Who this service is for
This male health consultation with a general practitioner is indicated for adult men with:
- Erectile dysfunction — clinical evaluation, investigation of causes and management
- Hair loss — androgenetic alopecia and other causes, evaluation and treatment
- Sexual health — STI screening, questions about sexual health, request for tests
- Men’s check-up — general health assessment, request for preventive tests, cardiovascular risk assessment
- Hormonal health — symptoms of testosterone deficiency, evaluation and request for tests
- High blood pressure — evaluation, treatment and follow-up
- Type 2 diabetes — follow-up and glycemic control
- High cholesterol — evaluation and management of dyslipidemia
- Men’s mental health — anxiety, depression, burnout and stress
- Weight gain — evaluation and guidance on weight control
- Non-urgent urinary problems — difficulty urinating, urinary urgency, nocturia
- Non-urgent testicular pain — evaluation and referral when indicated
- Foreign men and expats in Brazil — care in English, Portuguese and Spanish
What is included in the consultation
Complete clinical evaluation of men’s health
The doctor performs a complete clinical evaluation — including health history, current medication, personal and family history, lifestyle habits, and a detailed assessment of the main complaint. The consultation is a confidential, nonjudgmental space.
Sexual health — evaluation and prescribing at the doctor’s discretion
For erectile dysfunction and other men’s sexual health issues, the doctor evaluates possible causes — vascular, hormonal, psychological, or medication-related — and advises on management options. Where clinically indicated after a complete evaluation, an electronic prescription is issued.
Request for tests
For investigation of hair loss, testosterone deficiency, erectile dysfunction, preventive check-up or other complaints that require laboratory evaluation, the doctor requests the indicated tests — total and free testosterone, PSA, complete blood count, glucose, lipid profile, thyroid function and others — to be performed at private laboratories of your choice.
Cardiovascular risk assessment
Cardiovascular health is a priority in men’s health — men have a significantly higher cardiovascular risk than women in the same age group. The doctor evaluates blood pressure, family history, smoking, sedentary lifestyle, weight, glucose and cholesterol to calculate overall cardiovascular risk and guide prevention.
Referral to a specialist — when indicated
When the presentation requires urological, endocrinological or other specialist evaluation, the doctor refers you with complete clinical documentation.
Men’s mental health
Anxiety, depression and burnout in men often present differently than in women — with irritability, social isolation, alcohol use and risk-taking behaviors instead of the classic symptoms of sadness and crying. The doctor evaluates with attention to the specific aspects of men’s mental health and advises on the most appropriate next step.
Erectile dysfunction — evaluation and management
Erectile dysfunction is one of the most common complaints in men’s health — and one of the ones men most often avoid discussing with a doctor. It is estimated that more than 50% of Brazilian men over 40 have some degree of erectile dysfunction, but most never consult a doctor about it.
This is a problem — not because erectile dysfunction itself is dangerous, but because it is often the first sign of an underlying cardiovascular, hormonal or metabolic condition that needs attention.
The general practitioner evaluates:
- Vascular causes — erectile dysfunction may be the first sign of cardiovascular disease. The doctor assesses cardiovascular risk factors and requests tests when indicated
- Hormonal causes — testosterone deficiency, hypothyroidism and other hormonal changes can cause or contribute to erectile dysfunction
- Psychological causes — performance anxiety, stress, depression and relationship conflicts are frequent causes, especially in younger men
- Medication-related causes — many medications — including antihypertensives, antidepressants and others — can cause erectile dysfunction as a side effect
Where clinically indicated after a complete evaluation and exclusion of contraindications, the doctor may prescribe pharmacological treatment for erectile dysfunction at the professional’s sole discretion.
Erectile dysfunction should never be self-medicated without prior medical evaluation — especially in men who use nitrates or have known cardiovascular disease, where the use of PDE5 inhibitors is contraindicated.
Male hair loss
Androgenetic alopecia — male pattern baldness — affects approximately 50% of Brazilian men by age 50. It is genetic, progressive, and can start very early — in the 20s.
The general practitioner evaluates:
- The pattern and speed of hair loss — to confirm whether it is androgenetic alopecia or another cause
- Reversible causes — stress, iron or zinc deficiency, hypothyroidism, medication — that can cause or worsen hair loss
- Request for tests — hormonal profile, ferritin, thyroid function and others when indicated
- Treatment options — including topical and oral minoxidil, finasteride and other options, with assessment of the individual clinical profile
Finasteride — one of the most effective treatments for androgenetic alopecia — is a medication that requires a medical prescription and assessment of contraindications before use. The doctor evaluates whether it is appropriate for you during the consultation.
Men’s check-up by teleconsultation
Many men have never had a complete check-up. Others have occasional tests without structured follow-up. Teleconsultation is a practical way to organize preventive health without needing a referral or depending on a specialist’s schedule.
The men’s check-up by teleconsultation includes:
- Overall cardiovascular risk assessment — blood pressure, smoking, family history, sedentary lifestyle
- Request for preventive tests — complete blood count, glucose, lipid profile, thyroid function, PSA when indicated by age and history, testosterone when there are symptoms
- Weight and BMI assessment — with guidance on weight control when necessary
- Mental health assessment — screening for anxiety, depression and burnout
- Guidance on adult vaccination — which vaccines are available and recommended for your age group
Men’s health in Brazil — the context
Brazil has one of the highest rates of premature male mortality in the world. Brazilian men live on average 7 years less than women — and a significant part of this difference is preventable.
The most frequent causes of preventable death in men in Brazil include cardiovascular disease, uncontrolled diabetes, prostate cancer diagnosed late, and accidents and violence. Most of these causes have identifiable and modifiable risk factors that can be assessed in a teleconsultation.
The Ministry of Health launched the National Policy for Comprehensive Men’s Health Care (PNAISH) precisely to address this reality — but access remains one of the biggest obstacles. Teleconsultation reduces this barrier in a concrete way.
Men’s health for foreigners and expats in Brazil
For foreign men living in or visiting Brazil, access to men’s health care presents specific challenges:
- Medications with different names — treatments for erectile dysfunction, hair loss and other conditions may have completely different brand names in Brazil. The doctor identifies the equivalent available in the Brazilian market
- PSA and prostate — prostate cancer screening criteria vary between countries. The doctor advises based on Brazilian guidelines and the individual clinical profile
- Care in English — for men who prefer to discuss men’s health in their own language, care is available in English and Spanish
