treatments for male pattern hair loss.

How long does daily cialis take to work

It’s traditionally used as an antidepressant selective serotonin reuptake inhibitor (SSRI), but it can delay orgasm for some male patients.9 Sertraline won't be suitable for everyone; it's a daily medication, and there are contraindications, drug interactions, potential side effects, and health risks for the doctor to consider. Common side effects of sertraline include:10 A Ro doctor will decide whether such medication is proper for you based on your health and medical history. Roman sells a one-month supply of sertraline for $24. There is some evidence to suggest that ED medications can help treat premature ejaculation.11 This evidence is compelling enough that Roman and some of its competitors list these medications under their PE headings. However, unless you suffer from both PE and ED, we recommend starting elsewhere first. Originally an oral blood pressure medication, minoxidil was remarketed as a topical solution for hair loss, specifically at the crown (or top of the head).20 It wasn't a popular prescription for high blood pressure because the oral version caused too many side effects — among them, unwanted hair growth.

Insider Tip: If you start using minoxidil and notice an increase in hair loss around 3-5 weeks into treatment, this is normal.

Hims' sleek branding can't beat Roman's trust-building

As mentioned above, the main focal points for men's health via Roman right now are sexual health and hair loss. Roman’s selection of options here is consistent with major competitors for sexual health and hair loss. Your doctor consultation will determine which treatment would serve you best. Roman offers a few other health products, as well, from skincare to weight loss support. And that weight loss offering has expanded recently with the arrival of GLP-1 medications like Ozempic and others.

Individuals With Busy Lifestyles

Let’s take a closer look at Roman’s treatments for specific health concerns. Sexual health treatment is the cornerstone of Roman’s service. Medications are available for ED, herpes, and premature ejaculation. Roman struggles to compete on price with its competitors for ED meds, but its premature ejaculation wipes are a great choice for a specific niche of men with PE and sensitive skin. More than half of men may deal with ED at some point in their lives, so Roman offers three different pathways to treat this common medical condition.2 All of these ED medications are PDE5 inhibitors.

Beyond the Pill: Innovative Medication Formats

That means they combat ED by preventing the release of an enzyme typically responsible for the cessation of an erection after climax.3 That allows the body’s signals that produce an erection to build and keep an erection in place. The medication also has a cardiovascular effect that increases blood flow, improving erectile strength and reliability, although there is no proven benefit of PDE5 improving cardiovascular disease. Pricing depends on the medication and dosage, which you and your Roman doctor will determine together. You also have the option to purchase branded or generic forms of the drugs, depending on your budget and preference. Here's a breakdown of how the treatment costs compare per dose: PDE5 inhibitor treatments are effective for most men with ED, helping about three in four men achieve erections in studies.3 However, experiences can vary from treatment to treatment, which is why having options and doctor access is so valuable. Do not panic, and do not suspend treatment. Your follicles are merely resetting to a growth phase, which can cause weak hair strands to fall out. Roman ships topical minoxidil in 3-month supplies and bills you quarterly at $16/month. This is a bit more expensive than the competition. Roman is also the only one of the three companies we often pit against one another for hair loss (Roman, Keeps, and Hims) that doesn’t offer a foam version of minoxidil. Minoxidil solution contains propylene glycol, a known irritant that’s responsible for many of the adverse reactions people using minoxidil will experience.

Switching to the foam, which doesn’t contain propylene glycol, solves this issue for many.

How long does it take for weight-loss pills to work?

The swipes fit in your pocket and are odorless once dry. Just swipe over sensitive areas and let dry for 5-10 minutes. After two months of use, men with a baseline sexual endurance of 165 seconds improved to 5.5 minutes.7 Roman sells its Swipes for $27/month if you subscribe monthly. However, if you commit to a 3-month supply (24 wipes), your monthly price comes down to only $22. Promescent, Hims, and VigRX cialis tadalafil 20mg are the other big players in the delay scene.

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Each of those companies also offers a delay spray, whereas Roman only offers the wipes. The wipes from Hims and Promescent are also stronger, boasting a 10% solution to Roman’s 4%. That might not always be a good thing, though. If you find the 10% solution to take away too much sensation (like the difference between a thin condom and a thick one), a 4% solution may be superior. There is also reason to believe that Roman’s Swipes are a better choice for men with sensitive skin, as a lower concentration of benzocaine may reduce the intensity of any potential reaction.8 As for Roman’s second option for PE, prescription Sertraline (generic Zoloft) is what's referred to as an off-label treatment for premature ejaculation because it wasn't designed or approved to treat PE. For both its pricing and foam availability, we typically recommend Keeps for those seeking topical minoxidil.