Sexual Health › Head-to-head comparison
Keeps vs Hims
True annual cost, labs inclusion, delivery methods, and verified reviews compared. Updated June 2026.
★
Our pick: Keeps — 8.3/10 vs 8.2/10, higher rated
★ Our Pick
Keeps
$25/mo — only clinic with ketoconazole shampoo
8.3/10
Monthly
$25/mo
True Annual
$300/yr
Labs
✗ Extra
States
All 50
Pros
✓Only provider offering ketoconazole shampoo
✓Good physician follow-up
✓Oral and topical options
Cons
✗Slightly more expensive than Hims
VS
Hims
From $17/mo sildenafil — cheapest ED medication online
8.2/10
Monthly
$17/mo
True Annual
$204/yr
Labs
✗ Extra
States
All 50
Pros
✓Cheapest ED meds online
✓Discreet delivery
✓Generic sildenafil and tadalafil
Cons
✗No physician relationship
✗Generic experience
Side-by-side comparison
| Feature | Keeps | Hims |
|---|---|---|
| Monthly price | $25/mo | $17/mo |
| True annual cost | $300/yr | $204/yr |
| Labs included | ✗ No | ✗ No |
| Delivery options | oral, topical | oral |
| Editorial score | 8.3/10 | 8.2/10 |
| Trustpilot | 4.4★ | 4★ |
| State availability | All 50 states | All 50 states |
Our verdict
Keeps (8.3/10) is our pick over Hims (8.2/10) for most patients.
Hims may be a better fit if you prefer Hims's specific protocol approach. Both clinics require a prescription and blood work before starting treatment.
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