About Us

About Tenshokai Association

Tenshokai Association, a general incorporated association, was established with the desire to create a society where everyone has a more convenient access to healthcare services.

There are various sources of stress in the healthcare experience that patients undergo ranging from making appointments to giving medical histories, undergoing examinations, billing and receiving medication. It is not enough to simply change the contents and timing of services to improve various inefficiencies and burdens that the current healthcare system cannot handle.

We have defined the entire process from making appointments to receiving prescriptions as the “healthcare experience.” And we believe that improving the healthcare experience is essential not only to better treat current illnesses, but also to maintain health.

To realize these, we are developing necessary systems for a better healthcare experience by integrating insights from various professions. The developed systems will be implemented in society through our clinics, contributing to society by improving the quality of healthcare.

Philosophy

Mission

To create a world where
everyone can enjoy
the optimal healthcare,
regardless of time and location.

To contribute to society by developing innovative healthcare experiences and implementing in clinics .

Vision1

As a developer of innovative healthcare experiences, we embody the needs necessary for the entire society and healthcare, and contribute to the bottom-up improvement of healthcare.

Vision2

As a provider of innovative healthcare experiences, we offer convenient and compassionate healthcare for everyone.

Value1

From a field perspective We value what is NOW needed and the challenges NOW being faced in whole society and healthcare. We aim to build systems that match individual needs and are highly scalable.


Value2

In all professions We respect diversity and overlook the healthcare field with a multi-professional team of engineers, marketers, designers and healthcare professionals. Under a transparent and open environment, we respect each other and act autonomously.

Value3

Act promptly We aim to quickly contribute to society by swiftly capturing changes in healthcare and society and acting promptly.

Value4

Challenge continually We actively adopt various methods and concepts necessary to build a new healthcare experience. We value feedback from healthcare and society and improve development and operation.

About Idaten Clinic

Idaten Clinic is a medical department that utilize medical support tools and systems created by Tenshokai Association.

Idaten is the name of a protector deity of the Buddhism known for its speed. We named the clinic after it with the intention of “quickly delivering medical care to patients” and “quickly contributing the necessary medical system to society.”

As a general incorporated association, we emphasize our public nature and public welfare in our practice. In particular, we offer healthcare focused on the following 2 needs identified from field needs.

Nighttime and Holiday Medical Services

According to a medical field survey, only about 55% of general clinics in the Osaka City secondary medical zone provide medical services outside of regular hours on weekdays, 43% on Saturday, and only 0.2% during nighttime on Sunday and holidays. The lack of facilities providing medical services at night leads to a strain on large-scale hospitals.

We aim to raise the baseline of regional healthcare standard by providing medical services in time slots where few facilities operate.

Treatment of STIs Including HIV/AIDS

In recent years, there has been an increase in infections, especially syphilis, in major urban areas. Also, a problem has arisen because, while the number of new HIV/AIDS positive patients has decreased due to the reduction in rapid testing conducted by public health centers due to COVID-19, nearly 30% of new patients are reported as sudden AIDS.

We are working seriously on outpatient services for sexually transmitted diseases, or STIs, from both insured and free medical care sectors in partnership with Dr. Daisuke SHIOJIRI of Personal Health Clinic, a leading figure in Tokyo’s STIs outpatient services. We actively promote and carry out enlightenment activities for PrEP/PEP, a preventive medicine for HIV.

Gender Affirmation

From October 2023, we offer comprehensive gender affirmation for individuals with Gender Incongruence (GI), Gender Dysphoria (GD) or Gender Identity Disorder (GID) in response to the increase in gender-related concerns among our patients of all ages and genders.

Currently, individuals facing gender-related concerns, including GI, GD and GID, may not be receiving appropriate hormone therapy or necessary regular check-ups (evaluating lifestyle diseases and thrombosis risk) during their hormone therapy.

Furthermore, specialized clinics in gender affirmation are scarce, and there is a significant shortage of medical facilities catering to the potential healthcare needs.

We are committed to addressing these issues through our gender affirmation, working closely with Dr. Singh Ikebukuro, a gender affirmation specialist and certified physician of the GID Society. Together, we aim to safeguard the sexual health of all individuals.

Travel Medicine

In October 2024, we launched our specialized Travel Medicine services, offering a wide range of vaccines and preventive medications for those traveling or studying abroad to protect against infectious diseases.

There are very few clinics that provide specialized consultations for travel and study abroad, as they require extensive knowledge. Traditionally, travel medicine clinics have been fully appointment-based, with limited availability on weekends or public holidays, making it difficult for those who need travel-related services to access care.

Our Travel Medicine services allow for same-day appointments, consultations, vaccinations, and prescriptions, ensuring that all patients in need of travel-related medical services receive timely and efficient care.

At our Travel Medicine clinic, we collaborate with Dr. Kenji KUTSUNA, a specialist in infectious diseases, to provide expert care tailored to each patient’s needs.

Men’s Menopause Clinic

We have opened a specialized clinic for men’s menopause (LOH syndrome), offering consultations, testing, and treatments for this condition.

Although male menopause is gaining global attention, it remains relatively unknown in Japan, leaving many patients without the necessary care. Recently, even men in their 20s and 30s have been diagnosed with male menopause and are receiving treatment.

At our clinic, under the guidance of a certified testosterone treatment specialist, we offer a range of hormone therapies tailored to each patient’s needs. We are also able to provide treatments using long-acting oral and injectable testosterone, offering patients a less burdensome option. Post-treatment, we monitor hormone levels and provide consultation for related symptoms, such as erectile dysfunction (ED). If you have any concerns, feel free to consult with us.

HIV Treatment

As of February 2025, we have been designated as an authorized provider under the Japanese medical expense subsidy program for chronic illnesses. In addition to offering HIV prevention medications (PrEP/PEP), we also provide continued HIV care after a patient’s condition has stabilized at a designated AIDS treatment center.

Traditionally, HIV treatment has been limited to designated AIDS treatment centers, which often involve long waiting times, limited consultation hours incompatible with work schedules, accessibility challenges and privacy concerns.

Today, HIV is considered a manageable chronic condition, similar to hypertension or diabetes. Being able to continue care anytime, anywhere and without delay significantly improves patients’ quality of life.

At Idaten Clinic, we are equipped to support patients not only with STIs but also with HIV—covering everything from testing and prevention to information and treatment.

History

Tenshokai Association and Idaten Clinic are dedicated to rapidly implementing essential medical systems and innovative healthcare needed by our patients and society, with the aim of contributing back to the community.

Amidst the evolving societal needs, we continue to strive unceasingly for change, wholeheartedly pushing forward to constantly deliver innovative patient-centered healthcare experiences.

April 8, 2023

Pre-Opening

We started operating on weekends and holidays only.

April 29, 2023

Establishment of STIs Outpatient Clinic

In addition to normal internal medicine, we established an outpatient clinic for STIs. We started prescribing and consultation of PrEP/PEP, a preventive medicine for HIV.

May 3, 2023

Start of One-Coin Test Day

Recognizing that early detection and treatment are important for HIV and syphilis, we held an event where HIV and syphilis tests can be taken for 500 JPY for the purpose of making these tests more accessible to everyone. * The event continues to be held irregularly.

June 3, 2023

Started Full-Time PrEP/PEP Prescription and Initiated Emergency PEP Prescriptions

We started handling PrEP/PEP at all times of our operating hours. We also started off-hours prescription for those who need PEP.

June 17, 2023

Introduction of Pill and Morning-After Pill

We started to prescribe the pill and morning-after pill for patients who need it, even at night and on holidays. We also introduced the medicine for ED and AGA, which were highly requested.

June 29, 2023

Initiation of Full-Time English Consultations and English Website Launch

In response to the increasing number of international visitors to our clinic, we have commenced full-time English consultations and English language support.

We have also launched the English version of our website, which you are browsing right now.

July 1, 2023

Full Opening

We started operating from 2:00 PM to 9:30 PM from Tuesday to Saturday and 9:00 AM to 5:00 PM on Sunday and holidays.

July 10, 2023

Development and Implementation of Electronic Medical Card

For those who have visited us at least once can now easily connect with us on LINE and check your medical card number from our website without installing any apps.

July 13, 2023

Online PEP Consultation and Delivery Service Launched

We’ve started an online consultation and delivery service for those who find it difficult to visit our clinic but require HIV emergency prevention medication (PEP). Note that this is currently available only in Japanese language.

August 1, 2023

Start of M-Pox Test

We became allowed to provide m-pox testings for MSM (men who have sex with men) through the research conducted by the National Center for Global Health and Medicine.

August 22, 2023

Participation in Testing Program of Osaka Prefecture

Through Osaka Prefecture’s HIV testing program (“FREE STI Testing! Reliable Local Doctors” campaign), eligible participants during the specified period can now take free HIV, syphilis and hepatitis B testing at no cost.


October 7, 2023

Launch of Gender Clinic and Participation in Rainbow Festival

To provide comprehensive support for individuals with gender incongruence (GI), gender dysphoria (GD), and gender identity disorder (GID), we have established a Gender Clinic.



Additionally, we participated as a sponsor in the Rainbow Festival held on October 7th-8th.

At our booth, we provided exhibitions related to sexual health and offered free health consultations with doctors and nurses, receiving a positive response from attendees.


November 1, 2023

Change in Operating Hours

Based on patient feedback and an assessment of regional healthcare needs, we have adjusted our operating hours to the following: Monday to Wednesday, Friday, Saturday: 14:00 – 21:00, Sunday & National Holidays: 10:00 – 17:00 (Closed on Thursdays, open on national holidays).

January 5, 2024

Online PrEP Consultation and Delivery Service Launched

We’ve started an online consultation and delivery service of PrEP for those who find it difficult to visit our clinic.

July 1, 2024

Mail-In Tests Launched

We have started offering all services, including STI testing and treatment, for those living in remote areas.

October 1, 2024

Launch of Travel Medicine

We have launched our Travel Medicine services, offering a variety of vaccines and preventive medications to protect against infectious diseases, particularly for those traveling or studying abroad.


March 1, 2025

Launch of Medical Checkups

We have started offering legally mandated health checkups under the Industrial Safety and Health Act, including periodic health checkups, pre-employment checkups and overseas assignment checkups for individuals of all ages and genders.

April 1, 2025

Treatment for HIV-Positive Patients and Medical Expense Subsidy Program

We have launched HIV treatment services that include coverage under the Japanese medical expense subsidy program for chronic illnesses.

We provide HIV treatment on all business days. If you wish to receive treatment at our clinic, you will need a referral letter from your current HIV care provider.

If you have been newly diagnosed or do not currently have a primary HIV care provider, we will refer you to one of our partnered AIDS treatment centers.

Lectures and Academic Activities

We are committed to giving back to our patients and the community by sharing the new healthcare experiences we have implemented through Idaten Clinic and the General Incorporated Association. We do so through academic and professional activities.

While contributing our academic achievements to society, we continue our daily clinical work, research and development to deliver even better patient-centered care.

Academic Presentations
  1. New Challenges in PrEP and STI Care in Kansai – Building a Network for HIV/STI Prevention in the Kansai Region
    Date: December 4, 2023
    Loc.: Kyoto
    The 37th Annual Meeting of the Japanese Society for AIDS Research, Symposium 7
  2. Opening a Gender Affirmation Clinic in Kansai and Future Prospects
    Date: March 16, 2024
    Loc.: Okinawa
    The 25th Annual Meeting of the GID Society, General Session 5
  3. The Role of Paramedical Staff in Gender Affirmation Clinics – Aiming to Deliver Better Patient Experiences
    Date: March 16, 2024
    Loc.: Okinawa
    The 25th Annual Meeting of the GID Society, General Session 5
  4. The Role of Nurses in Gender Affirmation Clinics
    Date: March 17, 2024
    Loc.: Okinawa
    The 25th Annual Meeting of the GID Society, General Session 9
  5. Promoting PrEP and Understanding STIs Through Testing Services in Private Clinics – Toward Integrating Testing, Treatment and Prevention
    Date: June 15, 2024
    Loc.: Osaka
    The 37th Kinki AIDS Research Meeting & 12th Kansai Branch Meeting of the Japanese Society for Sexually Transmitted Infections, General Session 2
    Note:Awarded the Kinki AIDS Research Meeting Academic Award!
  6. Questionnaire on Transgender and Gender-Diverse Individuals’ Views on Legal Gender Marker Change Requirements and Access to Health Care in Japan
    Date: September 25-30, 2024
    Loc.: Lisbon, Portugal
    WPATH 28th Scientific Symposium
    Note:Dr. Singh IKEBUKURO from our Gender Affirmation Clinic presented at WPATH!
  7. HIV-PrEP and Doxycycline-PEP in Kansai – Breaking the Barriers Between Testing, Treatment, Prevention and Information Sharing for HIV/STIs
    Date: November 28, 2024
    Loc.: Tokyo
    The 38th Annual Meeting of the Japanese Society for AIDS Research, Joint Symposium
  8. Launching an STI Testing Event for Women and Current Testing Realities – Aiming to Integrate Testing, Treatment and Prevention
    Date: November 28, 2024
    Loc.: Tokyo
    The 38th Annual Meeting of the Japanese Society for AIDS Research, Oral Session 3
  9. Trends in STI Infections Among PrEP Users and Future Challenges
    Date: November 28, 2024
    Loc.: Tokyo
    The 38th Annual Meeting of the Japanese Society for AIDS Research, Oral Session 12
    Note:Received the Best Presentation Award!/div>
  10. Current Status and Challenges of STIs Among Doxy PEP Users
    Date: November 28, 2024
    Loc.: Tokyo
    The 38th Annual Meeting of the Japanese Society for AIDS Research, Oral Session 12
  11. PEP, PrEP, STIs and STDs (1)
    Date: November 28, 2024
    Loc.: Tokyo
    The 38th Annual Meeting of the Japanese Society for AIDS Research, Oral Session 11 Chair
  12. PEP, PrEP, STIs and STDs (3)
    Date: November 29, 2024
    Loc.: Tokyo
    The 38th Annual Meeting of the Japanese Society for AIDS Research, Oral Session 16 Chair
  13. STIs Among MSM Through Osaka Prefecture’s Testing Program and Their Relationship with PrEP
    Date: November 30, 2024
    Loc.: Tokyo
    The 38th Annual Meeting of the Japanese Society for AIDS Research, Oral Session 20
  14. Promoting PrEP Through a One-Coin Testing Program at Private Clinics – Toward STI Clinics Accessible to Everyone
    Date: November 30, 2024
    Loc.: Tokyo
    The 38th Annual Meeting of the Japanese Society for AIDS Research, Oral Session 20
  15. Healthcare Realities and Challenges Among AFAB Transgender Individuals Undergoing Testosterone Therapy – Findings from Idaten Clinic
    Date: March 15, 2025
    Loc.: Tokyo
    The 26th Annual Meeting of the Japanese GI (Gender Incongruence) Society, General Session 1
  16. Current Practice and Challenges of Testosterone Therapy Using Testosterone Undecanoate in AFAB Transgender Individuals
    Date: March 15, 2025
    Loc.: Tokyo
    The 26th Annual Meeting of the Japanese GI (Gender Incongruence) Society, General Session 1
  17. Understanding the Experiences of Gender Incongruence and the Role and Challenges of Nursing: A Literature Review
    Date: March 15, 2025
    Loc.: Tokyo
    The 26th Annual Meeting of the Japanese GI (Gender Incongruence) Society, General Session 3
  18. The Role and Innovations of Paramedical Staff at Idaten Clinic’s Gender Affirmation Services – Insights from One Year of Practice
    Date: March 15, 2025
    Loc.: Tokyo
    The 26th Annual Meeting of the Japanese GI (Gender Incongruence) Society, General Session 3
  19. Current Status and Challenges in STI Testing at Idaten Clinic’s Gender Affirmation Services – Building a Gender-Friendly Testing Environment
    Date: March 16, 2025
    Loc.: Tokyo
    The 26th Annual Meeting of the Japanese GI (Gender Incongruence) Society, General Session 8
  20. Current Practices and Awareness Activities for HIV/STI Testing Among Transgender Individuals Through a One-Coin Testing Program
    Date: March 16, 2025
    Loc.: Tokyo
    The 26th Annual Meeting of the Japanese GI (Gender Incongruence) Society, General Session 8
  21. Implementing Gender Affirmation Services in Kansai – Building New Healthcare Experiences That Safeguard Sexual Health
    Date: March 16, 2025
    Loc.: Tokyo
    The 26th Annual Meeting of the Japanese GI (Gender Incongruence) Society, Symposium
Lectures and Seminars
  1. On STIs (HIV/Syphilis)
    Date: May 14, 2023
    Loc.: Otsu City, Shiga
    Gradient Campus in Kansai
  2. Current Status of PrEP/PEP Prescriptions in Kansai
    Date: July 1, 2023
    Loc.: Osaka Medical Center
    Kansai HIV Clinical Conference
  3. Learning from Leading PrEP Clinics – PrEP/PEP and STI Care in Kansai
    Date: October 20, 2023
    Loc.: Online
    PrEP in Japan Online Seminar
  4. Thinking About PrEP? Visit a Clinic! – Q&A About Taking PrEP
    Date: December 3, 2023
    Loc.: Online
    PrEP in Japan Online Seminar
  5. Protecting Sexual Health – Gender Affirmation and STIs
    Date: August 11, 2024
    Loc.: QWRC
    LGBTQ+ Support Advanced Lecture Series for Care Professionals
  6. Current Status of PrEP/PEP Prescriptions in Kansai – Toward Integrating Testing, Treatment and Prevention
    Date: October 9, 2024
    Loc.: Osaka Medical Center
    Onsite Training for HIV Physicians
  7. HIV-PrEP, U=U and Gender-Affirming Care Through a Broader Lens of Sexual Health
    Date: March 8, 2025
    Loc.: Matsuyama, Ehime
    Ehime Pride Festival & Parade 2025
  8. Current Status of HIV/STIs in Kansai – A Medical Approach to Protect Sexual Health Through PrEP
    Date: March 20, 2025
    Loc.: MASH Osaka
    Osaka STI Study Session
Academic Publications
  1. Title:Kinki AIDS Research Meeting Academic Award, 37th Annual Meeting
    Journal: Journal of the Japanese GI (Gender Incongruence) Society, Vol. 17, pp. 135-144
  2. Title:Creating New Patient Experiences in Gender Affirmation and Future Challenges
    Journal: Journal of the Japanese GI (Gender Incongruence) Society, Vol. 17, pp. 145-150
  3. Title:Current Status of Gender Affirmation Services from a Nurse’s Perspective
    Journal: Journal of the Japanese GI (Gender Incongruence) Society, Vol. 17, pp. 151-155
  4. Title:Current Status and Nursing Practices for Gender Affirmation Patients
    Journal: Journal of the Japanese GI (Gender Incongruence) Society, Vol. 17, pp. 157-160
Awards
  1. 37th Kinki AIDS Research Meeting Academic Award
  2. Best Presentation Award, 38th Japanese Society for AIDS Research Annual Meeting
  3. Roche Infectious Disease Award 2024 – Excellence in Practice Category