MHI is a specialist online clinic for adult men with hormonal, sexual, and metabolic concerns

Who MHI is suitable for

• men with suspected testosterone deficiency

• men with erectile dysfunction and/or low libido

• men with sexual symptoms where hormonal, metabolic, vascular, or medication overlap may exist

• men with fatigue, weight gain, central adiposity, and possible metabolic-hormonal overlap

• men already on TRT who need structured review and monitoring

• adult men needing a doctor-led online-first assessment pathway

What MHI does

• doctor-led review

• diagnostic clarification

• appropriate treatment where indicated

• ongoing follow-up where suitable

• monitoring built into care

• onward referral where cases sit outside scope

What MHI does not do

• emergency care

• hospital-level endocrine or oncology work-up

• primary fertility-clinic management

• inappropriate convenience prescribing

• broad general medicine as the main public identity

• acute red-flag emergencies

Which patients should go elsewhere first

• pituitary red flags

• suspected severe endocrine complexity

• major cardiovascular instability

• severe untreated sleep apnoea where broader evaluation is needed

• men with urgent cancer suspicion

• men with significant unexplained PSA changes

• acute scrotal/urological emergencies

• fertility-led cases requiring primary fertility-pathway management

• severe psychiatric or safeguarding issues outside scope