10 Best Online ED & Sexual Health Services of October 2026
Quick answer
As of October 2026, our top-rated online sexual health service is Winona (7.8/10, from $79/mo), followed by Ro (from $32/mo) and LetsGetChecked (from $39/mo). Across the 58 providers we compared, starting prices run $2–$275/mo (median $53).
- Our #1 pick1Winona
- From $79/mo for Sildenafil Arousal Cream (per order, not monthly)
- Offer: Sold per order as an as-needed product, not on a monthly cycle. Compounded by a state-licensed pharmacy; the…
- Price includes provider visits and shipping
7.8Very Good - 2RoNames Its PharmacyTop Trust & Safety Score
- From $32/mo for Sildenafil
- Price includes provider visits and shipping
7.6Very Good - 3LetsGetChecked
- From $39/mo for STI Treatment Virtual Consult
- Price includes provider visits and shipping
- Enterprise and health-system partnerships (cited: Amazon, Humana, university health systems) signal…
7.5Very Good - 4CallonDoc
- From $50/mo for STD Testing & Treatment
- Price includes provider visits and lab work
- Broad condition coverage spanning primary care, STD, dermatology, mental health, and men's/women's health
7.4Good - 5Hims & HersNames Its Pharmacy
- From $55/mo for Hard Mints (chewable sildenafil/tadalafil)
- Price includes provider visits and shipping
- Widest treatment category coverage of any D2C telehealth brand
7.4Good - 6Twentyeight Health
- Offers Emergency Contraception (Plan B, ella); price not published before intake
- Price includes provider visits and shipping
- Accepts most commercial insurance and Medicaid in multiple states, which few D2C telehealth brands do
7.4Good - 7Direct MedsNo Price Jump After Month 1Same Price at Every Dose
- From $53/mo for DirectMax rapid-dissolve ED tablet (apomorphine + sildenafil + tadalafil)
- Offer: 33% off first order (from $7.45/dose)
- Price includes provider visits and shipping
7.3Good - 8Hone HealthNames Its Pharmacy
- From $25/mo for ED Medication
- Price includes provider visits and shipping
- Broad category range spanning hormone therapy, weight loss, sexual health, and hair loss under one platform
7.2Good - 9BlueChewNames Its Pharmacy
- From $25/mo for Vardenafil Chewable (VAR)
- Offer: 6 tablets $30 to 34 tablets $120; the range is pack size at a fixed 30-day cadence, not plan length…
- Price includes provider visits and shipping
7.2Good - 10GoodRx
- From $18/mo for ED Subscription
- Offer: Sildenafil from $18/mo and tadalafil from $21/mo; rises to $109/mo at higher quantities
- Price includes provider visits and shipping
7.0Good
Side-by-side comparison
| # | Provider | Score | From | Intro offer | Labs |
|---|---|---|---|---|---|
| 1 | Winona | 7.8 | $79/mo | Yes | — |
| 2 | Ro | 7.6 | $32/mo | — | — |
| 3 | LetsGetChecked | 7.5 | $39/mo | — | Included |
| 4 | CallonDoc | 7.4 | $50/mo | — | Included |
| 5 | Hims & Hers | 7.4 | $55/mo | — | — |
| 6 | Twentyeight Health | 7.4 | See site | — | — |
| 7 | Direct Meds | 7.3 | $53/mo | Yes | — |
| 8 | Hone Health | 7.2 | $25/mo | — | — |
| 9 | BlueChew | 7.2 | $25/mo | Yes | — |
| 10 | GoodRx | 7.0 | $18/mo | Yes | — |
Starting prices as listed on each provider's site, checked Oct 9, 2026. Prices can change with dose, plan length and promotions.
Key numbers
- 58 providers compared
- Lowest starting price: $2/mo
- Median starting price: $53/mo
- 4 of 58 include lab work in at least one plan
- 24 of 58 have an intro offer or first-month discount
How we ranked these
Ranked by our category score: trust and safety (30%), value (25%), patient experience (20%), product range in this category (15%) and reputation (10%). Scores come from our own research into each provider's website, regulatory records, patient reviews and pricing. Read the full methodology
What to look for
Per-dose math
ED medication pricing is quoted monthly, but usage varies. Divide by the doses included — the same $30/month can be six doses at one platform and ten at another.
Formulation trade-offs
Standard tablets are cheapest. Chewables and sublinguals act faster and skip the water, at 2–10x the per-dose cost of generics. Multi-drug compounds offer combinations generics can't, without individual FDA approval.
Safety screening quality
The critical ED safety check is nitrate medications and cardiovascular history — a dangerous interaction, not a formality. An intake that takes this seriously signals a platform that takes medicine seriously.
STI testing follow-through
A cheap panel is worth little without physician follow-up on positives. Check whether treatment or a clinician consult is included when a result needs action.
Frequently asked questions
What is the best online sexual health service?
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Winona ranks #1 on this list with a score of 7.8/10 and plans from $79/mo. Scores weigh trust and safety, value, patient experience, product range and reputation.
What is the cheapest online sexual health service?
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Of the providers on this list, GoodRx has the lowest starting price at $18/mo (ED Subscription). Starting prices often rise with dose or after an intro period, so compare the ongoing price too.
How much does an online sexual health service cost?
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Across the 58 providers we compared, starting prices range from $2 to $275 per month, with a median of $53. 24 of them run an intro offer or first-month discount.
How are these providers ranked?
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By our category score: trust and safety (30%), value (25%), patient experience (20%), product range in this category (15%) and reputation (10%), with a small bonus for specialists. The full methodology is published on our methodology page.
Which is better — sildenafil or tadalafil?
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They're equally effective through the same mechanism; the difference is timing. Sildenafil works within 30–60 minutes for 4–6 hours and is usually cheapest. Tadalafil lasts up to 36 hours and can be taken as a low daily dose for spontaneity. Many men try both — most telehealth platforms make switching easy.
Why are chewable ED medications so much more expensive?
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You're paying for compounded formulation and format convenience, not stronger medicine — the active ingredients are the same generic molecules. Faster absorption and no-water dosing are real benefits; whether they're worth several times the per-dose price of generic tablets is a personal call.
Are at-home STI tests accurate?
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Kits from reputable platforms use the same certified laboratories as clinics; sample collection is the main accuracy variable. Follow instructions carefully, and treat any positive or ambiguous result as a prompt for clinical follow-up — which the better platforms include.
Will my insurance or my regular doctor find out?
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Cash-pay telehealth doesn't bill insurance, so nothing appears in insurance claims. Your telehealth records are protected health information like any other medical record, and platforms don't notify your other providers — though telling your PCP about ED medication is wise, since ED can be an early cardiovascular signal.