Roman Review: Telehealth Brand for Personalized Men’s Care?

Roman focuses on offering fitness support without the need for in-person visits. The brand claims to provide support conveniently from home for sexual health concerns, hair loss, and weight management.

Roman provides a variety of services, including plans for managing the symptoms of erectile dysfunction, premature ejaculation, and low testosterone.

This review will explore everything you need to know about Roman. It will cover the types of products and procedures offered, how the service works, and what you can expect from the experience. Key topics like pricing, safety, ease of use, and potential pros and cons will also be discussed.

About Roman (Ro)

Roman is a U.S.-based telehealth brand that launched in 2017, initially focusing on providing support for managing the symptoms of erectile dysfunction (ED). It operates under the parent company Ro, which was originally named Roman before rebranding as Ro in 2018 to reflect its expansion into broader healthcare services.

Roman’s platform allows you to connect with licensed healthcare providers online, complete a medical evaluation, and, if appropriate, receive prescription support without leaving your home Since its inception, Roman has rapidly expanded its offerings beyond ED to address other health concerns, including hair loss, premature ejaculation, and low testosterone, as well as issues like cold sores and smoking cessation. The brand’s product lineup includes FDA-approved and clinically backed medications such as Sildenafil and tadalafil for ED, Finasteride and minoxidil for hair loss, and sertraline and delay sprays for premature ejaculation.

Roman also provides support for cold sores (valacyclovir), smoking cessation aids like bupropion and nicotine gum, and a range of supplements for prostate health and daily wellness.

The brand has expanded into weight management and offers GLP-1 medications, such as semaglutide, as part of its services.

Roman (Ro) Products And Services

1. Sexual Health

   • Ro Sparks

     As per the official website, Ro Sparks utilizes a sublingual formulation made to expedite absorption and onset of action. This delivery method allows the medication to dissolve under the tongue within approximately ten minutes, facilitating rapid absorption directly into the bloodstream. Ro Sparks contains active ingredients found in Viagra (Sildenafil) and Cialis (tadalafil) to provide a dual-action effect.

     The makers state that you can expect to achieve an erection in about 15 minutes after dissolution, with the effects lasting up to 36 hours. They further mention that proper use of Ro Sparks involves placing one under the tongue and allowing it to dissolve completely, avoiding food or liquids during the process to maximize absorption.

   • Daily Rise Gummies

     Daily Rise Gummies by Roman could help manage the symptoms of erectile dysfunction through a once-daily oral formula containing 7mg of tadalafil, the active ingredient in Cialis, known for its extended duration of action. Tadalafil’s long-lasting pharmacokinetics, remaining active in the body for over 24 hours, may provide you with spontaneous sexual activity without the requirement of timing or planning. The makers suggest taking one Daily Rise gummy per day, with no requirement for adjustments based on meals or activity.

   • Viagra

     Viagra, the branded formulation of Sildenafil, is an FDA-approved medication that can be obtained through Ro, which could help you manage your sexual concerns. It may function by enhancing blood flow to the penis, requiring arousal for effectiveness. As per the makers, you should take Viagra at least 60 minutes before sexual activity, with optimal results when stomach contents are light, avoiding fatty foods and alcohol. They mention that its effects may last approximately 4-6 hours, providing flexibility for spontaneous intimacy.

   • Sildenafil (Generic of Viagra)

     Sildenafil, the generic counterpart to Viagra, is a widely used phosphodiesterase type 5 (PDE5) inhibitor to address erectile dysfunction symptoms. It is typically administered approximately 60 minutes before sexual activity, with effects lasting around four to six hours. Its effectiveness depends on arousal, as it does not automatically induce an erection. Optimal absorption of Sildenafil occurs on a near-empty stomach, with fatty foods and alcohol potentially diminishing its effectiveness. Sildenafil’s active ingredient, sildenafil citrate, provides a cost-effective alternative to branded Viagra without sacrificing potency.

2. Weight Loss

   • Ozempic

     Ozempic from Ro is a prescription medication containing semaglutide, a GLP-1 receptor agonist primarily approved for managing type 2 diabetes, though it is increasingly utilized off-label for weight management purposes. This medication functions by mimicking a hormone that regulates blood sugar, slowing digestion, and promoting a feeling of fullness. Ozempic might help with weight management by reducing appetite and supporting metabolic responses.

     While not FDA-approved for weight support, healthcare providers may prescribe Ozempic off-label when deemed appropriate, emphasizing its potential role in comprehensive weight management. It is believed to work by enhancing your body’s natural hormonal responses, potentially leading to sustained appetite suppression and improved glycemic control.

   • Wegovy

     Ro also offers Wegovy, a branded formulation of the active ingredient semaglutide, an FDA-approved pharmaceutical that can support weight management through hormonal modulation. It is thought to mimic the natural hormone GLP-1, which helps regulate blood sugar and suppresses appetite by slowing digestion and promoting satiety. Wegovy’s mechanism involves reducing hunger sensations, extending feelings of fullness, and resetting the body’s biological function for weight maintenance.

   • Zepbound

     Zepbound (tirzepatide), now available through Ro in combination with LillyDirect, utilizes a dual-action mechanism that engages both GLP-1 and GIP receptors. This could help enhance weight management efficacy by activating two metabolic pathways, reducing hunger and promoting satiety more effectively than single-receptor agents.

     As per the official website, Zepbound is offered in flexible formats, including single-dose vials and prefilled pens. It shares the active ingredient tirzepatide with Mounjaro®, but is specifically approved for weight management, contrasting with Ozempic®, which is primarily for blood sugar management.

3. Hair & Skin

   • 3 in 1 Topical Spray

     The Roman Hair Solution Rx Topical Spray uses a dermatologist-designed formulation combining minoxidil 6%, Finasteride 0.3%, and tretinoin 0.025%, offering a comprehensive approach to hair regrowth.

     Minoxidil’s vasodilating effects stimulate follicular activity, while Finasteride inhibits DHT, reducing hair follicle miniaturization. Tretinoin enhances the absorption of both active agents, optimizing efficacy. This combination can enhance hair regrowth within 3-6 months, although responses may vary. The 3-in-1 Topical spray’s formulation could help minimize scalp irritation and simplify use.

   • Finasteride

     Finasteride, an FDA-approved medication available through Ro, is commonly prescribed for male pattern baldness, offers a targeted approach to hair concerns. As a 1 mg daily oral pill, it interacts with male hormones by inhibiting the 5-alpha reductase enzyme responsible for converting testosterone into dihydrotestosterone. Elevated DHT levels are strongly linked to androgenetic alopecia, and blocking this pathway with Finasteride can help slow or reverse hair loss.

   • Oral Minoxidil

     Ro also provides access to Oral minoxidil, a systemic form of a medication that can help manage hair concerns. It is available off-label and requires a prescription. The oral Minoxidil mechanism is believed to involve extending the hair follicle’s growth phase and enlarging follicle size, potentially promoting regrowth. Its vasodilatory properties may enhance blood flow to hair follicles, supporting hair health. However, the off-label status necessitates medical oversight, as side effects like fluid retention or cardiovascular effects can occur.

   • Valacyclovir

     Ro also provides Valacyclovir, which is an antiviral medication that can help in the management of the herpes virus infections, including cold sores and genital herpes. It functions by inhibiting herpes DNA replication, preventing the virus from multiplying and reducing outbreak duration. Valacyclovir acts swiftly, beginning to work within hours post-administration, although symptomatic healing may take days. Its efficacy extends to decreasing viral shedding, thus lowering transmission risk. While it does not eradicate latent viruses residing in nerve tissues, it could effectively suppress active replication, helping you manage outbreaks with minimized disruption.

4. Over-the-counter

   • Roman Swipes

     Roman Swipes are discreet, benzocaine-based topical wipes made to enhance sexual endurance by temporarily reducing penile sensitivity. Packaged in unmarked, pocket-sized wrappers, they prioritize privacy and convenience, with all orders including free shipping. The makers highlight that the application process involves removing a swipe, applying it to sensitive areas, and allowing it to dry within five minutes, producing no scent or taste. The benzocaine formulation in Roman Swipes could help target overstimulation without eliminating sensation.

   • Fertility Hormone Test

     Ro offers a Fertility hormone test that allows you to monitor key reproductive hormones conveniently, reducing the need for invasive procedures and clinic visits. The process involves ordering a personalized test, collecting a blood sample by pricking the finger, and mailing it to a certified lab. Your results are typically available within three business days. The test measures important fertility-related hormones like Anti-Müllerian Hormone (AMH), which provides insight into your ovarian reserve, and Thyroid-Stimulating Hormone (TSH), which assesses thyroid function. Depending on your birth control method, this test by Ro may help analyze between two to seven hormones, and the results are interpreted based on clinical thresholds developed by fertility specialists.

   • Testosterone Support Supplement

     The Testosterone Support Supplement by Ro is a hormone-free formula that may support your body’s natural testosterone production. It is said to combine ashwagandha, which may support testosterone and reduce stress-related cortisol, while zinc may aid testosterone synthesis, especially in people with deficiencies. The makers also added copper to this formula, which could help prevent imbalances caused by high zinc intake. Magnesium in Ro’s Testosterone Support Supplement may support muscle function and testosterone production, while vitamin D3 could help maintain bone health and may benefit testosterone levels, particularly if you’re deficient.

   • Ovulation Test

     The ovulation test strips by Roman can help you monitor luteinizing hormone (LH) levels with high accuracy, enabling you to identify your most fertile days within your menstrual cycle. These strips measure LH at low, high, and peak levels, providing a comprehensive view of fertility windows. The makers state that this test can be effective even for irregular cycles or surges below the average LH threshold of 25 mIU/mL. You can easily interpret results with a test line darker than the control, indicating an LH surge, signaling peak fertility.

     The test’s compatibility with a free app enhances tracking by automatically scanning and logging results, which helps you visualize your LH curve and pinpoint your two most fertile days. To take the ovulation test, you need to follow simple steps such as urination, dipping, and waiting for the results.

Roman (Ro) Advantages

1. Telehealth Convenience

   Roman provides fully remote consultations, prescription evaluations, and seamless follow-ups, all accessible from your location. This digital approach ensures privacy and efficiency, especially for sensitive health issues, allowing you to access care discreetly without visiting a clinic. The brand also ships medication swiftly, often within 1-4 days, directly to your door, emphasizing convenience and discretion.

2. Integrated Fitness Support

   Ro offers fitness support by bringing multiple areas of healthcare into one platform. This streamlined approach ensures you don’t have to juggle appointments with different providers or visit multiple websites to manage your health. Ro provides support for weight management, sexual health, hair, skin, and fertility in one place. The brand also addresses hormonal health with at-home testosterone testing and plans personalized to your levels and symptoms. For weight and metabolic health, the brand offers access to GLP-1 medications like Ozempic, combined with lifestyle support to help you lose weight safely and sustainably.

Roman (Ro) Limitations

1. Limited Direct Doctor Interaction

   Ro mostly offers support through online forms and secure messages, not live video or phone calls. This is called “asynchronous” care, which means you and the doctor don’t talk at the same time. Instead, you fill out a form with your symptoms, and a doctor reviews it later and sends you a response when they’re available. This system makes it easier and faster for doctors to help more people. However, it also means you don’t get to talk directly to a doctor in real time unless it’s required by law or you specifically ask for it.

2. More Expensive Than Local Pharmacies

   Ro operates as a direct-to-consumer telehealth service, which includes additional costs for online consultations, convenience, and discreet shipping. Unlike traditional pharmacies, Roman does not accept insurance or discount programs, so customers must pay the full out-of-pocket price for both the medical consultation and the medication itself. This structure means that you do not benefit from insurance coverage or generic medication discounts typically available at local pharmacies.

Roman (Ro) Alternative Brands

1. BlueChew

   When comparing BlueChew to Roman, the most significant overlap lies in the support for managing the symptoms of erectile dysfunction (ED). BlueChew focuses solely on ED by offering chewable tablets containing Sildenafil (30 mg or 45 mg) and tadalafil (6 mg, 9 mg, or 12 mg), the same active pharmaceutical ingredients used in Viagra® and Cialis®. These medications are compounded into a chewable form, which may slightly speed up absorption for some people, though clinical data on faster onset remains limited.

   BlueChew does not help manage premature ejaculation (PE), low testosterone (hypogonadism), or any other sexual health concerns. In contrast, Roman provides a broader sexual health suite. Roman not only offers Sildenafil and tadalafil in standard tablet form but also provides plans for PE using sertraline (an SSRI used off-label) and topical benzocaine wipes.

   Roman’s services extend into medically supervised weight management using GLP-1 receptor agonists such as semaglutide, the active ingredient in Wegovy®. Semaglutide is clinically proven to help manage body weight. BlueChew does not offer any fitness management services or medications. Roman also supports male fertility by providing at-home semen analysis kits in partnership with Ro Sperm Kit, which assesses parameters like sperm count, motility, and morphology, with lab-grade accuracy and physician interpretation. BlueChew has no fertility-related services.

   Roman gives access to Finasteride 1 mg, which inhibits the conversion of testosterone to dihydrotestosterone, a primary cause of male pattern baldness. Roman also provides topical minoxidil 5%, an FDA-approved vasodilator known to improve scalp blood flow and stimulate follicles. BlueChew does not offer any hair-related options.

2. Hims

   Hims and Roman both target men’s health via telemedicine, but their clinical depth and offerings differ significantly. In sexual health, both brands prescribe Sildenafil and tadalafil to help manage the symptoms of erectile dysfunction, in both generic and branded forms.

   Both brands use sertraline, an SSRI, for premature ejaculation (PE), but Roman also offers a benzocaine-based spray (Roman Swipes), while Hims offers delay wipes with benzocaine in a similar format. Roman’s evaluation process involves a deeper clinical workflow, including periodic follow-ups and provider-initiated dosing changes.

   Roman offers physician-guided access to GLP-1 receptor agonists such as semaglutide and tirzepatide (if eligible). The brand’s program includes a full lab panel (A1C, TSH, liver enzymes, creatinine), medical clearance, and nationwide shipping. Hims launched its GLP-1 program in 2023, offering compounded semaglutide and tirzepatide, but their lab testing is limited to certain states, and compounded versions lack FDA approval, though they may be sourced legally during drug shortages. Roman’s approach is more standardized, evidence-based, and includes safety monitoring throughout the procedure.

   Roman provides an at-home semen analysis kit (Ro Sperm Kit), using CLIA-certified lab testing to measure sperm count, motility, and morphology, with physician-reviewed results. This could be helpful for men assessing reproductive health before attempting conception. Hims does not offer semen analysis or fertility testing, nor any reproductive endocrinology services, placing it behind Roman in this area.

How Did We Evaluate Roman (Ro)?

1. Brand Credibility

   To evaluate Ro, we looked at several key factors, including the brand’s age, history, customer feedback, and third-party ratings. Ro, which launched in 2017 as Roman, is a relatively young telehealth company. It began by addressing men’s health concerns like erectile dysfunction and hair loss, and has expanded into broader health categories such as skincare, fertility, and women’s health.

   On Trustpilot, Ro holds a 3.7 out of 5 rating based on over 1,890+ reviews. This score reflects mixed experiences. Many customers appreciate the platform’s ease of use, discreet services, and convenience. However, negative reviews frequently mention billing issues, slow customer support, and occasional dissatisfaction with product results or delivery timelines.

   We also considered Ro’s Better Business Bureau (BBB) profile, where it currently has a B+ rating. A total of 241 complaints have been filed against the business, which is a relatively high number for a company founded in 2017. These complaints often focus on recurring charges, shipment delays, or communication issues with customer service.

2. Consumer Responses

   When evaluating Ro, we looked closely at customer reviews from Trustpilot, focusing on key aspects such as the sign-up process, medication effectiveness, pricing transparency, and customer support. The feedback highlights a mixed experience for users.

   Many customers reported positive results, especially with plans for weight management, erectile dysfunction, and hair loss. They appreciated the simple enrollment process, the ease of completing at-home lab tests, fast delivery, and medications that worked as advertised.

   However, a significant number of reviews pointed to frustrations with pricing and transparency. Many users felt misled, as they believed the advertised monthly membership fee included the cost of medication. After payment, they discovered that the actual medication costs were much higher. This led to feelings of being deceived, particularly when compounded medications were unavailable in some states or priced significantly higher than expected.

   Several customers who were denied procedure or chose not to continue after seeing the full costs found they could not get a refund. Some reported long wait times for customer support and minimal communication once enrolled.

   While Ro provides effective support and a convenient platform for many users, the gap between marketing promises and actual costs, along with the lack of flexibility in refunds, poses a concern. Potential customers should be sure to read the fine print, confirm all costs upfront, and verify medication availability in their state before committing.

Also Check: Hers Review: Can This Female-Focused Brand Fit Into Your Life?

Frequently Asked Questions

1. Is Roman a legitimate healthcare provider?
   Yes, Roman is a legitimate healthcare provider that partners with licensed doctors and medical professionals to offer safe and effective plans, with prescriptions delivered directly to patients.
2. Can Roman prescribe medication for managing Erectile concerns?
   Yes, Roman offers prescription options for managing the symptoms of erectile dysfunction, including Sildenafil (generic Viagra) and tadalafil (Cialis), after a consultation with a licensed healthcare provider.
3. What types of services does Roman offer?
   Roman provides services for managing sexual health concerns, hair loss, weight management, skincare, and other wellness needs, all through online consultations with licensed healthcare providers.

Conclusion

Roman offers a range of options with a focus on sexual wellness, weight management, and hair & skin health. The brand also gives access to hair and skin options, addressing hair loss with both prescription and over-the-counter products.

While Roman gives you access to clinically researched medications that are grounded in science, some newer medications, such as Zepbound, available through Ro, require more research to understand their long-term safety and effectiveness fully.

Roman’s telehealth model provides privacy, convenience, and streamlined medication delivery. Its integrated platform makes it easy to manage multiple aspects of your health in one place. However, the model relies heavily on asynchronous consultations, which might not meet the expectations of people seeking more direct interaction with healthcare providers.

Another consideration is cost. Roman does not accept insurance or offer discount programs, and its services are generally more expensive than those at traditional pharmacies. While the platform excels in ease of use and discretion, the higher price point and limited face-to-face contact may not suit everyone.