Pros and Cons

Pros

• Unlimited free follow-ups — the right structure for dialing in your dose
• Per-dose pricing published before you commit
• Full PDE5 menu plus daily and fast-acting formats
• Refundable consultation fee if Ro isn't the right fit

Cons

• Not available in every state
• Cash-pay; insurance not accepted
• Generalist men's-health platform rather than a dedicated ED clinic

ro.co

About Ro

Jump to Product Info:

1. Ro Sparks
2. Ro Daily Rise Gummies
3. Cialis (Brand Name) and Tadalafil (Generic)
4. Viagra (Brand Name) and Sildenafil (Generic)

Founded in 2017, Ro is a men's-health telehealth platform spanning ED, premature ejaculation, hair loss, and more. For ED it offers both brand-name and generic PDE5 inhibitors — and because the FDA requires generics to match brands on active ingredient, strength, and effectiveness, the generic route delivers the same pharmacology at a fraction of the price.

The breadth is convenient if you want one platform for several needs, but it also means ED is one department among many. A licensed provider reviews your intake before any prescription — the screening step that no ED platform should skip, and where you disclose nitrate use and cardiovascular history.

A Note about ED Medication:

Sildenafil and Tadalafil are among the most common medications used to treat ED. These drugs work by improving blood flow to the penis. Sildenafil, the active ingredient in Viagra, usually takes about an hour to work and lasts between 2 to 5 hours. Tadalafil, found in Cialis, works in a similar way but lasts much longer—up to 36 hours—making it suitable for either daily use or as needed.

These medications are popular because they are effective, widely available, and provide a range of options to suit different needs—whether for quick action, long-lasting results, or daily management. Both require sexual stimulation to work, as they do not cause erections on their own.

Ro ED Products

PE Treatments

In addition to ED, Ro provides solutions for premature ejaculation, including endurance wipes and oral medications.

How to Get Ro

To start with Ro, you'll first need to complete a simple online appointment. This begins with a $15 consultation with one of Ro’s licensed medical professionals, where you’ll discuss your symptoms and medical history to create a personalized treatment plan. If Ro’s service or products aren’t the right fit for you, the $15 fee is refunded.

After placing your order, Ro provides free, discreet shipping directly to your home. Alternatively, for an additional fee, your prescription can be sent to your local pharmacy. If you need to make changes to your treatment or prescription, Ro offers unlimited free follow-ups with their medical team to ensure your treatment remains effective.

The initial process starts with a free online visit, where you’ll provide details about your symptoms, current medications, medical history, and key health data, such as blood pressure levels. You’ll also need to upload a government-issued ID and a recent photo to verify your identity. In some states, a video consultation may be required to complete the process.

Within 24 hours, a healthcare provider will review your information and decide if a prescription is needed. If a prescription is issued, you can either have it filled directly through Ro’s pharmacy network or opt to pick it up at your local pharmacy.

Once you’ve had your initial consultation, you can reach out to Ro’s healthcare providers anytime through messaging, phone, or video calls to discuss your care or make adjustments to your treatment. Additionally, Ro offers over-the-counter (OTC) products, such as benzocaine wipes for premature ejaculation, which can be purchased without a prescription.

All orders come with free standard shipping, though expedited shipping is available for $15. Ro accepts most major credit cards, along with PayPal, Google Pay, and Apple Pay, though it does not currently accept insurance.

About Telehealth Services

Telemedicine services like Ro offer a convenient way to access healthcare, but it's important to weigh privacy and confidentiality when choosing an online provider. While telehealth can be useful for certain treatments, it may not be suitable for all health conditions, and some providers may not accept insurance. For ongoing or more complex health concerns, regular in-person visits with a doctor may offer more comprehensive care.

Additionally, telemedicine services are not meant for emergencies. If you need immediate medical attention, contact emergency services or go to an urgent care center. Because ED can have both physical and psychological causes — and can signal an underlying vascular condition per NIDDK — it is worth involving a doctor you know and trust alongside any online program, especially for ongoing or complex concerns.

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The Bottom Line

Ro stands out in our ED chart on two things that actually matter over a course of treatment: published pricing you can compare before committing, and free unlimited follow-ups for the dose adjustments most men need. The full PDE5 menu and daily/fast-acting format options let a clinician match the drug to your pattern.

The caveats are the familiar ones: not available in every state, cash-pay only, and a generalist platform rather than a dedicated ED clinic. For men who value transparent cost and responsive follow-up — and who disclose their full medication list at intake — Ro is a strong shortlist pick.

ro.co

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