Alex Goldberg

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About the Author

Alex Goldberg

Alex worked at three early-stage startups before starting Fin vs Fin. Covering the rise of direct-to-consumer health, his mission is to help patients access better treatments online. He's also a husband, father, and UC Berkeley grad who enjoys golf, podcasts, live music, cooking, and home improvement.

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Roman Review – Is it Legit for Men’s Hair Loss and ED Treatment?

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Medically reviewed by:
Dr. Steve Kim, MD

About Dr. Steve Kim, MD

Physician Advisor

Dr. Kim received his BA in Human Biology at Stanford University, before receiving his M.D. degree (Primary Care Track) from UC Davis School of Medicine. He completed his Internship & Residency in Family Practice from Glendale Adventist Hospital and is Board-Certified in Family Medicine via the American Board of Family Medicine.

Alex Goldberg

This is an unbiased review of men’s health startup Roman (Ro). Roman promises doctor diagnosis and quick medication delivery for a variety of men’s health ailments, such as hair loss, ED and more. But do they deliver the results? Read on to find out!



Is online health startup Roman right for you?


Roman offers certified doctors who will diagnose your hair loss, erectile dysfunction, premature ejaculation and more, prescribe the appropriate treatment and discretely ship the medicine directly to your home  – all online. caters to men who are nervous discussing sexual or cosmetic health concerns with their primary care physician, and who don’t want to bother with the hassle or embarrassment of picking up “sensitive” meds at the local pharmacy. 



Let’s review what it’s like to have a doctor’s visit and get a prescription from the get roman website!

How to get a prescription from Roman

Getting a hair loss prescription (finasteride) or erectile dysfunction prescription (sildenafil or tadalafil) or other medications from Roman is simple, but does require you to interact with online forms and a remote doctor. I ran through the process to see how easy it was and write this review.


I found it very simple to complete Roman’s online application and get a doctor’s prescription for my medicine. Answering the questions online is a lot less intimidating than discussing this in person with someone, and I think this service might appeal to men who are less comfortable discussing their issues IRL. I’ll paste in a few screenshots from the process so that you can see how easy it is, and how little embarrassment there is.


The biggest issue I found with their online doctor visit is that there is NO back button, so you can’t easily return to previous sections to change a response. However, I learned that you can hit the back button and not lose your place in the form. I also had to step away at one point to get my identification, and my computer went to sleep – thankfully, the get roman website kept my place in the online prescription application/doctor visit, so I could pick up where I left off. Phew.

Roman Online ED Doctor's Visit


Here’s how an erectile dysfunction online registration works with Roman:


  1. Register on their site – you’ll have to agree to receive “telehealth”, which is a fancy word for getting a diagnosis from a health professional online. You’ll then provide your zip code, birthdate, and then answer a series of health related questions. Basically, you are starting the telehealth physician’s visit, where the get roman ED doctor or hair loss doctor reviews your medical situation to make sure ED medication is right for you.


2. You’ll need to select the amount of ED medication that you think you’ll need – the pharmacy ships out the ED meds in individual packets, and you can select from a variety of doses/uses per month – from four to ten. For the anti-balding meds, they will recommend the right dosages and frequency. 


3. Next you can select the type and brand of medication. Your choices are:

    • Generic Viagra (Sildenafil)
    • Viagra (Sildenafil)
    • Cialis (Tadalafil) 
    • No preference
    • I selected the Generic Viagra, due to the price. I’ll connect with our pharmacist to make sure I understand the implications of this decision.

4. The pricing is also provided, on a monthly or per dose basis. Generic Viagra was the cheapest, but here’s Roman’s full pricing menu:



roman pricing

Roman Pricing

What’s it for?

How’s it taken?

Price per dose

Monthly price

Quarterly price

(Generic Viagra®)
Erectile Dysfunction Pill (as needed) $34


Erectile Dysfunction Pill (as needed) $2 – $10
(Branded Cialis®)
Erectile Dysfunction Pill (as needed) $17 – $69 $390
(Generic Cialis®)
Erectile Dysfunction Pill (as needed) $11 – $44 $240
(Generic Propecia®)
Hair Loss Daily Pill

First month free, then $24.

Valacyclovir (Generic Valtrex®) Herpes Pill (as needed) $14 $42
(Generic Zoloft®)
Pre-Ejaculation Daily Pill $24 $57
Benzocaine Pre-Ejaculation Wipe (as needed) First month $5, then $27. $66



5. Next, you select what you think your preferred dosage is. They do make it clear that the doctor will advise you on the best dosage for you to start with. It seems that the different dosages are provided by multiple pills; for example, to get 80mg of Sildenafil (ED meds), you will take 4 20mg pills.


6. There are a series of simple to answer questions about your sexual health; answering these questions in an online form is much less embarrassing that discussing them in a doctor’s office! These are super easy for both the anti-balding medicines and for the ED medicines.


7. You’ll have to supply your blood pressure. The site says that this is because abnormal blood pressure can be a sign of underlying issues that may be causing erectile problems. If you don’t know your blood pressure, you’ll have to find a way to get one. (here are some ways to get your blood pressure taken). Thankfully, I knew my blood pressure due to a recent knee operation.


8. Following entering your blood pressure, there are a significant number of general health and sexual health questions. These are not hard (or embarrassing) to answer online, but you do need to read them carefully to make sure you understand what Roman is asking and to make sure you answer them correctly. A number of these questions are around heart and artery health, which makes sense since ED may be correlated with hardening of the arteries, which causes heart attacks and other heart health problems.


9. Roman then indicates that ED medication should not be used with a list of various medicines, and they ask you to check that you are not using any of them. Confusingly, Sildenafil is one of the no-good medicines listed – I’d check with a pharmacist and figure out what this is about.


10.While you’ve entered your email earlier, you don’t enter your name and address until near the end of the process.


11. You’ll need to take a series of photos – you can use a browser if your computer has a camera, or you can upload a photo if that’s easier:


  • You need to take a photo to prove to the physician who you are – supposedly this is a telemedicine law that they have to follow. It’s pretty easy, so not a big deal.
  • You also need to snap a shot of a driver’s license / government issued ID.

12. Finally, you enter your payment method (credit card). However, according to the site, you do not get charged until the doctor has met with you and confirmed that you need a prescription.

After you fill the form, the site lets you know when a physician will review your online visit. In my case, it says it will review it in 24 hours.


13. There is also a helpful video where a doctor explains what to expect now that you’ve completed the online application/visit.


14. Apparently some states require the doctor to call you – I did not need this. According to the email:

“Depending on your home state, you may need to talk to your doctor through a phone call or video chat. If your doctor tries to call you and you miss the call, no sweat! You’ll receive an email notification with instructions to reschedule the call.”


Sounds easy enough. 


15. Within just a few minutes, I got an email from “Ro” saying that a doctor had reviewed my information and that I could likely benefit from the medicine. 


16.My prescription was automatically sent to Roman’s pharmacy.


17.Pretty quickly I received notification that my credit card was being billed and a receipt from Roman. There is also an online Sildenafil Treatment Plan that outlines what to expect and how to use the medication. There was one interesting note about Sildenafil:


“Take the medicine on an empty stomach and avoid fatty foods for at least two hours before taking the pill. Fat interferes with its absorption. Grapefruit juice can possibly affect the absorption of sildenafil, as well. It increases the blood level after an initial delay in absorption. It can increase the possibility of side effects and can make it difficult to predict the effect with each use. Alcohol may be a means to relax but it can impair achieving and maintaining an erection. Avoid alcohol.”


So, basically, no gin and juice!


18. Update: I describe my experiencing receiving meds from Roman in the mail at the bottom of this Roman ED review. Take a peak if you’re curious what the physical shipment looks like and what our final verdict is on the service as a whole.


Does Roman work for hair loss?


The short answer is YES. Roman offers legitimate medicines, and they can really help you combat ED, hair loss, premature ejaculation and other men’s issues – assuming the get roman doctor says you are a good candidate for treatment. You get a real doctor’s visit (online at get roman, but with a licensed physician). And the medicines Roman prescribes all have serious medical research demonstrating safety and effectiveness for the treatments, so they work for a lot of men. We’ve reviewed a lot of medical journal abstracts (like the one here looking at their prescription hair loss medicine’s effectiveness), and it’s clear that the company is focused on real medicines that work for most otherwise-healthy men. 


Plus, the company will ship real medicines right to your door, so you don’t have to go to the pharmacy, deal with insurance or anything. And, when you take into account the fact that you don’t have to deal with insurance, co-pays, going to the pharmacy or doctor, the prices you’ll find on get roman are pretty reasonable. I mean, where else can you get a free doctor’s visit to talk about ED or hair loss?


Why does Roman work for most men?


These are the top reasons we think Roman’s products and medicines will work for most men:

  1. You get a real doctor’s visit, which we’ll get into in a moment
  2. You can ask a real medical professional questions about your treatment
  3. The medicines are FDA approved or prescribed off-label in a way that complies with US regulations
  4. Most of the products are available via a subscription, which is important for hair loss or ED, where you want to take the med regularly
  5. The products that we have tried have worked for us – of course, you can’t know unless you try for yourself.


Are Roman doctor’s legit?


is roman legit


Yes, you’ll meet with real, licensed doctor when you do a physicians visit on the Ro website. If you’re looking for a professional opinion before choosing to move forward with a specific treatment, consulting a dermatologist is a great first step.


The doctor that will see you is authorized and licensed to treat patients in your state – the only states that they don’t have doctors visits available in are North Dakota, South Dakota, Delaware, Alaska and Hawaii, and in South Carolina and Minnesota they can only treat cold sores and hair loss.


As we mentioned before, some states require a video chat with the doctor, but for me, all I had to do was complete the online form. The doctor did reach out to me online later to ask if I had questions, but I didn’t have to respond. Plus, you can see from the image I took above, the medicines you get from Roman are legit. 


Review of Roman, the Men’s Healthcare Startup


Let’s review, where did get Roman come from? This innovative telemedicine provider is brought to you by Ro – a modern healthcare technology company that’s reinventing how you take care of your health. You’ll find them online at Roman.


With Ro, you can connect with your doctor who will review your conditions and give you prescriptions (if necessary), manage and track your orders, refill prescriptions, and get answers to your questions. You can also use the get roman website to review how to use your medicines.


They are a VC backed startup that is trying to change the way men get healthcare in the US by offering a legitimate, telehealth experience with licensed physicians who prescribe well-know medicines for common conditions like ED, hair loss, cold sores and more. If you’re curious about how they stack up to competitors like Hims and Keeps, check out our comprehensive comparison


What does a Roman ED medicine shipment look like?



This video shows what a package of Roman erectile dysfunction pills looks like. Note the simple, discrete packaging – you can’t tell what’s inside until you open it up. 



How do you cancel subscription to Roman?


Need to cancel your Ro subscription? Thankfully, they’ve made it very easy to do. Follow these steps and you will be unsubscribed in no time at all.


In fact, one of the main reasons we strongly recommend Ro is because they make it so easy to modify or cancel your subscription – no tricks here, they want you to stay if you are happy and make it easy to leave if you’re not. 


You can elect to just delay your subscriptions, of if you actually want to cancel the orders you need to click on the name of the medicine. Then scroll down to where you see “change plan” – don’t get distracted by the “delay order” buttons, you want to actually change the plan. Next select “turn off auto refills.” They will give you another chance to keep your subscription, but don’t do it, select the turn off button. 


That’s it! Super easy. Watch the video below as well to see how to actually log in and cancel your orders.



The Verdict: Is Roman legit for hair loss and ED?


Roman does have some competition in the hair loss and ED space, and you can read our full comparison of Roman vs Hims vs Keeps. Its biggest ED rival is probably Hims​, while its biggest competitor in the hair loss space is likely Keeps. Overall, Roman offers men a refreshingly easy, discrete, and affordable way to get generic meds online.


We’ve tried several of the online telemedicine companies, and can strongly recommend Roman for both hair loss and ED. The company also offers legitimate medications for many other common conditions, which we’ve reviewed in-depth as well:



Here are some of the reasons we like Roman:


  1. Low-priced (read: Free) doctor visits
  2. Variety of branded and generic medicines for a variety of health conditions men often have
  3. Affordable medicine prices, shipped right to your home in discrete packages
  4. Easy cancellation, so if you don’t like it you aren’t trapped
  5. Great online consultation – clearly designed to make it easy for you to explain your condition and symptoms to a real doctor, without all the embarrassing parts
  6. Well funded startup, so you can have confidence that they’ll be able to continue to help you with your treatment for years to come


Ready to get started? Roman is now offering a free doctor’s visit – click here to get started and let us know about your experience in the comments below.


Roman offers this telehealth approach to a myriad of other health conditions and concerns, including mental health. They recognize the need for support in all areas of life, one of which we cover in our review of Roman’s Ro Mind.


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About the Author

Alex Goldberg

Alex worked at three early-stage startups before starting Fin vs Fin. Covering the rise of direct-to-consumer health, his mission is to help patients access better treatments online. He's also a husband, father, and UC Berkeley grad who enjoys golf, podcasts, live music, cooking, and home improvement.

Learn more
Alex Goldberg

Alex Goldberg

Alex worked at three early-stage startups before starting Fin vs Fin. Covering the rise of direct-to-consumer health, his mission is to help patients access better treatments online. He's also a husband, father, and UC Berkeley grad who enjoys golf, podcasts, live music, cooking, and home improvement.

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