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Clinical Team & Standards

This is a practitioner-led specialist urology service for adult men with hormone-related, sexual-health, and metabolic concerns. Care is structured around proper assessment, diagnosis, treatment suitability, follow-up, and onward referral where needed.

The practice is designed for structured specialist review, not casual telemedicine or emergency care.

Doctor In Consultation

Dr Rui Graça
Specialist Urologist

MBBCh • FRCS (Edinburgh) • FCS Urology (SA)

Special Interest - Obesity Medicine

• Specialist Urologist – Health Professions Council of South Africa MP 0366390


• 30+ years international experience
(UK, South Africa, Portugal, EU)


 

Portrait of Dr Rui Graça, founder and medical director of MHI

Dr Rui’s clinical work focuses on structured assessment and treatment for adult men with low testosterone symptoms, erectile dysfunction, low libido, and metabolic dysfunction affecting energy, body composition, and performance.

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

Professional Registrations

Registered Specialist Urologist:
HPCSA Number: MP 0366390

Meet Cecilia


Practice Manager • Metabolic Support
 

Cecilia supports the operational and patient-experience side of the practice.

 

She helps coordinate day-to-day clinic flow, patient communication, onboarding, and follow-up, and also provides structured support within our metabolic care pathway.

Within the metabolic care pathway, she also provides structured non-medical support around adherence, behaviour change, and day-to-day implementation.

 

Her role is supportive and operational within a doctor-led specialist service. She does not replace independent medical assessment, diagnosis, prescribing, or specialist psychological care.

Portrait of Cecilia Engelbrecht, integrative counsellor and patient care lead at MHI

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

  • assessment first
     

  • symptoms reviewed with appropriate laboratory testing
     

  • careful diagnosis before treatment
     

  • attention to the overlap between hormones, sexual health, weight, sleep, and stress
     

  • onward referral when needed

How the Practice Works

This is a South African specialist urology service for adult men with hormone-related, sexual-health, and metabolic concerns. Initial consultations are online.

 

Care is structured around assessment, diagnosis, treatment suitability, follow-up, and onward referral where needed.

 

The practice is designed for structured specialist review. It does not provide general medical care or emergency treatment.

Scope

Dr Rui Graça provides doctor-led online care for adult men in South Africa with low testosterone symptoms, erectile dysfunction, low libido, and metabolic dysfunction affecting energy and weight.

 

Care is structured around specialist assessment, diagnostic clarification, treatment where appropriate, follow-up, and onward referral when needed.

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