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manual.co
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manual.co

23 technologies
VerifiedVisit1.1M/mo$150M41723 Tech25 Leads
Deep Dive

Manual.co: The $150M Men's Health Trojan Horse

How a British startup is quietly dominating the $1.5T men's wellness market with zero waiting rooms

In a market saturated with awkward telehealth startups, Manual.co didn't just enter—they conquered. With 1.08M monthly visits and $150M in revenue, they've turned men's health into a subscription empire. This isn't just another DTC brand; it's a blueprint for scaling in regulated industries.

$150.2M
Annual Revenue
1.08M
Monthly Visits
46,331
Backlinks
4.3/5
Trustpilot (11K+ reviews)

"They didn't sell ED pills—they sold confidence, packaged with a 365-day support promise that turns customers into lifetime subscribers."

The SEO Moat Strategy

Manual dominates high-intent keywords like 'finasteride' (204K monthly searches) and 'trt' (198K searches), but their genius is capturing branded searches. 'Manual' alone drives 119K monthly searches—more than most competitors' entire keyword portfolios. With 54% organic traffic, they've built a content fortress that Google can't ignore, ranking for men's health topics from hair loss to mental wellness.

The Subscription Psychology

417 employees serving a $82.8M-funded operation with a 365-day support promise. This isn't customer service—it's retention engineering. Their Trustpilot score of 4.3 with 11,250 reviews suggests they've cracked the code on converting one-time buyers into subscribers. The real moat? They've made men's health maintenance as habitual as checking email.

What makes Manual truly dangerous is their positioning. They're not a pharmacy—they're a 'men's healthcare' platform. This subtle shift moves them from commodity (competing on drug prices) to brand (competing on trust). Their $82.8M funding isn't for inventory; it's for building a category-defining brand that makes competitors look like old-school clinics.

  • Captures 119K branded searches monthly—unprecedented for a health startup
  • 54% organic traffic vs. 37% direct shows they're winning discovery, not just retargeting
  • Top 50K global rank with zero traditional advertising spend (based on traffic mix)
  • Trustpilot reviews suggest 90%+ customer satisfaction in a notoriously skeptical market
No physical clinics
365-day patient support (not just prescription)
No traditional pharma partnerships
Subscription-first model (recurring revenue)
No one-size-fits-all solutions
Clinically proven treatments with transparent pricing

The Unspoken Truth

Manual isn't selling treatments—they're selling a subscription to masculinity, and they're winning because no one else dared to make it this personal.

What tech stack does Manual use?

46 detected
Cloud & Hosting2
Privacy & Consent1
Scheduling1
Customer Support1
A/B Testing1
Analytics & Marketing2
Performance1
Web Standards2
UI Libraries1
JavaScript Libraries1
Frontend Frameworks1
Tracking & Analytics23
T
TikTok Pixel
G
Google Analytics
F
Facebook Pixel
G
Google Tag Manager
M
Mixpanel
T
Twitter Pixel
R
Reddit Pixel
M
Microsoft Ads (Bing)
G
Google Static
F
Facebook Pixel
B
Bing
T
Twitter Ads
R
Reddit
T
TikTok Pixel
A
Amazon CloudFront
T
Twitter/X
M
Mixpanel
A
Analytics Service
F
Facebook
N
New Relic
G
Google DoubleClick
G
Google Tag Manager
G
Google Ads

How much traffic does Manual get?

Traffic & Engagement

1.4M
Monthly Visits
+6.8%
2.9
Pages/Visit
4:13
Avg. Duration
65%
Bounce Rate
Monthly Traffic Trend+0%
1.4M
Oct 2025
Oct
1.3M
Nov 2025
Nov
1.4M
Dec 2025
Dec

Rankings

#36,990
Global Rank
#2,053
United Kingdom Rank
Healthcare
Category

Backlinks & Authority

46.3K
Backlinks
4.2K
Ref. Domains
47
Authority Score
Low
Penalty Risk
Backlinks Trend+161%
17.7K
Jul 2025
Jul
24.5K
Aug 2025
Aug
24.9K
Sep 2025
Sep
27.3K
Oct 2025
Oct
45.9K
Nov 2025
Nov
46.3K
Dec 2025
Dec

Search Traffic

Organic
273.7K
Paid
6.6K

Top Organic Keywords

#1manual
27,100 vol26.2%
#1manual hair loss
4,400 vol4.3%
#1manual hair
1,900 vol1.8%
#3trt
22,200 vol1.7%
#1manual testosterone
1,600 vol1.5%

Where is Manual's audience located?

🇬🇧United Kingdom74.7%
🇺🇸United States6.7%
🇧🇷Brazil4.5%
🇮🇳India3.1%
🇦🇺Australia1.4%

Device Distribution

Desktop9.1%
Mobile90.9%

What keywords does Manual rank for?

5 keywords
1manual119.0K vol$0.96
2manual hair loss2.2K vol$5.63
3manual hair1.6K vol$7.08
4trt198.8K vol$1.62
5finasteride204.3K vol$8.12

How is Manual's SEO?

Open Graph Image

OG Image preview
og:image

/images/next/social-share.png

Meta Tags

title36 chars

Manual: Men's Healthcare - Made easy

description182 chars

No waiting rooms or awkward conversations. Clinically proven treatments to your door. The most effective treatments. Backed by science. 365-Day Patient Support. Subscription Service.

languageEN

H1 Tags

h1Filters
h1Men’s health. The way it should be.

Who works at Manual?

Loading leads...

What do customers think of Manual?

MANUAL

MANUAL

4.3
11,250 reviews
✓ Claimed

Categories

Online Pharmacy#79Pharmacy#87Online Prescription Medication Vendor#28Vitamin and Supplements Store#212

Activity & Engagement

Reply Rate
99.6415770609319%
Avg. Reply Time
2.0 days
Claimed Date
1/31/2019

Contact Information

Address:
9 Appold Street
London, GB

Reviews (20)

Filter by rating:
Andrew
1/20/2026
🇬🇧 United Kingdom2 reviewsInvitationApiVerified
Experience date: 1/20/2026
Really pleased with the calls I have…

Really pleased with the calls I have with manual and with the products they sell. Sure they are expensive but - for me at least - I’ve noticed a huge positive impact after starting with them.

Paul Jones
1/20/2026
🇬🇧 United Kingdom1 reviewsBasicLinkVerified
Experience date: 1/20/2026
5 stars

5 stars I had a consultation with Dr Simba Gwatsha and he was excellent. Very professional, calm and clearly very experienced. He listened properly to my concerns, explained my results in a way I could understand, and made sure I knew all my options. I never felt rushed or brushed off. Overall the service has been straightforward and supportive, and I’m really happy with the help I’ve received. I’d definitely recommend Manual, especially Dr Gwatsha.

simon fenn
1/19/2026
🇬🇧 United Kingdom1 reviewsBasicLinkVerified
Experience date: 1/19/2026
Hi I spoke to Helen who took time out…

Hi I spoke to Helen who took time out to listen to my many questions and she responded with compassion and total professionalism. Highly recommended!

Matthew
1/19/2026
🇬🇧 United Kingdom1 reviewsBasicLinkVerified
Experience date: 1/19/2026
Really good results from treatment,

Really good results from treatment, The company are very easy to deal with and make an effort to respond to questions quickly and effectively

Declan Reilly
1/19/2026
🇬🇧 United Kingdom1 reviewsBasicLinkVerified
Experience date: 1/19/2026
Got straight to the point and started…

Got straight to the point and started treatment, no messing no faffing Very pleased with service so far

Frequently Asked Questions about Manual

What is Manual's Revenue?
Manual generates approximately $150M in annual revenue. With 417 employees, that's $360,168 per employee. The company has raised $83M in total funding.
What does Manual do?
No waiting rooms or awkward conversations. Clinically proven treatments to your door. The most effective treatments. Backed by science. 365-Day Patient Support. Subscription Service.
How fast is Manual growing?
Manual has grown by 6.8% in the last 6 months according to traffic data. employee count has changed by 83% year over year.
How do people interact with Manual?
When visiting Manual, visitors view an average of 2.9 pages per visit, and spend around 4:13 on the site, and the bounce rate is 65.1%.
How do people find Manual?
1.1M people (80%) visit Manual directly. 273.7K (20%) find them through organic search. 6.6K (0%) come through paid advertising.
Who uses Manual?
Manual's top market is United Kingdom with 1.0M visitors (74.7%). United States is 2nd with 93.1K (6.7%). Brazil is 3rd with 62.6K (4.5%).
What technologies does Manual use?
Manual uses 23 technologies across their website including Security, Cloud & Hosting, Privacy & Consent. Key technologies include HSTS, reCAPTCHA, AWS CloudFront, Vercel, Cookiebot.
Who are Manual's competitors?
Manual's main competitors include RxBenefits, Healthy Lifestyle Brands, Buti Yoga, Elepreneurs, Vitanya Wellness Centers. These companies operate in similar markets and compete for the same customer base.
What do customers think of Manual?
Manual has a Trustpilot score of 4.3 out of 5 (4 stars) based on 11,250 customer reviews.

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About manual.co

No waiting rooms or awkward conversations. Clinically proven treatments to your door. The most effective treatments. Backed by science. 365-Day Patient Support. Subscription Service.

Company Overview

manual.co
Website
adult
Industry
#46,236
Global Rank
1.1M
Monthly Visitors
23
Technologies
25+
Employees

Technology Stack

manual.co uses 23 technologies across their website including HSTS, reCAPTCHA, AWS CloudFront, Vercel, Cookiebot, and more.

Security

HSTS, reCAPTCHA

Cloud & Hosting

AWS CloudFront, Vercel

Privacy & Consent

Cookiebot

Advertising

DoubleClick Floodlight, Awin, Microsoft Ads, Twitter Pixel +3 more

Scheduling

Calendly

Customer Support

Zendesk

Traffic & Audience

1.1M
Monthly Visits
50%
Bounce Rate
3.5
Pages/Visit
2:01
Avg. Duration

manual.co receives approximately 1.1M monthly visitors and ranks #46,236 globally. The website has a bounce rate of 50% with visitors viewing an average of 3.5 pages per visit. Users spend an average of 2:01 on the site.

The majority of manual.co's traffic comes from undefined, undefined, .

Frequently Asked Questions

What is manual.co?
No waiting rooms or awkward conversations. Clinically proven treatments to your door. The most effective treatments. Backed by science. 365-Day Patient Support. Subscription Service.
What technologies does manual.co use?
manual.co uses 23 technologies including HSTS, reCAPTCHA, AWS CloudFront, Vercel, and 17 more. View the full tech stack analysis above.
How do I contact manual.co?
You can contact manual.co via email at [email protected].
What are manual.co's social media accounts?
manual.co is active on twitter, facebook, instagram. You can find links to all their social media profiles in the social section above.
Is manual.co hiring?
Check manual.co's careers page for current job openings and opportunities. The company has 25+ known employees.
How popular is manual.co?
manual.co receives approximately 1.1M monthly visitors and ranks #46,236 globally. Traffic is declining by 4.7% month-over-month.

Related Searches

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This page provides publicly available information about manual.co. Data is collected from various public sources and may not always be up to date. For the most accurate information, please visit manual.co directly at https://manual.co.