Ro vs Sesame
Ro scores higher overall (9.2 vs 8.5).
By Julian Caraulani · prices checked
Quick verdict
Our pick between the two: Ro
Ro scores 9.2/10 against 8.5 for Sesame, ahead on price, price transparency and clinical care. Sesame can still be the better fit: it is best for men who want a prescription from a clinician they pick and are happy to fill it at a pharmacy.
Side by side
| Ro | Sesame | |
|---|---|---|
| Lowest price | $16/mo (12-month plan; ships quarterly) | Not published |
| Our score | 9.2/10 | 8.5/10 |
| Treatments | Erectile dysfunction (ED), Hair loss, Premature ejaculation (PE) | Erectile dysfunction (ED), Hair loss |
| Medication in price | Included | Extra |
| Drugs dispensed | FDA-approved + compounded | FDA-approved |
| Labs | Not stated | Free annual lab with Everyday Rx; labs in Skincare Rx |
| Membership | None for ED, hair loss or PE (no sign-up or cancellation fee) | Everyday Rx: $29 a month on an annual plan or $59 month to month. Skincare Rx: $59 a month. None for a single visit |
| Insurance | Not stated | No, Sesame does not bill insurance; HSA and FSA funds can be used |
| States | Not published | All 50 states, on its own statement |
| Cancellation | No sign-up or cancellation fee; start or stop any time | Cancel a subscription any time before the next billing cycle; fees already paid are not refunded, except a full refund if cancelled 3 hours before the first visit |
| Trustpilot | 3.9/5 (7,598 reviews) | 4.6/5 (4,617 reviews) |
| Best for | Men who want plain FDA-approved generics with the visit included and a clear per-dose price. | Men who want a prescription from a clinician they pick and are happy to fill it at a pharmacy. |
| Prices checked | 2026-11-07 | 2026-11-07 |
Price by treatment
The lowest all-in plan each publishes for the treatments both offer, with the page we read it on.
| Treatment | Ro | Sesame |
|---|---|---|
| Erectile dysfunction (ED) | $32/mo (recurring monthly plan) source, 2026-11-07 | No all-in price published |
| Hair loss | $16/mo (12-month plan; ships quarterly) source, 2026-11-07 | No all-in price published |
Ro: a closer look
Generic sildenafil, tadalafil, finasteride and oral minoxidil with a free online visit; per-dose prices published.
In its favour
- Per-dose prices published for every ED strength
- Free online visit and follow-ups
- FDA-approved generics for ED, hair loss and PE
To weigh
- Tadalafil 10 and 20 mg cost $44 a dose
- Compounded Sparks and gummies sit next to the generics
- No state list published
Sesame: a closer look
Video visits with medication paid at your pharmacy, or Everyday Rx from $29 a month with sildenafil and tadalafil at $1.
In its favour
- Choose your own clinician, with same-day visits
- Sildenafil and tadalafil at $1 on Everyday Rx
- Prescription can go to the pharmacy you choose
To weigh
- Medication is paid separately from the visit or subscription
- The lowest subscription price is an annual plan
- Pack size per $1 fill is not stated
Which should you choose?
Choose Ro
Best for men who want plain FDA-approved generics with the visit included and a clear per-dose price. Its lowest all-in plan is $16/mo (12-month plan; ships quarterly).
Check Ro's priceChoose Sesame
Best for men who want a prescription from a clinician they pick and are happy to fill it at a pharmacy.
Check Sesame's priceRo vs Sesame: questions people ask
Which is better, Ro or Sesame?
On our published score Ro rates 9.2 and Sesame rates 8.5. Ro is best for men who want plain FDA-approved generics with the visit included and a clear per-dose price; Sesame is best for men who want a prescription from a clinician they pick and are happy to fill it at a pharmacy.
Do Ro and Sesame offer the same treatments?
Ro: Erectile dysfunction (ED), Hair loss, Premature ejaculation (PE). Sesame: Erectile dysfunction (ED), Hair loss.
Does either include the medication in the price?
Ro: included. Sesame: extra.
Men's Health Watchdog is for information only and is not medical advice. Sildenafil, tadalafil, finasteride, oral minoxidil and testosterone are prescription drugs (testosterone is a federally controlled substance); talk to a licensed clinician about whether one is right for you and at what dose. Compare other programs.