Sexual Health › Head-to-head comparison
Sesame Care vs Keeps
True annual cost, labs inclusion, delivery methods, and verified reviews compared. Updated March 2026.
★
Our pick: Sesame Care — 8.3/10 vs 8.3/10, $108/yr cheaper
★ Our Pick
Sesame Care
Direct-to-patient marketplace — GLP-1, ED, HRT, mental health from $16/appt
8.3/10
Monthly
$16/mo
True Annual
$192/yr
Labs
✗ Extra
States
All 50
Pros
✓Available in all 50 states
✓No insurance required — transparent cash pricing
✓Same-day telehealth or in-person appointments
Cons
✗Marketplace model — quality varies by provider
✗Lower recurring revenue than subscription clinics
VS
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
Side-by-side comparison
| Feature | Sesame Care | Keeps |
|---|---|---|
| Monthly price | $16/mo | $25/mo |
| True annual cost | $192/yr | $300/yr |
| Labs included | ✗ No | ✗ No |
| Delivery options | oral, injection, topical | oral, topical |
| Editorial score | 8.3/10 | 8.3/10 |
| Trustpilot | 4.5★ | 4.4★ |
| State availability | All 50 states | All 50 states |
Our verdict
Sesame Care (8.3/10) is our pick over Keeps (8.3/10) for most patients. At $192/yr vs $300/yr, Sesame Care saves you $108 per year.
Keeps may be a better fit if you prefer Keeps's specific protocol approach. Both clinics require a prescription and blood work before starting treatment.
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Sesame Care vs CareBare
$16/mo vs $79/mo · 8.3 vs 8.4 score
Sesame Care vs Hims
$16/mo vs $17/mo · 8.3 vs 8.2 score
Keeps vs TRT Nation
$25/mo vs $99/mo · 8.3 vs 9.2 score
Keeps vs MEDVi
$25/mo vs $119/mo · 8.3 vs 8.5 score