Hims vs Roman vs Keeps: Men’s Telehealth Compared
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Men’s telehealth has grown significantly, with platforms offering discreet, convenient access to treatments for conditions many men find difficult to discuss in person. Hims, Roman (Ro), and Keeps are three of the most prominent, each with distinct approaches and service scopes. This comparison examines features, pricing, and user experience without making claims about treatment efficacy. For broader telehealth options, see the best telehealth services guide.
Quick Comparison
| Feature | Hims | Roman | Keeps |
|---|---|---|---|
| Primary Focus | Multi-condition (hair, skin, ED, mental health) | Multi-condition (hair, ED, weight, skincare) | Hair loss exclusively |
| Hair Treatments | Finasteride, minoxidil, biotin, shampoo | Finasteride, minoxidil, supplements | Finasteride, minoxidil, ketoconazole shampoo |
| ED Medications | Sildenafil, tadalafil, branded options | Sildenafil, tadalafil, branded options | Not offered |
| Skincare | Yes (acne, anti-aging, daily products) | Yes (acne, anti-aging) | Not offered |
| Mental Health | Therapy + psychiatric consultations | Therapy access | Not offered |
| Starting Price (Hair) | $20/month | $15/month | $10/month |
| Shipping | Free standard | Free standard (in-house pharmacy) | Free standard |
Hims
The broadest of the three platforms, Hims offers services across hair loss, erectile dysfunction, skincare, mental health, and primary care. Launched in 2017 with a modern, lifestyle-oriented aesthetic, it functions as a comprehensive men’s wellness brand. Hair loss options include finasteride, topical minoxidil, biotin gummies, and DHT-blocking shampoo, available individually or bundled in a complete kit.
ED treatment provides access to sildenafil, tadalafil, and branded options after an online questionnaire reviewed by a licensed provider. Skincare covers prescription acne treatments, anti-aging products, and daily essentials. Mental health services include licensed therapists and psychiatric providers for anxiety, depression, and other concerns — the only platform of the three offering both therapy and medication management. No live video consultation is required for most services.
Quick verdict: Best all-in-one men’s wellness platform. Broadest service range covering hair, skin, ED, and mental health. Hair loss from $20/month; ED from $4/use; therapy from $99/session.
- Pros: Broadest service range; modern interface; therapy and mental health included; discreet packaging; flexible subscription management
- Cons: Higher starting prices than Keeps for hair loss; no live video for initial assessment; customer service response times can vary; cancellation reported as cumbersome by some users
Roman (Ro)
Originally focused on erectile dysfunction, Roman has expanded into a comprehensive men’s health platform operating under the parent brand Ro. A key differentiator: Ro operates its own pharmacy, giving it control over fulfillment and enabling competitive pricing with potentially faster shipping. Hair loss offerings include finasteride, topical finasteride, minoxidil, and a daily hair supplement.
ED remains a core strength, with sildenafil starting at $2 per use — the most competitive pricing among the three platforms. Roman has also expanded into skincare (acne and anti-aging treatments), weight management consultations, and broader primary care services. The online questionnaire is reviewed by a licensed provider, with follow-up available through the platform’s messaging system. The in-house pharmacy can reduce delays compared to platforms using third-party fulfillment.
Quick verdict: Best for ED treatment with the most competitive pricing ($2/use sildenafil) and in-house pharmacy quality control. Hair loss from $15/month. Strong value for multi-condition needs.
- Pros: In-house pharmacy for quality control and faster shipping; competitive ED pricing; broadening service range including weight management; provider messaging for follow-up
- Cons: Less specialized in any single category than Keeps; skincare line less comprehensive than Hims; mental health offerings less developed; some services not available in all states
Keeps
Keeps focuses exclusively on hair loss, and that narrow focus allows streamlined consultation, product offerings, and pricing. Offers finasteride (1mg generic), topical minoxidil (5% and extra strength), and ketoconazole shampoo — the same clinically studied treatments as the broader platforms, but at the lowest prices. Bundled kits combining all three products provide additional savings.
The online consultation is free and focused specifically on hair loss patterns, family history, and general health. A licensed dermatologist or healthcare provider reviews the submission and prescribes treatment if appropriate. No live visit is required. The simple process is the most straightforward of the three platforms. Monthly subscriptions can be adjusted or canceled through account settings.
Quick verdict: Best for hair loss only — lowest prices at $10/month for finasteride and $25/month for the complete kit. Free consultation, simple process, and focused expertise. No other conditions treated.
- Pros: Lowest prices for hair loss treatment; free consultation; focused expertise; simple streamlined process; bundled kits offer excellent value; includes ketoconazole shampoo
- Cons: Hair loss only — no other conditions; limited product variety; no live video option; no branded medications; fewer supplementary products; not for multi-condition needs
Head-to-Head
Hair loss: Keeps wins on price ($10/month), Hims wins on product variety. Roman falls in between with competitive pricing and in-house pharmacy fulfillment.
ED treatment: Roman wins with the lowest per-use pricing ($2/use sildenafil) and in-house pharmacy quality control.
Skincare: Hims wins with the most comprehensive product range including prescription and daily products.
Mental health: Hims wins as the only platform offering both therapy sessions and psychiatric medication management.
Privacy: Tie — all three use discreet unbranded packaging and HIPAA-compliant data practices.
Who Should Choose Each
Choose Hims if you want a single platform for multiple conditions (hair, skin, ED, mental health) and value comprehensive wellness services. Best for those whose budget allows for slightly higher pricing in exchange for breadth of services.
Choose Roman if ED treatment is the primary need, you want competitive pricing with in-house pharmacy quality control, or weight management services are of interest. Faster shipping through Ro’s own pharmacy is an additional benefit.
Choose Keeps if hair loss is the only concern, budget is the top priority, and you want the simplest, most focused process. The free consultation and lowest starting prices make it the most accessible option for hair loss treatment specifically.
Frequently Asked Questions
Do I need to see a doctor in person?
No. All three use online questionnaires reviewed by licensed providers. No live video or phone consultation is required for most services, though providers may request follow-up if additional information is needed.
Are the medications the same as from a regular pharmacy?
Yes. The medications are FDA-approved generic or branded products, the same as dispensed by any licensed pharmacy. Roman operates its own pharmacy; Hims and Keeps use licensed third-party pharmacies.
Can I use health insurance with these platforms?
Generally no. All three operate on a direct-pay model and do not typically accept health insurance. Some exceptions may exist depending on the service and plan. Patients should check with both the platform and their insurer.
Are these platforms available in all 50 states?
Most services are available nationwide, but availability varies by specific product and treatment. Telehealth prescribing regulations differ by state, and some medications may not be available in certain jurisdictions. Each platform will notify patients during consultation if a treatment is unavailable in their state.
Can I cancel anytime?
Yes. All three allow cancellation at any time through account settings with no cancellation fees or long-term contracts. Cancel before the next billing cycle to avoid an additional charge.
Written by the Complete Wellness Hub Editorial Team. Last updated April 2026.
