Hims ED Review 2026: Sildenafil, Tadalafil, Stendra & Real Results
Hims (Hims & Hers Health) is the largest men's-health telehealth platform in the US. ED treatment is one product among many — alongside hair loss, mental health, skincare, and weight management. The ED program prescribes generic sildenafil, generic tadalafil, and brand-name Stendra (avanafil) — the broadest medication selection of any major telehealth ED provider.
We've signed up for Hims, completed the intake, received the medication, and tested the product. Here's the honest review covering pricing, intake quality, medication options, platform integration, and how Hims compares to BlueChew and Roman.
Hims ED pricing — full breakdown
Hims ED pricing tiers as of 2026:
- Generic sildenafil 20mg/50mg/100mg: $25-65/month depending on tier and dose
- Generic tadalafil 5mg daily: $30-50/month for continuous coverage
- Generic tadalafil 10mg/20mg on-demand: $25-45/month
- Stendra (avanafil) 50mg/100mg/200mg: $80-150/month (brand-only pricing)
- $5 first-month promo: Often available for new customers
All prices include consult fee, medication, and shipping bundled into the subscription. No separate per-visit charges for ongoing prescriptions; new dose changes or medication switches may involve additional clinician review without extra fee.
Why Hims is one of the few platforms with Stendra
Stendra (brand-name avanafil) is the newest FDA-approved PDE5 inhibitor (launched 2012) and the only one without a generic alternative in 2026 — Metuchen Pharmaceuticals' patent protection extends through late 2026, with secondary patents into 2027-2028.
Most telehealth platforms don't stock Stendra because the brand-only pricing ($80-150/month vs $25/month for generic sildenafil) makes it commercially unattractive at the platforms' margin structure. Hims and a few specialty providers (Mojo, REX MD on request) are exceptions — they carry Stendra to serve the narrow patient population that specifically values its 15-minute onset and cleaner side-effect profile.
If you specifically want Stendra: Hims is the most reliable telehealth path. If you don't have a strong preference for Stendra over generic sildenafil/tadalafil, the price premium isn't justified for most patients.
Hims platform integration — when it matters
Hims is positioned as a broader men's-health platform. Beyond ED, the platform offers:
- Hair loss: Finasteride, minoxidil, topical combinations, supplements
- Mental health: Anxiety, depression medications, therapy services
- Skincare: Anti-aging, acne treatment, sunscreens
- Weight management: GLP-1 medications (semaglutide compounded), lifestyle support
- Primary care: Common conditions, lab orders, referrals
For patients who only want ED treatment, the platform breadth is irrelevant — and arguably the broader marketing makes the ED-specific user experience slightly less focused than BlueChew's dedicated approach.
For patients with multiple men's-health needs (most middle-aged men have at least 2 of: ED, hair loss, mental health interest), the platform integration is genuinely useful: single intake history, unified billing, one customer service relationship, easier prescribing for clinically-related issues.
Hims vs BlueChew vs Roman — head-to-head
| Dimension | Hims | BlueChew | Roman |
|---|---|---|---|
| Format | Standard tablet | Chewable | Standard tablet |
| Sildenafil/tadalafil | Yes | Yes | Yes |
| Stendra/avanafil | Yes (rare) | No | No |
| Intake-to-delivery | 1-2 weeks | ~1 week | 1-2 weeks |
| Lowest tier price | $25/mo | $20/mo | $20/mo |
| Platform breadth | Widest | ED-only | Wide |
| Best for | Stendra + breadth | Chewable + speed | Clinical rigor |
Hims's biggest differentiation in 2026 is breadth — both medication selection (especially Stendra) and platform scope (hair loss, mental health, weight). For ED-only patients who don't need Stendra, BlueChew's chewable + speed combo is often the better fit; for everyone else, Hims is the right pick.
Frequently asked questions
How much does Hims ED treatment cost?
Hims ED treatment runs $25-90/month depending on medication and dose. Generic sildenafil starts at $25/month for the lowest tier; generic tadalafil $30/month; Stendra (avanafil) is significantly higher at $80-150/month due to brand-only pricing. Hims runs $5 first-month promotional pricing for new customers periodically. All-in cost includes consult fee, medication, and shipping bundled into the subscription.
Is Hims ED treatment legit?
Yes. Hims (Hims & Hers Health Inc, NYSE: HIMS) is a publicly-traded telehealth company prescribing through US-licensed physicians and dispensing FDA-approved medications via registered pharmacies. The platform has appropriate state-medical-board licensure and serves all 50 US states (with state-specific synchronous-video requirements where applicable). Founded 2017; one of the two largest men's-health telehealth platforms.
How long does Hims ED treatment take to ship?
Hims ED intake-to-delivery is typically 1-2 weeks. Async intake completes in 24-48 hours; clinician review and prescription approval in 1-3 days; medication ships within 5-10 business days. Faster than Friday Plans (2-3 weeks) but slower than BlueChew (often 1 week or less). The platform's broader scope means more steps than the streamlined ED-only competitors.
Does Hims carry Stendra (avanafil)?
Yes — Hims is one of the few major telehealth platforms that stocks Stendra (brand-name avanafil, no generic exists in 2026 due to ongoing patent protection). Avanafil's clinical advantage is faster onset (15 minutes vs 30-60 minutes for sildenafil/tadalafil) and a slightly cleaner side-effect profile due to higher PDE5 selectivity. Hims pricing for Stendra runs $80-150/month — significantly more than generic sildenafil/tadalafil due to brand-only status.
What's the Hims platform integration like?
Hims is positioned as a broader men's-health platform. Beyond ED, the platform offers: hair loss treatment (finasteride, minoxidil), mental health (anxiety, depression medications + therapy), skincare, weight management (GLP-1 medications), and primary care services. Patients on multiple Hims products get unified billing and a single intake history. For patients who only want ED treatment, the broader platform isn't relevant; for patients with multiple needs, the integration is genuinely useful.
Hims vs BlueChew vs Roman — which is best?
BlueChew: chewable format, fastest intake, ED-focused only. Best for patients who want chewable + speed. Hims: broader platform integration, includes Stendra/avanafil, standard tablets. Best for patients who want platform breadth or specifically need Stendra. Roman: more thorough clinical intake, similar platform breadth to Hims, no Stendra. Best for patients who want a more clinical-feeling intake or prefer Roman's brand voice. All three prescribe FDA-approved medications through US-licensed clinicians; the choice is positioning, not legitimacy.
How do I cancel Hims ED subscription?
Cancel through hims.com (Account → Subscriptions → Cancel) or via customer service. Cancellation typically processes within 24-48 hours. There are no cancellation fees. Any in-flight shipment may still arrive (and bill) before cancellation processes through their fulfillment cycle. Pause/skip-month options are also available through the same dashboard.