Overview
Manual is a leading UK telehealth platform dedicated to men’s health, offering evidence-based treatments for erectile dysfunction, hair loss, testosterone deficiency, and premature ejaculation. Founded to provide accessible, affordable men’s healthcare in the UK, Manual connects patients with GMC-registered doctors and dispenses medications through GPhC-registered pharmacies.
The platform operates entirely online, making it easy for UK men to access prescription treatments without the need for face-to-face appointments.
What Manual Treats
Erectile Dysfunction (ED)
Manual offers a comprehensive range of ED treatments:
- Sildenafil (generic Viagra): Starting at £2.25 per 50mg tablet
- Tadalafil (generic Cialis): Starting at £3 per tablet
- Vardenafil (generic Levitra): Available for specific needs
- Brand-name options: Viagra and Cialis available
- Multiple dosing options: 25mg, 50mg, 100mg for sildenafil; 5mg, 10mg, 20mg for tadalafil
Hair Loss
Manual provides clinically proven hair loss treatments:
- Finasteride 1mg: Prescription tablets to prevent hair loss (£12-25/month)
- Minoxidil 5%: Topical solution to stimulate hair growth (£15-20/month)
- Combination packages: Both treatments together for optimal results
- Ongoing monitoring: Regular check-ins with prescribers
Testosterone Replacement Therapy (TRT)
- Online blood test ordering
- Consultation with specialist doctors
- Testosterone gel prescriptions when medically appropriate
- Ongoing monitoring and dose adjustments
Premature Ejaculation
- Dapoxetine: On-demand treatment
- SSRI options: For chronic PE management
- Behavioral therapy guidance
Pricing Breakdown
ED Treatment Costs
| Medication | Dose | Price (GBP) | Best For |
|---|---|---|---|
| Sildenafil | 50mg | £2.25/tablet | Budget-conscious users |
| Sildenafil | 100mg | £2.50/tablet | Higher dose needs |
| Tadalafil | 10mg | £3.00/tablet | On-demand use |
| Tadalafil | 20mg | £3.50/tablet | Higher dose needs |
| Daily Tadalafil | 2.5-5mg | £1.80/tablet | Daily use preference |
Hair Loss Costs
- Finasteride 1mg: £12-25/month (depending on quantity)
- Minoxidil 5%: £15-20/month
- Combination treatment: £27-45/month
- Regular prescription reviews included
Consultation Costs
- Initial consultation: Free
- Follow-up consultations: Free
- Prescription management: Included in medication cost
How Manual Works
1. Free Online Consultation (5-10 minutes)
Complete a confidential medical questionnaire about:
- Medical history and current medications
- Symptoms and their impact
- Lifestyle factors
- Treatment preferences
2. Doctor Review (Usually within 24 hours)
A UK-registered doctor reviews your consultation and medical information. They may:
- Approve a prescription
- Request additional information
- Recommend alternative treatments
- Advise seeing a GP if treatment isn’t suitable
3. Pharmacy Dispensing & Delivery
Once approved, your prescription is sent to a UK-registered pharmacy who:
- Dispense your medication
- Ship in discreet, plain packaging
- Provide delivery within 2-3 working days (next-day available)
4. Ongoing Care
- Free follow-up consultations
- Easy prescription refills
- Adjust treatment as needed
- Cancel or pause anytime
Manual vs UK Competitors
Advantages
- UK-focused: Designed specifically for UK healthcare system
- Affordable: Competitive pricing, often cheaper than pharmacy
- Legitimate: All UK-registered doctors and pharmacies
- Fast: Next-day delivery available
- Transparent: Clear pricing, no hidden fees
Comparison to US Services
- Hims/Ro: Not available in UK; Manual fills this gap
- Numan: Direct competitor with similar services
- Superdrug Online Doctor: Manual often has better pricing
Pros and Cons
Pros
- UK-registered healthcare: GMC-registered doctors, GPhC pharmacies
- Very affordable: Starting at £2.25 per dose for ED medication
- Free consultations: No consultation fees ever
- Fast delivery: Next-day delivery available
- Discreet service: Plain packaging, confidential process
- Flexible subscriptions: Cancel or pause anytime
- Transparent pricing: Know exact costs upfront
- Evidence-based: Only clinically proven treatments
Cons
- UK/Ireland only: Not available outside these markets
- Limited product range: Focuses only on core men’s health
- No mobile app: Web-only interface
- Subscription model: May not suit occasional users
- No insurance: Private service, doesn’t work with NHS
Is Manual Right for You?
Manual is an excellent choice if you:
- Live in the UK or Ireland
- Want affordable, convenient access to ED or hair loss treatments
- Prefer online consultations to GP visits
- Value privacy and discretion
- Are comfortable with a subscription model
- Want UK-regulated medical care
Manual may not be the best fit if you:
- Live outside UK/Ireland
- Prefer in-person consultations
- Want a mobile app experience
- Need treatments outside their core offerings
- Require NHS/insurance coverage
Safety and Legitimacy
Is Manual Legit? Yes, Manual is a fully legitimate UK telehealth service:
- All doctors are GMC-registered
- All pharmacies are GPhC-registered
- Medications are UK-licensed
- Complies with MHRA regulations
- Subject to CQC oversight
- Follows GMC telemedicine guidelines
Safety Considerations
- All medications require a doctor’s prescription
- Doctors review full medical history before prescribing
- ED medications contraindicated with nitrates
- Side effects possible with any medication
- Always disclose complete medical history
Customer Reviews
Manual generally receives positive reviews, with customers praising:
- Affordable pricing
- Easy-to-use website
- Professional medical service
- Fast, discreet delivery
- Responsive customer service
Common complaints:
- Limited product range
- Website can be slow at times
- Occasional delays in doctor reviews
Bottom Line
Manual earns a 4.3/5 rating for providing accessible, affordable men’s healthcare in the UK. It’s particularly strong for ED treatment and hair loss, with legitimate UK-registered doctors and transparent pricing.
Best for: UK men seeking affordable, convenient online access to ED medications, hair loss treatments, or TRT.
Pricing: 5/5 stars (Excellent) Service Range: 4/5 stars (Good) Convenience: 4.5/5 stars (Excellent) Medical Quality: 5/5 stars (Excellent)
Last updated: January 2025