Article
Best ED Treatment Services in 2026 - Discreet Online Options
Effective solutions for erectile dysfunction delivered discreetly to your door. Our experts compared telehealth services, pricing, and prescription options for convenient ED treatment.
Erectile dysfunction affects millions of men, but today’s telehealth services make treatment discreet, affordable, and accessible. No more awkward pharmacy visits—prescription ED medications are delivered directly to your door after a simple online consultation.
Our team evaluated leading telehealth platforms for ED treatment, comparing pricing, medication options, consultation quality, and customer experience to identify the best services for 2026.
Quick Comparison
| Service | Best For | From | Rating |
|---|---|---|---|
| 1. Hims | Best Overall | $4/dose | ★4.8/5 |
| 2. Roman (Ro) | Best Premium Service | $2/dose | ★4.7/5 |
| 3. BlueChew | Best Chewable Option | $20/dose | ★4.6/5 |
| 4. Lemonaid Health | Best for Additional Medications | $2/dose | ★4.5/5 |
Our Top Picks in Detail
Hims
Hims dominates the telehealth ED market with competitive pricing, innovative product formats, and comprehensive support. Their platform offers traditional pills, chewable tablets, and unique mint formats for maximum convenience. With free consultations, unlimited provider access, and subscription flexibility, Hims delivers exceptional value and accessibility for ED treatment.
Pros
- ✓Lowest per-dose pricing starting at $4
- ✓Multiple formats: pills, chewables, mints
- ✓Unlimited free provider messaging via app
- ✓Available in all 50 states plus UK
- ✓Flexible subscription options (monthly to annual)
Cons
- ✗Best prices require longer subscriptions
- ✗Not covered by insurance
- ✗Generic options only (no brand name)
Roman (Ro)
Roman (now Ro) offers a premium telehealth experience with the lowest daily tadalafil pricing and unlimited free consultations. Their Ro Sparks dissolving tablets provide a convenient alternative to swallowing pills. While sildenafil costs more than competitors, their daily Cialis option and exceptional customer support make Roman ideal for ongoing treatment.
Pros
- ✓Daily tadalafil starting at $2/dose
- ✓Unlimited free consultations and follow-ups
- ✓Ro Sparks dissolving tablets for convenience
- ✓Very fast 2-day delivery
- ✓Documentation for insurance reimbursement
Cons
- ✗Higher per-dose pricing for sildenafil ($6)
- ✗Not covered by insurance directly
- ✗Limited to standard tablet formats
BlueChew
BlueChew revolutionizes ED treatment with chewable tablets that work faster than traditional pills. Their unique format is perfect for those who dislike swallowing pills or want quicker onset. Offering sildenafil, tadalafil, and vardenafil chewables, BlueChew combines convenience with competitive pricing, though their compounded formulations lack FDA approval.
Pros
- ✓Only dedicated chewable ED service
- ✓Three medication options including Vardenafil
- ✓Plans start at just $20/month
- ✓Fast-acting chewable format
- ✓Available in 49 states plus territories
Cons
- ✗Compounded medications (not FDA-approved formulations)
- ✗Not available in North Dakota
- ✗No insurance coverage or reimbursement
Lemonaid Health
Lemonaid Health stands out by offering four different ED medications, including Avanafil (Stendra), which works in as little as 15 minutes. While they charge a $25 consultation fee unlike competitors, their medication variety and competitive pricing make them ideal for those who haven't found success with standard sildenafil or tadalafil options.
Pros
- ✓Four ED medications including Avanafil (Stendra)
- ✓Per-pill pricing starting at $2
- ✓Part of 23andMe health ecosystem
- ✓FSA/HSA eligible
- ✓Available in 47 states
Cons
- ✗$25 consultation fee (not free like competitors)
- ✗Not available in MN, ND, or SC
- ✗Requires recent blood pressure reading
How We Evaluate ED Treatment Services
Our evaluation process examines key factors that matter most for ED treatment:
Pricing & Value
We analyze total costs:
- Per-dose pricing: Cost for individual doses across dosages
- Monthly plans: Subscription options and commitments
- Consultation fees: One-time vs. ongoing charges
- Hidden costs: Shipping, follow-ups, and cancellation fees
Medication Selection
We assess treatment variety:
- Active ingredients: Sildenafil, tadalafil, vardenafil, avanafil
- Dosage options: Flexibility for different needs
- Delivery formats: Pills, chewables, dissolving tablets, mints
- Daily vs. on-demand: Options for different usage patterns
Consultation Quality
We evaluate the prescription process:
- Provider credentials: Licensed physicians and medical professionals
- Consultation method: Online forms, video calls, messaging
- Follow-up access: Ongoing support and dosage adjustments
- Response time: How quickly providers answer questions
Privacy & Discretion
We verify confidentiality measures:
- Packaging: Unmarked boxes with no identifying information
- Billing statements: Discreet company names
- Data security: HIPAA compliance and encryption
- Delivery options: Tracking and signature requirements
Customer Experience
We test the user journey:
- Platform usability: Website and app functionality
- Order process: Steps from consultation to delivery
- Delivery speed: Shipping timeframes
- Customer support: Responsiveness and helpfulness
Understanding ED Medications
Sildenafil (Generic Viagra)
Sildenafil is the most well-known ED medication, available as generic Viagra. It works in 30-60 minutes and lasts 4-6 hours. Best for on-demand use before sexual activity. Most providers offer 25mg, 50mg, and 100mg doses. Typical cost: $2-6 per dose.
Tadalafil (Generic Cialis)
Tadalafil offers two options: on-demand doses (10mg, 20mg) lasting up to 36 hours, or daily low-dose (2.5mg, 5mg) for spontaneous readiness anytime. Daily tadalafil is ideal for frequent sexual activity. Typical cost: $2-8 per dose.
Vardenafil (Generic Levitra)
Vardenafil works similarly to sildenafil but may be more effective for men with diabetes. It acts in 30-45 minutes and lasts 4-5 hours. Less commonly offered than sildenafil or tadalafil. Available through BlueChew and Lemonaid Health.
Avanafil (Generic Stendra)
Avanafil is the newest ED medication, working in as little as 15 minutes—the fastest onset. Lasts about 6 hours with potentially fewer side effects. Currently only available through Lemonaid Health among major telehealth services.
How They Work
All ED medications are PDE5 inhibitors that increase blood flow to the penis during sexual arousal. They don’t cause automatic erections—sexual stimulation is still required. Most men respond to any PDE5 inhibitor, though individual response varies.
Choosing the Right ED Service
Consider Your Usage Pattern
Occasional use: On-demand sildenafil or tadalafil offers the best value. Pay per dose rather than monthly subscriptions.
Regular use: Daily tadalafil provides spontaneity without timing doses. Roman’s daily plan starting at $2/dose is ideal.
Flexibility: Monthly subscriptions from Hims or BlueChew ensure you always have medication available.
Format Preferences
Traditional pills: All services offer standard tablets.
Chewables: BlueChew specializes in chewable tablets that work faster.
Dissolving tablets: Roman’s Ro Sparks dissolve on your tongue.
Mints: Hims offers mint formats for convenient, discreet use.
Budget Considerations
Tightest budget: Roman daily tadalafil at $2/dose or Lemonaid at $2/pill.
Best value per dose: Hims sildenafil starting at $4/dose with free consultations.
Premium service: Roman with unlimited free follow-ups and 2-day delivery.
Frequently Asked Questions
How do online ED prescriptions work?
You complete a medical questionnaire about your health history and symptoms. A licensed physician reviews your information and determines if ED medication is appropriate. If approved, your prescription is sent to a pharmacy and shipped directly to you. The entire process takes 24-48 hours.
Are telehealth ED medications safe?
Yes, when prescribed by licensed physicians through legitimate telehealth platforms. All major services use the same FDA-approved generic medications (sildenafil, tadalafil) available at traditional pharmacies. However, always disclose your complete medical history and current medications to avoid dangerous interactions.
Do I need a video consultation?
Most services (Hims, Roman, Lemonaid) use online questionnaires without video calls. BlueChew may require a brief video consultation depending on your state. Video calls aren’t necessarily more thorough—detailed written questionnaires are usually sufficient for ED prescriptions.
How long does delivery take?
Most services offer free 2-3 day shipping. Some provide expedited overnight shipping for an additional fee. Your first order may take longer (3-5 days) while processing your prescription. Subsequent refills typically arrive faster.
Will my insurance cover online ED treatment?
Most telehealth ED services don’t accept insurance directly. However, Roman and Lemonaid provide documentation for potential reimbursement from your insurance or FSA/HSA. Generic ED medications are relatively affordable ($2-6/dose), making out-of-pocket payment reasonable for most.
What’s the difference between brand name and generic?
Generic ED medications contain the same active ingredients and work identically to brand names like Viagra and Cialis. The only difference is manufacturing company and inactive ingredients. Generic versions cost significantly less while providing the same effectiveness and safety.
How quickly do ED medications work?
Sildenafil and vardenafil work in 30-60 minutes. Tadalafil takes 30-45 minutes. Avanafil (Stendra) works fastest at 15 minutes. Daily tadalafil maintains constant levels, so it’s always ready. For best results, take on an empty stomach or after a light meal—heavy, fatty meals delay absorption.
Can I cancel my subscription anytime?
Yes, all major services allow cancellation anytime without penalties. Hims, Roman, and BlueChew make it easy to pause, adjust, or cancel subscriptions through their websites or apps. You won’t be charged for future shipments after canceling, though you can’t return unused medication.
What if the medication doesn’t work?
Contact your provider through the platform. They can adjust your dosage or switch medications (sildenafil vs. tadalafil vs. others). Some men respond better to specific medications. Services with unlimited follow-ups (Hims, Roman) make dosage optimization easier. ED medication effectiveness also improves with proper timing, sexual stimulation, and avoiding interference from alcohol or heavy meals.