Dr Rui Graça
Founder & Medical Director
MBBCh • FRCS (Edinburgh) • FCS Urology (SA)
Special Interest - Obesity Medicine
• Board-Certified Specialist Urologist – Health Professions Council of South Africa MP 0366390
• Licensed Medical Doctor – Ordem dos Médicos Portugal (Practice No. OM 37288)
• 30+ years international experience
(UK, South Africa, Portugal, EU)
Specialist urology title recognised in South Africa
All clinical services in Portugal and the EU are delivered under Portuguese General Medical licence
In line with ERS regulations
All services across the EU are delivered under the Portuguese medical licence, as registered with the Ordem dos Médicos - OM 37288.
Dr Rui Graça leads MHI’s clinical model and medical assessments, with a focus on testosterone deficiency, sexual symptoms, and metabolic dysfunction in adult men.
Key Qualifications
27/11/1990
MBBCh (Wits)
Bachelor of Medicine and Bachelor of Surgery from the University
of the Witwatersrand, South Africa
15/11/1996
FRCS (Edinburgh)
Fellow of the Royal College of Surgeons of Edinburgh, United Kingdom
23/04/1998
FCS (Urology)
Fellow of the College of Surgeons of South Africa in Urology
Meet Cecilia
Practice Manager • Metabolic Counselling Support
Cecilia supports the operational and patient-experience side of MHI.
She helps coordinate day-to-day clinic flow, patient communication, onboarding, and follow-up, and also provides structured support within MHI’s metabolic care pathway.
Within MHI’s metabolic pathway, she also provides structured support around adherence, behaviour change, and day-to-day implementation.
Her role is to help patients stay engaged with the plan, understand what is expected, and build more consistent habits over time.
Her work is supportive and operational within a doctor-led medical service.
This is not a substitute for psychiatric care, specialist psychological treatment, or independent medical assessment.
BA Hons Psychology (Counselling) - University of South Africa
B.Ed (Senior Phase & FET) - University of South Africa
Sexual Health & Intimacy Training – The Buehler Institute (PLISSIT-R Model)
Accredited Member of ACCPH (Association for Counsellors, Coaches, Psychotherapists and Hypnotherapists) – Registration No. 00003796
Our Clinical Approach
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full assessment first
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detailed symptoms + appropriate labs
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careful diagnosis before treatment
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integrate the overlap of sleep, weight, stress, sexual health, and hormones
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referral onward when needed
Governance
MHI is a Portugal-based, EU-wide, doctor-led online clinic for adult men with hormone, sexual, and metabolic concerns. All consultations are online.
Care is guided by diagnosis before treatment, clinically appropriate prescribing, follow-up, and onward referral where needed.
MHI is designed to offer structured specialist review, not broad general medical care or emergency treatment.
Scope
MHI provides doctor-led online care for adult men with suspected testosterone deficiency, erectile dysfunction, low libido, and weight-related metabolic dysfunction.
Care is provided from Portugal to men in the EU, and is structured around specialist assessment, diagnostic clarification, treatment where appropriate, follow-up, and onward referral when needed
What MHI Does
MHI assesses and manages hormone, sexual, and metabolic concerns in adult men, including suspected testosterone deficiency, erectile dysfunction, low libido, and overlapping weight- or sleep-related dysfunction. Care may include further testing, treatment, monitoring, or onward referral depending on the clinical picture.
What Online Care Can Do
Our Online consultations include a structured review of symptoms, medical history, available blood results, current medications, and treatment suitability.
They are oriented to support diagnostic clarification, follow-up, monitoring, and medically appropriate prescribing.
What MHI Does Not Do
MHI is not an emergency service and is not suitable for urgent or hospital-level problems. Men with acute chest pain, severe shortness of breath, stroke-like symptoms, severe infection, acute scrotal pain, major psychiatric crisis, or suspected complex pituitary/oncology problems should seek urgent in-person or hospital-led care.
Cross-Border Care
MHI provides care from Portugal to men throughout the EU. Where treatment is prescribed, fulfilment and dispensing remain subject to clinical suitability and applicable prescribing, pharmacy, and logistical rules in the patient’s location.