The Silent
Mandemic
A Patient's Journey and a Physiotherapist's Guide to Overcoming Chronic Pelvic Pain Syndrome
The first book written specifically for men with chronic pelvic pain, combining the clinical expertise of a physiotherapist who has lived with the condition himself, and the honest voice of a patient who refused to suffer in silence.
The book men have been waiting for
Chronic Pelvic Pain Syndrome is one of the most common yet least understood conditions in men's health. Millions of men worldwide live with persistent pain, urinary symptoms, and sexual dysfunction—often for years without a proper diagnosis.
The Silent Mandemic is different from anything else available. Written by a physiotherapist who developed CPPS himself, alongside a patient whose personal journey mirrors that of countless men, this book bridges the gap between clinical knowledge and lived experience.
From understanding what is happening in your body, to navigating treatment options, managing flare-ups, and rebuilding trust in yourself—this is the guide that didn't exist until now.
André de Oliveira
Physiotherapist · Pelvic Health Specialist · Author
André is a qualified physiotherapist specialising in pelvic health. Years into his career, he developed CPPS himself, suddenly finding himself on the other side of the treatment table. That experience transformed not just his clinical approach, but his entire understanding of what patients go through.
"My pain became my teacher and, ultimately, my purpose. It gave me empathy that no degree could teach. When I sit with a patient today, I understand from both sides—the professional and the personal."
Today, André combines his clinical expertise with his personal journey to help men understand and manage chronic pelvic pain. This book is the distillation of everything he has learned as both a practitioner and a patient.
Tim Parks
Booker-shortlisted novelist and one of the few writers to have spoken publicly about living with and recovering from chronic pelvic pain. His memoir Teach Us to Sit Still opened a door for thousands of men.
The Silent Mandemic embrace the challenge, and rejoice that a solution to this miserable condition is available.
Beyond the book
The book is just the beginning. André is building a digital platform dedicated to men's health—a space to understand your symptoms, access evidence-based guidance, and find the support you need.
Structured Symptom Management Programme
A guided programme designed specifically for men dealing with pelvic pain, bringing together everything André has learned as both a physiotherapist and a patient.
- Step-by-step framework built on clinical experience
- Breathing and nervous system regulation techniques
- Guidance on navigating flare-ups and setbacks
- Pain neuroscience made simple
- Practical tools for long-term self-management