10 Best Online ED & Sexual Health Services Deals & Intro Offers of October 2026
Quick answer
As of October 2026, our top-rated online sexual health service with an intro offer is Winona (7.8/10, from $79/mo), followed by Direct Meds (from $53/mo) and BlueChew (from $30/mo). Across the 24 providers we compared, starting prices run $2–$168/mo (median $49.99).
- 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 - 2Direct 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 - 3BlueChewNames Its Pharmacy
- From $30/mo for Sildenafil Chewable (SIL)
- 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 - 4GoodRx
- 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 - 5MEDViNames Its Pharmacy
- From $114/mo for MEDVi QUAD (4-in-1 ED Sublingual)
- Offer: 36% off retail ($114 vs $179)
- Price includes provider visits and shipping
7.0Good - 6TelyRx
- From $27.99/mo for Generic Sildenafil
- Offer: One-time $22 provider review fee; 20% off first order
- Very broad catalog (500+ medications) that includes chronic-condition generics such as lisinopril, albuterol…
6.9Good - 7Rex MD
- From $2/mo for Sildenafil / Tadalafil (generic & brand)
- Offer: As low as $2/dose
- Price includes provider visits and shipping
6.8Good - 8Nu Image MedicalNo Price Jump After Month 1Same Price at Every Dose
- From $3/mo for Sildenafil / Tadalafil / Mt. Everest Max
- Offer: Priced per tablet
- Price includes provider visits and shipping
6.8Good - 9Tuyo Health
- From $4/mo for Generic Sildenafil / Tadalafil
- Offer: Priced per dose
- Price includes provider visits and shipping
6.7Good - 10TeleDirectMD
- From $79/mo for ED Visit
- Offer: Medication paid separately at pharmacy
- One all-in $79 cash price per visit, published up front and HSA/FSA eligible
6.5Good
Side-by-side comparison
| # | Provider | Score | From | Intro offer | Labs |
|---|---|---|---|---|---|
| 1 | Winona | 7.8 | $79/mo | Yes | — |
| 2 | Direct Meds | 7.3 | $53/mo | Yes | — |
| 3 | BlueChew | 7.2 | $30/mo | Yes | — |
| 4 | GoodRx | 7.0 | $18/mo | Yes | — |
| 5 | MEDVi | 7.0 | $114/mo | Yes | — |
| 6 | TelyRx | 6.9 | $27.99/mo | Yes | — |
| 7 | Rex MD | 6.8 | $2/mo | Yes | — |
| 8 | Nu Image Medical | 6.8 | $3/mo | Yes | — |
| 9 | Tuyo Health | 6.7 | $4/mo | Yes | — |
| 10 | TeleDirectMD | 6.5 | $79/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
- 24 providers compared
- Lowest starting price: $2/mo
- Median starting price: $49.99/mo
- 0 of 24 include lab work in at least one plan
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, Rex MD has the lowest starting price at $2/mo (Sildenafil / Tadalafil (generic & brand)). 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 24 providers we compared, starting prices range from $2 to $168 per month, with a median of $49.99. 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.