What Manual does

Manual, operated by UK-registered Menwell Limited (company number 11476975) and headquartered at Bronze Building, 105 Sumner St, London, is a direct-to-consumer digital health platform founded in 2018 that delivers clinician-led prescription treatments, at-home diagnostics, and ongoing medical care for men. Its core offering is structured around four interconnected verticals: (1) hair loss treatments including the Complete Hair Loss Plan combining oral finasteride with topical minoxidil, standalone Finasteride and Minoxidil plans, hair vitamins, and Power Shampoo; (2) Testosterone Replacement Therapy (TRT) delivered through wholly-owned CQC-regulated subsidiary Optimale Ltd with injectable testosterone, optional HCG, and aromatase inhibitors; (3) erectile dysfunction treatments offering Sildenafil, Tadalafil, and Viagra Connect plans; and (4) mental health support via the ThinkCBT cognitive behavioural therapy program in partnership with third-party UK-based therapists, with outcomes measured using PHQ-9, GAD-7, WSAS, and IES-R instruments. Clinical services are delivered through online questionnaires reviewed by UK-registered clinicians within 24 hours, prescriptions are dispensed through Manual's own GPhC-registered pharmacy in Wallingford, and medications are shipped via free next-day delivery with ongoing free medical support through call, WhatsApp, and email channels.

The platform is monetized through recurring subscription billing across all prescription and OTC product lines, with a 'cancel anytime' model that lowers switching friction at acquisition. The company extends its product surface into OTC consumer skincare via the Wrinkle Warrior anti-aging serum and Mr Moisturiser sub-brands, and into surgical care via wholly-owned subsidiary Vitalia Clinic Group Ltd for hair transplant services. Marketing is driven by a content-led Health Centre blog, organic social presence under the @MenofManual handles on Facebook, Twitter, and Instagram, and earned media in major UK publications including The Guardian, TechCrunch, and The Independent. Manual claims a customer base of more than 100,000 men, a 4.5/5 Trustpilot rating across categories, and reported clinical outcomes including 92% of hair loss patients seeing slowed/stopped/regrowing hair after 12 months, 96% of TRT patients showing testosterone improvements within three months, and 92% of CBT patients achieving clinically significant depression reduction. Headcount sits in the 251–500 range, and the company operates primarily in the UK with early expansion into Brazil.

Name

Manual

Legal name

Menwell Limited

Website

https://manual.co

Company type

Private

Founded year

2018

Operating status

Operating

Headcount range

251–500 employees

Short description

Manual is a UK-based direct-to-consumer digital health platform serving more than 100,000 men with clinician-led prescription subscriptions for hair loss, erectile dysfunction, testosterone replacement therapy, and mental health, dispensed through its own GPhC-registered pharmacy with next-day delivery.

Ownership category

akta.pro rank

Product category

Men's Digital Health / Telehealth

NAICS

Offices of Physicians (62111), Offices of Physicians (except Mental Health Specialists) (621111), Offices of Physicians, Mental Health Specialists (621112)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Men’s Health Prescribing + Pharmacy Delivery Platforms (HLALAIAJ)

Keywords

• Men's telehealth services
• Prescription hair loss treatment
• Testosterone replacement therapy
• Erectile dysfunction medication
• Online pharmacy services

Headquarters

HQ city

London

HQ country

United Kingdom

HQ region

Europe

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Revenue model

1. Prescription medication subscription: Subscription-based model for ongoing prescription treatments including hair loss medications (finasteride, minoxidil), erectile dysfunction treatments (sildenafil, tadalafil, Viagra Connect), and testosterone replacement therapy. Customers subscribe and receive regular medication deliveries with ongoing medical support.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

Manual is a UK-based digital health platform for men that delivers clinician-led online consultations, prescription medications, and ongoing medical care for hair loss, erectile dysfunction, and low testosterone. Treatments are dispensed through the company's own GPhC-registered pharmacy (Manual Pharmacy) and shipped directly to customers with free next-day delivery under a subscription model.

Product overview

Manual is a men's digital health platform operated by Menwell Limited offering prescription treatments, OTC supplements, at-home diagnostics, and health education. The platform provides four interconnected service pillars: (1) Hair Loss treatments including the Complete Hair Loss Plan (minoxidil + finasteride combination), standalone Finasteride Plan, Minoxidil Plan (spray or capsule), Hair Vitamins, and Power Shampoo; (2) Testosterone Replacement Therapy (TRT) via trt.manual.co with injectable testosterone and optional HCG/aromatase inhibitors; (3) Erectile Dysfunction treatments including Sildenafil, Tadalafil, and Viagra Connect plans; and (4) Mental Health support via a CBT program with clinical specialists. Additional offerings include Wrinkle Warrior and Mr Moisturiser skincare products, Testosterone Support supplements, and at-home blood diagnostics. All prescription services include online medical consultations, ongoing clinical monitoring, and pharmacy dispensing with free next-day delivery. The company also publishes a Health Centre blog with medically-reviewed men's health content.

Differentiator

Problem solved

Functional benefit

Brands

• ThinkCBT: Cognitive Behavioural Therapy program offered through partner Think CBT for mental health treatment including depression, anxiety, and trauma.
• Wrinkle Warrior
• Mr Moisturiser

Products and services

• Complete Hair Loss Plan Combination prescription treatment of oral finasteride and topical minoxidil for men with male pattern baldness (Norwood Scale 2-6), intended to slow hair loss and stimulate regrowth, delivered as a recurring subscription.
• Finasteride Plan Oral finasteride prescription treatment targeting DHT hormone to slow hair loss and promote regrowth in men with male pattern baldness, dispensed via subscription.
• Minoxidil Plan Topical minoxidil treatment available as spray or oral capsule, clinically proven to stimulate hair growth and slow hair loss, delivered via subscription.
• Testosterone Replacement Therapy (TRT) Personalized testosterone replacement therapy for men diagnosed with low testosterone (hypogonadism), including injectable testosterone cypionate, enanthate, or isocaproate with optional HCG and aromatase inhibitors, delivered via subscription.
• Sildenafil Plans Generic Viagra (sildenafil) prescription treatment plans for erectile dysfunction, available in multiple dosages via subscription.
• Tadalafil Plans Generic Cialis (tadalafil) prescription treatment plans for erectile dysfunction offering longer-lasting effects, delivered via subscription.
• Viagra Connect Plans Brand Viagra Connect treatment plans for erectile dysfunction available without prescription in lower doses, delivered via subscription.
• CBT Program Cognitive Behavioural Therapy program delivered via partner Think CBT, offering eight sessions with UK-based therapists to treat depression, anxiety, PTSD, and trauma, with outcomes measured via PHQ-9, GAD-7, WSAS, and IES-R.
• At-Home Blood Test At-home finger-prick blood test measuring total and free testosterone levels for TRT eligibility assessment and ongoing treatment monitoring.
• Wrinkle Warrior Anti-aging face serum containing peptides, Coenzyme Q10, Vitamin C, Vitamin E, and hyaluronic acid to reduce fine lines and wrinkles.
• Mr Moisturiser Daily facial moisturiser for men formulated with hyaluronic acid and skin-nourishing ingredients to hydrate and protect skin.

Quantifiable outcome

• 98% of patients reported reduction in hair loss rate
• +3 more outcomes

Named customers1 record

Segments2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Two partnerships are on record, tiered core.

• Optimale LtdcoreStrategic or Co-development PartnerSubsidiary company of Menwell Limited providing Testosterone Replacement Therapy (TRT) treatment services as a subcontractor. Optimale is registered with the Care Quality Commission (CQC). TRT services are provided under Manual's terms and conditions while operating under CQC regulation.
• Vitalia Clinic Group LtdcoreStrategic or Co-development PartnerSubsidiary company providing Hair Transplant treatment services as a subcontractor. Vitalia is registered with the Care Quality Commission (CQC). Hair transplant services are provided under Manual's terms and conditions.

Scale indicators6 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Ro (Roman): US direct-to-patient healthcare platform covering men's and women's health, including Roman for men's sexual health, hair loss, and testosterone. Comparable men's health D2C telehealth business model with broader portfolio than Manual.
• Superdrug Online Doctor: UK high-street pharmacy chain's online doctor service offering prescription treatments including hair loss and ED. Directly competes with Manual on the same prescription categories but with established pharmacy retail distribution.
• Boots Online Doctor: Online prescribing service from Boots, the UK's largest pharmacy chain, covering hair loss, ED, and other conditions with in-pharmacy dispensing. Incumbent competitor using high-street pharmacy infrastructure to compete with Manual's pure-play D2C model.
• Hims & Hers Health: Large-scale US men's and women's telehealth platform offering prescription hair loss, ED, testosterone, mental health, and skincare products via D2C subscription. Comparable business model and product portfolio but operates at much larger scale and in the US market.

Direct peers

• Numan: UK-based D2C men's health telehealth platform offering prescription treatments for hair loss, ED, and testosterone via online consultations and subscription. Closest direct competitor to Manual with near-identical product set and go-to-market in the same UK regulatory regime.
• The Independent Pharmacy: UK-registered online pharmacy providing prescription and OTC treatments across men's and women's health. Comparable online pharmacy-plus-prescribing model to Manual with GPhC-registered dispensing.
• Zava: UK/European online doctor and prescription service covering men's and women's health conditions including ED, hair loss, and chronic conditions. Competes with Manual in the UK D2C telehealth category with a similar clinician-led online consultation model.
• Wellster Healthtech Group: DACH-based D2C telehealth platform for men's and women's health covering hair loss, ED, and other conditions via online prescriptions. Comparable D2C prescription telehealth model to Manual with overlapping categories and European footprint.

Emerging players

• BlueChew: US D2C telehealth platform for ED treatments offering sildenafil/tadalafil via subscription. Niche overlap with Manual's ED pillar with the same subscription prescription model but US-focused.
• Sons: UK D2C men's hair loss brand offering finasteride/minoxidil treatments via subscription. Niche overlap with Manual's core hair loss pillar; smaller and more focused but pursues the same UK men with similar prescription products.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/MenofManual
• Facebookfacebook.com/MenofManual
• Instagraminstagram.com/menofmanual

Revenue estimate

Valuation estimate

Number of profiles

Subsidiaries2 records

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Manual