ED treatments (Hims/Roman/clinic prices compared)

Erectile dysfunction treatment splits into direct-to-consumer telehealth (Hims, Roman) and prescribed care.

The DTC tier

Hims publishes generic sildenafil around $4/dose and daily tadalafil from $6/dose; Roman competes on brand pricing. Generic sildenafil cash at pharmacies runs $2-10 per tablet with discount programs - often cheaper for occasional use than subscriptions.

What prescription care adds

A proper ED consult screens for cardiovascular and metabolic causes (HbA1c, lipids, morning total T). DTC vendors rarely run that screen; clinic-based care bundles it. ED is sometimes the first visible signal of vascular disease - worth the screen.

Alternatives

Vacuum pumps (proven, cheap), counselling for performance anxiety, pelvic-floor physiotherapy (real trial support), shockwave devices (ask for trial data before paying hundreds per session).

With TRT

TRT improves erectile function where deficiency contributes; men with ED plus low-T symptoms are often best served treating the hormone first.

Sources: Hims/Roman published pricing; medical literature. Not medical advice.

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Information directory — publicly available pricing compared, not medical advice · Source-checked 2026-10-09 · Independent directory — not medical advice.