Ro vs Manual
Side-by-side comparison for ed treatment
Best for US-based users who want premium comprehensive telehealth platform with ongoing physician access, flexible treatments, and full-service men's health.
Best for UK-based users who want evidence-based clinical approach, TGA-approved medications, transparent pricing, and professional GMC-registered care.
Quick Overview
Ro
Manual
Feature Comparison
| Feature | Ro | Manual |
|---|---|---|
| Geographic Availability | United States only | United Kingdom only |
| Starting Price | $49/month | £2.25/dose (~$3) |
| Consultation Fee | Free | Free |
| Treatment Range | ED, Hair, TRT, Weight, Mental, Skin | ED, Hair, TRT, Weight |
| Medication Approval | FDA-approved | TGA-approved |
| Doctor Credentials | US-licensed MDs | GMC-registered |
| Service Model | Premium platform | Clinical evidence-based |
| Physician Access | Ongoing MD relationships | As needed consultation |
| Platform Style | Polished, premium | Professional, clinical |
| Customer Rating | 4.6/5 | 4.3/5 |
Pros & Cons
Ro
- Flexible payment options - pay per dose or subscription
- Both brand-name and generic medications available
- Lower prices on brand-name Viagra and Cialis than competitors
- Innovative compounded options like Ro Sparks and Daily Rise
- Free 2-day shipping on all orders
- 15% discount on first month
- $15 consultation fee (though offset by first-month discount)
- Per-dose pricing can add up for frequent users
- Some compounded products not FDA-approved
Manual
- UK-registered doctors and GPhC-registered pharmacies
- Affordable pricing starting at £2.25 per dose
- Free online consultations with medical professionals
- Discreet packaging and delivery
- Flexible subscription with easy cancellation
- Next-day delivery available
- Only available in UK and Ireland
- Smaller product range than US competitors
- No mobile app currently available
- Limited to prescription treatments only
Ready to Get Started?
Both services offer quality care. Choose the one that best fits your priorities.
Quick Verdict
Ro
Premium US telehealth platform with comprehensive services (ED, hair, TRT, weight, mental health), ongoing physician access, and flexible treatment options
Best For: US-based users wanting full-service men's health care with medical oversight ($49+/month)
Manual
UK telehealth platform with GMC-registered doctors, TGA-approved medications, evidence-based clinical approach, and transparent per-dose pricing
Best For: UK-based users seeking affordable, evidence-based clinical care (£2.25/dose starting)
Bottom Line
Choose Ro if you're in the US for comprehensive premium care with ongoing physician support. Choose Manual if you're in the UK for evidence-based treatment at transparent, affordable pricing.
Cross-Market Comparison: Ro (US) vs Manual (UK)
Important: Geographic Restriction
Ro serves the United States exclusively, while Manual serves the United Kingdom exclusively. This comparison is for users researching which platform is best in their respective markets, or for those comparing the US vs UK telehealth landscape.
Price Comparison
Manual has the lower starting price at £2.25/dose (approximately $3 USD) for ED medication, making them highly competitive in the UK market. Their transparent, per-dose pricing is straightforward and affordable.
Ro starts at $49/month for generic ED medication subscriptions in the US market. While higher than Manual's per-dose pricing, Ro's pricing reflects their more comprehensive platform with ongoing physician access and extensive treatment customization. Currency differences aside, both are competitive leaders in their respective markets.
Treatment Range & Services
Ro offers the most comprehensive men's health platform in the US with six major categories: erectile dysfunction, hair loss, testosterone therapy, weight loss (GLP-1s), mental health care, and skincare. This makes Ro a true one-stop-shop for US-based men seeking multiple health services from a single provider.
Manual focuses on four core men's health categories: erectile dysfunction, hair loss, testosterone therapy, and weight management. They don't offer mental health or skincare services. Manual's more focused approach means they specialize in essential treatments with proven clinical efficacy.
Medical Standards & Regulation
Ro operates under US healthcare regulations with FDA-approved medications and US state-licensed physicians. All doctors are licensed in your specific state, ensuring compliance with American medical standards. Ro meets all US telemedicine requirements.
Manual operates under UK healthcare regulations with TGA-approved medications and GMC-registered doctors (General Medical Council - the UK medical licensing body). Manual emphasizes evidence-based medicine and meets strict UK regulatory standards for telehealth services.
Platform Experience & Approach
Ro presents a premium, polished platform experience designed to feel like working with a high-end medical practice. Their interface is sophisticated, their communication is professional, and the overall experience emphasizes quality and comprehensive care. Ro's platform is designed for users who want a full-service health partner.
Manual offers a more clinical, professional platform that emphasizes medical credibility and scientific evidence. The interface feels more like consulting with a traditional medical practice. Manual appeals to UK users who want a serious, evidence-based approach with transparent information about treatments and efficacy.
Physician Access & Support
Ro emphasizes ongoing physician relationships. After your initial consultation, you maintain access to your physician for questions, dose adjustments, treatment changes, and ongoing support. This makes Ro feel more like having a personal doctor rather than just a medication subscription service.
Manual provides consultations as needed. You'll have an initial consultation with a GMC-registered doctor, and you can reach out for additional consultations when needed. The model is more focused on efficient medication delivery with medical oversight rather than ongoing physician relationships.
Treatment Customization
Ro excels at treatment customization with extensive medication options, flexible dosing, combination therapies, and willingness to accommodate custom treatment requests. If you need a specific dose or want to try different treatment approaches, Ro's physicians have more flexibility to create personalized protocols.
Manual offers standard evidence-based treatment protocols that cover most patients' needs. Their approach focuses on proven, straightforward treatments rather than highly customized regimens. This streamlined approach keeps costs down while maintaining clinical efficacy.
Customer Satisfaction
Ro maintains a strong 4.6/5 customer rating with extensive reviews. Users appreciate the comprehensive service, professional platform, and ongoing physician access. Ro is recognized as a premium service in the US market.
Manual holds a solid 4.3/5 rating in the UK market. Customers value the transparent pricing, evidence-based approach, and clinical professionalism. Manual is respected as a quality UK telehealth provider.
Final Verdict
Your location determines this choice. Choose Ro if you're in the United States and want the most comprehensive men's health platform available. Ro's extensive treatment range, ongoing physician access, premium platform experience, and flexible treatment options make them the top choice for US-based men seeking quality telehealth care.
Choose Manual if you're in the United Kingdom and want evidence-based clinical care with transparent pricing. Manual's TGA-approved medications, GMC-registered doctors, affordable per-dose pricing (£2.25/dose), and professional clinical approach make them an excellent choice for UK residents.
Both platforms are leaders in their respective markets, operating under strict medical regulations with licensed physicians and approved medications. The choice is primarily geographic - use the service available in your country.