{"id":2436,"date":"2023-06-15T00:49:59","date_gmt":"2023-06-14T15:49:59","guid":{"rendered":"https:\/\/idaten.clinic\/en\/?page_id=2436"},"modified":"2026-04-02T13:21:21","modified_gmt":"2026-04-02T04:21:21","slug":"other-menu","status":"publish","type":"page","link":"https:\/\/idaten.clinic\/en\/other-menu\/","title":{"rendered":"Other Menu"},"content":{"rendered":"\r\n\r\n\r\n\r\n\r\n

Please select the section to jump to.test<\/span><\/p>\r\n

Note that the prices indicated in this page are all inclusive of tax.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n Vaccine<\/span><\/a>\r\n ED Medication<\/span><\/a>\r\n Premature Ejaculation
Medication<\/span><\/a>\r\n AGA Medication<\/span><\/a>\r\n Contraceptive Pill\/Injection<\/span><\/a>\r\n Morning-After Pill<\/span><\/a>\r\n Acne treatment
and prevention<\/span><\/a>\r\n Smoking Cessation<\/span><\/a>\r\n Flu Prevention<\/span><\/a>\r\n Sublingual
Immunotherapy<\/span><\/a>\r\n Tumor Markers<\/span><\/a>\r\n Cosmetics<\/span><\/a>\r\n<\/div>\r\n\r\n
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We primarily provide self-pay STI-related tests and treatments. If you wish to use Japanese national health insurance, please consult with the doctor for eligibility.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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We offer telephone consultations and delivery services for those who live far away. It requires LINE registration.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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\r\n Learn More<\/a>\r\n<\/div>\r\n\r\n
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\r\n Official LINE<\/a>\r\n<\/div>\r\n\r\n
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Vaccinations<\/h2>\r\n

We offer a variety of effective and safe vaccines, including those for STI prevention (hepatitis, gonorrhea and human papillomavirus), shingles and the MMR vaccine (measles, mumps and rubella).<\/p>\r\n

For vaccines required for travel or study abroad, please refer to our Travel Medicine page below.<\/p>\r\n\r\n

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\r\n Learn More<\/a>\r\n<\/div>\r\n\r\n
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Types of Vaccines<\/h3>\r\n\r\n
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We offer the following vaccines:<\/p>\r\n\r\n

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Hepatitis Vaccines<\/div>\r\n
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In Japan, the most common type of hepatitis is viral hepatitis caused by the hepatitis virus. The most effective preventive measure is a vaccine. We offer a Hepatitis A vaccine, a Hepatitis B vaccine and a combined vaccine.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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Gonorrhea Vaccine<\/div>\r\n
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This vaccine, specifically Meningococcal B Vaccine, is effective in preventing gonorrhea. Meningococci and gonococci are genetically very similar, and it is known that vaccination with the Meningococcal B vaccine can prevent gonorrhea.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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HPV Vaccine<\/div>\r\n
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This is a vaccine to prevent HPV infection. It is well known as a virus that causes cervical cancer, but it can also cause other cancers and warts (condyloma acuminatum). We offer the 9-valent HPV vaccine.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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Shingles Vaccine<\/div>\r\n
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The varicella zoster virus infects most people by the age of 20, lying dormant in nerve ganglia for life. With aging, the virus can reactivate, causing shingles and subsequent neuralgia, significantly reducing quality of life. We offer the inactivated\r\n shingles vaccine.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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MMR Vaccine<\/div>\r\n
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Measles, mumps and rubella pose a higher risk of severe illness and can be fatal in adults. With consideration of recent reports of measles cases in Japan, it is vital to prevent this common infectious disease. We provide the combined MMR vaccine.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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Infection Routes<\/h3>\r\n\r\n
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The infection routes for Hepatitis A virus, Hepatitis B virus and HPV are as follows:<\/p>\r\n\r\n

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Hepatitis A<\/div>\r\n
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Infection occurs when eating food such as shellfish or water contaminated with the virus, or through sexual activities involving the anus and rimming (the act of licking the anus), which involve contact with feces containing the virus. Activities\r\n such as oral sex, rimming and licking hands that have touched the anus can also potentially lead to infection.\r\n <\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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Hepatitis B<\/div>\r\n
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Infection occurs through sexual intercourse and anal sex as the virus is contained in blood and vaginal secretions.\r\n <\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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Gonorrhea<\/div>\r\n
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Gonorrhea can be transmitted through sexual intercourse, including oral sex. It is important to note that gonorrhea can infect not only the genitals but also the throat and anus.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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HPV<\/div>\r\n
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HPV is a common virus, transmitted primarily through sexual intercourse, with over 50% of sexually experienced women likely to be infected at least once in their lifetime. More than 80% of women and more than 90% of men have a chance of being\r\n infected with some HPV in their lifetime, but it can be naturally eliminated by the immune system even if infected.\r\n <\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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Varicella Zoster Virus<\/div>\r\n
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Shingles is not a disease transmitted from one person to another. However, individuals with shingles can transmit the varicella zoster virus to those who have never had chickenpox, potentially causing them to develop the disease. Transmission\r\n primarily occurs through contact with fluid from the blisters of a shingles patient, and the virus can also spread through airborne droplets from saliva. The blisters contain a high concentration of the virus, remaining infectious until all\r\n have crusted over.\r\n <\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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Measles<\/div>\r\n
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Measles is a serious infectious disease that can cause complications and even lead to death. It is an airborne infection<\/strong>, and the virus can survive in the air of a room where a person with measles has been for up to two hours.\r\n Measles is highly contagious<\/strong>; if one person is infected, up to 90% of the people close to them may also become infected. Symptoms typically appear 7 to 14 days after exposure to the virus and include high fever, cough and\r\n runny nose. A characteristic rash appears 3 to 5 days after the initial symptoms.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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Rubella<\/div>\r\n
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Rubella (a.k.a. German Measles) is also a serious infection that can be fatal, known for its airborne and contact transmission. Its symptoms are similar to measles but resolve more quickly, hence it is also known as three-day measles. Symptoms\r\n include fever and rash accompanied by swollen lymph nodes, though 25% to 50% of infections are asymptomatic. Infection during early pregnancy can lead to stillbirth or the birth of infants with congenital rubella syndrome (including cataracts, heart defects, hearing impairments, etc.).<\/strong>Therefore,\r\n it is important for those who are pregnant or could become pregnant, and their contacts, to prevent infection.\r\n <\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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Mumps<\/div>\r\n
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Mumps (Epidemic Parotitis) is characterized by swelling of the parotid glands and spreads through droplet and contact transmission. Symptoms, appearing after a 2 to 3-week incubation period, include fever, headache and swelling or pain in both\r\n parotid glands. Adults are more likely to develop severe cases and complications such as encephalitis, oophoritis, orchitis and hearing loss.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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Eligibility<\/h3>\r\n\r\n
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Those who are eligible for vaccination are as follows.<\/p>\r\n

Hepatitis B has been increasing in number of cases of infection due to sexual transmission in recent\r\n years<\/strong>. It is said that, in adult infections, most are due to sexual activity, apart from needle sticks or similar cases. Infection can also occur from kissing and oral sex, and many people do not show symptoms even when infected. So,\r\n there are cases where the infected person unknowingly infects others without realizing they are carrying the virus.<\/p>\r\n\r\n

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\r\n Eligible Persons\r\n <\/div>\r\n
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Hepatitis A\/B Vaccine<\/strong>:<\/p>\r\n

– Those with multiple sexual partners (including oral sex)<\/p>\r\n

– Those who have a sex partner or cohabitating family with hepatitis B<\/p>\r\n

– Those planning to travel abroad<\/p>\r\n

– Healthcare workers, etc.<\/p>\r\n
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Gonorrhea Vaccine<\/strong>:<\/p>\r\n

– Those who have previously had gonorrhea or other STIs<\/p>\r\n

– Those allergic to the first-choice treatment for gonorrhea (ceftriaxone)<\/p>\r\n

– Those with multiple sexual partners<\/p>\r\n

– Those in high-risk occupations for infection, such as commercial sex workers and individuals in the adult entertainment industry<\/p>\r\n
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HPV Vaccine<\/strong>:<\/p>\r\n

– Those who are 9 years old or older and want to reduce the risk of HPV infection. The HPV vaccine is recommended for not only women but also men in Western countries, as it also prevents cancers such as penile and anal cancer.\r\n <\/p>\r\n
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Shingles Vaccine<\/strong>:<\/p>\r\n

– Individuals aged 50 and above who wish to prevent shingles and postherpetic neuralgia.<\/p>\r\n

– Persons who are HIV-positive.<\/p>\r\n
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MMR Vaccine<\/strong>:<\/p>\r\n

– Individuals who have never received or have only received one dose of the measles, mumps and rubella vaccine.<\/p>\r\n

– Those in close proximity to someone with measles, mumps or rubella.<\/p>\r\n

– Individuals preparing for pregnancy who wish to prevent diseases such as rubella.<\/p>\r\n

Note<\/i>: Infection with rubella during early pregnancy can lead to stillbirth or the birth of infants with congenital rubella syndrome, including cataracts, cardiac abnormalities, hearing impairments, etc.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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We recommend vaccination for those who want to prevent cancer caused by HPV infection or those who want to prevent warts (condyloma acuminatum).<\/p>\r\n\r\n

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\r\n Cancers caused by HPV infection\r\n <\/div>\r\n
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Male genital: Penile cancer<\/p>\r\n

Female genital: Cervical cancer, vulvar cancer, vaginal cancer<\/p>\r\n

Both: Oropharyngeal cancer, anal cancer<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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Effectiveness<\/h3>\r\n\r\n
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The effect of the vaccines handled at our clinic is as follows:<\/p>\r\n\r\n

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Hepatitis A Vaccine<\/div>\r\n
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The domestic vaccine (Aimugen\u00ae) is one of the safe and highly effective vaccines. You can expect to acquire almost 100% antibodies with 3 doses. The effect lasts for approximately 5 years after 3 vaccinations, and an additional dose of vaccination\r\n every 10-20 years is recommended if there is a risk of infection.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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Hepatitis B Vaccine<\/div>\r\n
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The immunity obtained by the domestic hepatitis B vaccine (Bimgen\u00ae) has been confirmed to last for at least 15 years. The effect decreases as a patient is aged, and it is said that about 80% can acquire immunity by vaccination after the age of\r\n 40. The effectiveness of the vaccine is recognized by Ministry of Health, Labour and Welfare of Japan, and infants became included as an eligible target of regular vaccinations in Japan since 2016. This means that those born in Japan would\r\n have already gotten vaccinated with it because it is required by Japanese government. On the other hand, those born before March 31, 2016 have not received regular vaccinations, so they have not gotten vaccinated unless they have voluntarily\r\n get the vaccine.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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Gonorrhea Vaccine<\/div>\r\n
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Reportedly, the administration of the gonorrhea vaccine has successfully been preventing gonorrhea by 51%. It is also known that syphilis, gonorrhea and chlamydia can be prevented by using an oral medication called Doxy PEP, and combining Doxy\r\n PEP with the gonorrhea vaccine is expected to provide an even higher prevention rate.
<\/p>\r\n\r\n

\r\n About Doxy PEP<\/a>\r\n <\/div>\r\n <\/div>\r\n<\/div>\r\n\r\n
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HPV Vaccine<\/div>\r\n
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Currently, there are no effective medications for HPV infection. Therefore, prevention by vaccination is effective. According to Center for Disease Control and Prevention in the United States, or CDC, the incidence of cervical cancer decreases\r\n by 83% in girls aged 13 to 19, and 66% in those aged 20 to 24. Moreover, precancerous lesions in cervical cancer screenings for women in their teens and 20’s have decreased. Genital and anal condylomas in both men and women have significantly\r\n decreased in all age groups, and thus vaccination of HPV vaccine for men is also being promoted.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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\r\n Benefits of HPV Vaccine for Men\r\n <\/div>\r\n
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– Prevention of diseases caused by HPV infection in men themselves such as condyloma, penile and other cancers\r\n <\/p>\r\n

– Suppression of the risk of HPV infection in partners by not becoming a source of infection.<\/p>\r\n

* Vaccination of HPV is meant to protect yourself as well as your partner!<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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Shingles Vaccine<\/div>\r\n
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We offer Shingrix, an inactivated vaccine. Studies show that administering Shingrix twice can prevent the onset of shingles by 97.2% and postherpetic neuralgia by 100% in individuals over 50 years of age<\/strong>, making it an extremely\r\n effective vaccine.<\/p>\r\n

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Type<\/th>\r\n Inactivated vaccine<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
Prevention of
Shingles Onset<\/td>\r\n 		Over 50 years: 97.2%<\/strong><\/td>\r\n <\/tr>\r\n
Over 70 years: 89.8%<\/td>\r\n <\/tr>\r\n
Prevention
of Neuralgia<\/td>\r\n 		Over 50 years: 100%<\/strong><\/td>\r\n <\/tr>\r\n
Over 70 years: 85.5%<\/td>\r\n <\/tr>\r\n
Duration of
Effectiveness<\/td>\r\n 		> 9 years<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n <\/div>\r\n <\/div>\r\n<\/div>\r\n\r\n
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MMR Vaccine<\/div>\r\n
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In Japan, the common practice is to use a two-component vaccine (MR vaccine) for measles and rubella. There is no three-component vaccine (MMR vaccine) that includes mumps. However, in over 100 countries, including the United States, Canada and\r\n Australia, the three-component vaccine is standard and recognized for its effectiveness and safety. Therefore, we offer the imported three-component vaccine, Priorix.<\/p>\r\n

Effectiveness<\/strong>:\r\n
After one dose: measles 93%, rubella 97%, mumps 78%\r\n
After two doses: measles 97%, mumps 88%\r\n <\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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Price and Schedule<\/h3>\r\n\r\n
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The cost and schedule of vaccination for each vaccine are as follows.
Note that these are not covered by Japanese national health insurance.<\/p>\r\n\r\n

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Hepatitis A Vaccine<\/div>\r\n
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Price<\/strong>: 8,000 JPY\/dose<\/p>\r\n

Number of vaccinations<\/strong>: 3<\/p>\r\n

Schedule<\/strong>: Initial, 1 month later, 6 months later<\/p>\r\n

The effect lasts for about 5 years with a total of 3 doses, 1 month and 6 months after the first vaccination. After that, because the antibody titer decreases, an additional dose of vaccination is recommended every 5 to 10 years if there is a\r\n risk of infection.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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Hepatitis B Vaccine<\/div>\r\n
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Price<\/strong>: 7,000 JPY\/dose<\/p>\r\n

Number of vaccinations<\/strong>: 3<\/p>\r\n

Schedule<\/strong>: Initial, 1 month later, 6 months later<\/p>\r\n

The immunity obtained lasts for at least 15 years. The effect decreases as a patient is aged, and it is said that about 80% can acquire immunity by vaccination after the age of 40. An additional vaccination may be given if there is no antibody\r\n reaction at the time of an antibody test conducted 1 to 2 months after 3 vaccinations.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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A\/B Hepatitis Mixed Vaccine<\/div>\r\n
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Price<\/strong>: 13,000 JPY\/dose<\/p>\r\n

Number of vaccinations<\/strong>: 3<\/p>\r\n

Schedule<\/strong>: Initial, 1 month later, 6 months later<\/p>\r\n\r\n

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\r\n Learn More [JP]<\/sup><\/a>\r\n <\/div>\r\n <\/div>\r\n<\/div>\r\n\r\n
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Gonorrhea Vaccine<\/div>\r\n
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Price<\/strong>: 25,000 JPY\/dose<\/p>\r\n

Number of vaccinations<\/strong>: 2<\/p>\r\n

Schedule<\/strong>: Initial and 1 month later<\/p>\r\n

It is believed that using Doxy PEP in combination with the gonorrhea vaccine can provide a higher preventive effect against gonorrhea.<\/p>\r\n\r\n

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We offer free testing for gonorrhea and chlamydia<\/strong> (genital, throat and anal; normally 20,000 JPY) at the time of your first and second gonorrhea vaccination.<\/p>\r\n

Even after that, within one year from your first vaccination date<\/strong>, you can also tested for gonorrhea and chlamydia (genital, throat and anal) for 3,000 JPY.<\/p>\r\n

Note that This testing is not covered by Japanese national insurance<\/strong> in accordance with the Ministry of Health, Labour and Welfare’s prohibition on mixed billing.<\/p>\r\n <\/div>\r\n <\/div>\r\n\r\n

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\r\n Learn More<\/a>\r\n <\/div>\r\n\r\n
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HPV-9 Vaccine<\/div>\r\n
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Price<\/strong>: 30,000 JPY\/dose<\/p>\r\n

Number of doses<\/strong>: 3 or 2<\/p>\r\n

Schedule<\/strong>: Initial, 2 months later, 6 months later (or initial, 6 months later)<\/p>\r\n\r\n

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\r\n Learn More [JP]<\/sup><\/a>\r\n <\/div>\r\n <\/div>\r\n<\/div>\r\n\r\n
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It has been reported that sufficient effects can be expected even if you do not receive 3 doses of the HPV-9 vaccine. For more information, click here<\/a>.<\/p>\r\n

Our clinic also recommends vaccination with only 2 doses.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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What does ‘9-valent’ mean?<\/div>\r\n
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There are three types of HPV vaccines: bivalent (2-valent), quadrivalent (4-valent) and nonavalent (9-valent), which represent the number of types they can prevent. There are over 180 types of HPV, and the type of disease that can develop depends\r\n on the type of infection.<\/p>\r\n

We adopt the 9-valent HPV vaccine for the following reasons:<\/p>\r\n

– Prevention of genital warts is possible with quadrivalent and 9-valent vaccines.<\/p>\r\n

– The 9-valent vaccine has a significantly higher prevention effect against cancer and genital warts compared to the 4-valent one (4-valent: about 60%, 9-valent: about 90%).<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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Shingles Vaccine<\/div>\r\n
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Price<\/strong>: 22,000 JPY\/dose<\/p>\r\n

Number of doses<\/strong>: 2<\/p>\r\n

Schedule<\/strong>: Initial, 2 months later<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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MMR Vaccine<\/div>\r\n
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Contents<\/strong>: Combined vaccine for measles, mumps and rubella<\/p>\r\n

Price<\/strong>: 10,000 JPY\/dose*<\/p>\r\n

Number of doses<\/strong>: 1 or 2<\/p>\r\n

Schedule<\/strong>: Initial, 1 month later<\/p>\r\n

Precautions<\/strong>:\r\n
– Individuals who have previously experienced an allergic reaction to vaccinations should consult with a doctor before receiving this vaccine.\r\n
– This vaccine cannot be administered to individuals who are pregnant or may be pregnant.\r\n
– Individuals who are HIV positive must consult with a doctor before receiving this vaccine.\r\n <\/p>\r\n\r\n

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\r\n Learn More<\/a>\r\n <\/div>\r\n\r\n
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Simultaneous Vaccination
with Other Vaccines<\/h3>\r\n\r\n
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The MMR vaccine is a categorized as live vaccine<\/i>. if additional injections of live vaccines<\/i> are desired, they must be spaced at least 27 days apart. It is possible to administer oral live vaccines<\/i> and inactivated vaccines<\/i> at the same time as the MMR vaccine. There are no specific restrictions regarding the simultaneous administration of other vaccines, so you can be reassured.<\/p>\r\n\r\n

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The only live vaccine<\/i> handled at our clinic is the MMR vaccine, which allows for multiple vaccinations to be given on the same day.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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Types of Vaccines<\/div>\r\n
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Injectable Live Vaccines<\/strong>: Measles-Rubella (MR) combined vaccine, Varicella vaccine, BCG vaccine, Mumps vaccine, etc.<\/p>\r\n

Oral Live Vaccines<\/strong>: Rotavirus vaccine, etc.<\/p>\r\n

Inactivated Vaccines<\/strong>: Haemophilus influenzae type b (Hib) vaccine, Pediatric pneumococcal vaccine, Hepatitis B vaccine, DTP-IPV combined vaccine (four-component), Japanese encephalitis vaccine, Seasonal influenza vaccine, etc.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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Steps<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The flow of consultation for vaccination at our clinic is as follows.<\/p>\r\n\r\n

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Step 1<\/div>\r\n

Consultation<\/p>\r\n

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The doctor will discuss and consider whether to proceed with the vaccination.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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Step 2<\/div>\r\n

Vaccination and payment<\/p>\r\n

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After the vaccination, the payment will be made. You will be charged for a consultation fee only at your first time; you can get a vaccination without a consultation (and of course consultation fee) from the second time onwards.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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ED Treatment Medicine<\/h2>\r\n

Erectile Dysfunction (ED) refers to a condition where you cannot achieve or maintain an erection sufficiently for satisfactory sexual intercourse.<\/p>\r\n

It is said that more than 10 million people are suffering from ED in Japan alone, and recently the number of people in their 10’s to 20’s has been increasing.<\/p>\r\n

ED treatment medicine is a vasodilator that helps with erections, so if there’s no sexual stimulation, an erection will not occur.<\/p>\r\n

Also, after sexual stimulation disappears or ejaculation, the erection will subside as usual.<\/p>\r\n

It does not have an aphrodisiac effect and does not increase sexual desire or enhance sexual stimulation.<\/p>\r\n\r\n

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Causes<\/h3>\r\n\r\n
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There are 4 major potential causes of ED.<\/p>\r\n\r\n

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\r\n
\r\n

\r\n Psychogenic ED<\/strong>: caused by mental stress, etc.\r\n <\/p>\r\n

This is often seen in relatively young people in their 20’s to 40’s.<\/p>\r\n

Mental stress (for example, stress at work or within the family, pressure from fertility treatments, trauma from unsuccessful sex, etc.) can prevent sexual arousal from causing an erection properly, leading to ED.\r\n <\/p>\r\n

Since there is often no bodily abnormality in this case, it can be said that ED treatment medication tends to be highly effective.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

\r\n Organic ED<\/strong>: caused by vascular and nerve damage.\r\n <\/p>\r\n

This is often seen in people over the age of 50.<\/p>\r\n

Arteriosclerosis, a condition where blood vessels harden, progresses due to aging and lifestyle diseases such as diabetes, high blood pressure and hyperlipidemia, and prevents enough blood from flowing into the corpus cavernosum, leading to ED.<\/p>\r\n

ED treatment medicine will improve blood flow and foreseeably improve ED.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

\r\n Mixed ED<\/strong>: involved multiple factors.\r\n <\/p>\r\n

This is often seen in people over the age of 50.<\/p>\r\n

ED is caused by a combination of vascular and nerve damage and other factors such as mental stress.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

\r\n Medication-induced ED<\/strong>: caused by specific drugs.\r\n <\/p>\r\n

Some drugs can cause ED.<\/p>\r\n

If you have noticed changes since starting a new medicine, or if you are taking a large quantity or variety of medicines, please consult your doctor. The drugs that may influence the condition include the following.\r\n <\/p>\r\n

Drugs that affect the central nervous system: antipyretic anti-inflammatory analgesics, antidepressants, psychotropic drugs such as sedatives.<\/p>\r\n

Drugs that affect peripheral nerves: muscle relaxants, anesthetics, anticholinergic drugs.<\/p>\r\n

Cardiovascular drugs: antiarrhythmic drugs, diuretics, antihypertensive drugs, vasodilators, lipid-lowering drugs.\r\n <\/p>\r\n

Digestive tract drugs: peptic ulcer treatment drugs, anticholinergic drugs, antispasmodic drugs.<\/p>\r\n\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Eligibility<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The candidates for ED treatment medicine are those with symptoms of ED (erectile dysfunction).<\/p>\r\n

If you have concerns about erection, such as ‘occasionally can’t get an erection’ or ‘worried about whether I can get an erection,” you are also a valid candidate for treatment.<\/p>\r\n\r\n

<\/div>\r\n\r\n

Types of Medicine<\/h3>\r\n\r\n
<\/div>\r\n\r\n

In Japan, Viagra (sildenafil), Levitra (vardenafil) and Cialis (tadalafil) are used as ED treatment medicines.<\/p>\r\n

We can prescribe all of them except for Levitra.<\/p>\r\n

Choose the ED treatment medicine most suitable for you according to the characteristics of each medicine.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

We also offer a value trial package for those who want to try various ED treatment medicines to find the one that suits you most.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Viagra (Sildenafil)<\/div>\r\n
\r\n

Recommended for<\/strong>: Those who did not get hard enough with other ED medicines.<\/p>\r\n

Characteristics<\/strong>: Works in a short time and the effect disappears in a short time.<\/p>\r\n

Meal<\/strong>: It is recommended to take it 30 minutes before meals as the effect will be halved if taken with meals.<\/p>\r\n

Time until effect appears<\/strong>: About 30 minutes to 1 hour<\/p>\r\n

Duration of effect<\/strong>: About 4 to 5 hours<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Use cases<\/div>\r\n
\r\n

– Individuals who have tried other ED treatments without effect and desire a rapid onset of action. Long-term users of Viagra (sildenafil) who have experienced no side effects and wish to continue using it.<\/p>\r\n

– Those who prefer a formulation that can be taken without water (Viagra OD Film).<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Vardenafil<\/div>\r\n
\r\n

Recommended for<\/strong>: Those who want to get an erection as quickly and as hard as possible.<\/p>\r\n

Characteristics<\/strong>: Fast absorption, immediate effect and the hardest erection among the three.\r\n <\/p>\r\n

Meal<\/strong>: It is most effective when taken 30 minutes before meals while it is still okay to take it with meals. If taken on an empty stomach, the effect will begin to appear in approximately 15 minutes.\r\n <\/p>\r\n

Time until effect appears<\/strong>: About 20 minutes to 1 hour<\/p>\r\n

Duration of effect<\/strong>: About 4 to 6 hours<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Use cases<\/div>\r\n
\r\n

– Individuals who want to feel the effects of ED medication quickly and prefer a treatment that enhances erection strength.<\/p>\r\n

– Individuals who wish to maintain an erection throughout sexual activity and prevent loss of erection during intercourse.<\/p>\r\n

– who want to experience the effects soon after ingestion, but are likely to engage in sexual activity after a meal or alcohol consumption (vardenafil is affected by food and alcohol but to a lesser extent than sildenafil).<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Cialis (Tadalafil)<\/div>\r\n
\r\n

Recommended for<\/strong>: Those uncertain about when they will have sex during the day or those who often have sex after meals.<\/p>\r\n

Characteristics<\/strong>: It has a relatively mild and natural effect, lasts for a long time and has fewer side effects.<\/p>\r\n

Meal<\/strong>: It is more effective when taken on an empty stomach while it is still okay to take it with meals.<\/p>\r\n

Time until effect appears<\/strong>: About 1 to 3 hours<\/p>\r\n

Duration of effect<\/strong>: About 24 to 36 hours<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Use cases<\/div>\r\n
\r\n

– Individuals who frequently engage in sexual activity after meals or drinks.<\/p>\r\n

– Those who do not have a set time for sexual activity and want to be prepared to experience effects at any time (e.g., while traveling or when a partner is distant and timing of sexual activity is unpredictable).<\/p>\r\n

– Individuals who may not always be the penetrating partner during sexual activity but want to easily maintain an erection throughout.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

For tadalafil, a daily regimen independent of sexual activity is also available.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n Learn More<\/a>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n
<\/div>\r\n\r\n
\r\n
Avanafil<\/div>\r\n
\r\n

Recommended for<\/strong>: Those who want a faster and firmer erection, those who prefer not to worry about meal timing, and those seeking effectiveness with minimal side effects.<\/p>\r\n

Features<\/strong>: Known as the fourth-generation ED medication, it offers strong efficacy, is less affected by food intake, and has fewer side effects.<\/p>\r\n

Meal<\/strong>: It can be taken with meals without issues, but it is more effective when taken on an empty stomach.<\/p>\r\n

Time until effect appears<\/strong>: About 15 to 30 minutes<\/p>\r\n

Duration of effect<\/strong>: About 4 to 6 hours<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Use cases<\/div>\r\n
\r\n

– Those who want to benefit from both vardenafil and tadalafil while keeping costs low<\/p>\r\n

– Those who want to maintain an erection throughout intercourse and prevent loss of firmness during penetration<\/p>\r\n

– Those who want fast-acting effects but may engage in intercourse after eating or drinking (less affected by food and alcohol compared to Viagra and vardenafil)<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Udenafil<\/div>\r\n
\r\n

Recommended for<\/strong>: Those who prefer not to worry about meal timing when dosing and those who want efficacy but are concerned about side effects<\/p>\r\n

Features<\/strong>: Known as the fifth ED medication and the newest option. Provides a mild, natural effect with rapid onset and sustained duration. Fewer side effects. Compared with long-acting Cialis (tadalafil), it has a faster onset,\r\n wears off sooner and is less expensive.<\/p>\r\n

With food<\/strong>: Can be taken with meals, though it is more effective on an empty stomach.<\/p>\r\n

Time to onset<\/strong>: Approximately 30-60 minutes<\/p>\r\n

Duration<\/strong>: About 8 to 13 hours<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Examples of typical prescribing<\/div>\r\n
\r\n

– Those seeking long-lasting effects who also prefer a faster onset from the first dose, or who wish to keep the price low<\/p>\r\n

– Those who often have intercourse after meals or alcohol<\/p>\r\n

– Those who are not always the insertive partner (e.g., versatile or receptive) but want to improve ease of maintaining an erection during activity<\/p>\r\n

– Those with unpredictable timing of intercourse who want reliable effects whenever needed, such as when traveling or when a partner lives far away<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Daily regimen for ED medications<\/h3>\r\n\r\n
<\/div>\r\n\r\n

Tadalafil can be taken daily in low doses (typically 2.5-5 mg) to maintain a stable blood concentration, allowing you to benefit from ED medication at any time without planning intake around sexual activity.<\/p>\r\n

In addition to supporting stable initiation and maintenance of erections, this regimen may also improve urinary symptoms in individuals with ED accompanied by urinary issues such as benign prostatic hyperplasia.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

Recommended for<\/p>\r\n <\/div>\r\n

\r\n

– Individuals with frequent sexual activity<\/p>\r\n

– Individuals who cannot predict when sexual activity will occur<\/p>\r\n

– Individuals who are not satisfied with on-demand intake<\/p>\r\n

– Individuals prone to side effects such as flushing or eye redness<\/p>\r\n

– Individuals who wish to improve urinary symptoms associated with ED, such as those related to benign prostatic hyperplasia<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Daily Tadalafil<\/div>\r\n
\r\n

Characteristics<\/strong>: When taken at the same time every day, tadalafil reaches a steady state in approximately 5 days. Its effect on improving ED is available at any time during the day. Its efficacy for ED is considered comparable\r\n to that of on-demand dosing, and the daily regimen is particularly recommended for individuals with ED accompanied by urinary symptoms.<\/p>\r\n

Food<\/strong>: It can be taken with meals, although taking it on an empty stomach provides a stronger effect.<\/p>\r\n

Time to effect<\/strong>: The effect begins 5 days after starting daily intake. ED medications can also be taken concurrently during daily tadalafil use.<\/p>\r\n

Duration of action<\/strong>: After 5 days of daily use, the effect is available at any time.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Category<\/th>\r\n On-demand<\/th>\r\n Daily<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
Timing of intake<\/td>\r\n 1-3 hours before sexual activity<\/td>\r\n At the same time every day<\/td>\r\n <\/tr>\r\n
Dose<\/td>\r\n 10-20 mg per intake<\/td>\r\n 2.5-5 mg per day<\/td>\r\n <\/tr>\r\n
Time to effect<\/td>\r\n Onset: 1-3 hours after intake
Duration: 24-36 hours<\/td>\r\n 		Anytime from 5 days after starting daily intake<\/td>\r\n <\/tr>\r\n
Best suited for<\/td>\r\n Low frequency of sexual activity
Easy to plan sexual activity
Prefer to reduce price or frequency of intake<\/td>\r\n 		High frequency of sexual activity
Difficult to plan sexual activity
Wish to be ready at any time
Wish to treat urinary symptoms as well<\/td>\r\n <\/tr>\r\n
Side effects<\/td>\r\n May cause flushing or headache
(less frequent)<\/td>\r\n 		Even fewer side effects than on-demand use<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n
<\/div>\r\n\r\n

Side Effects and Precautions<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The side effects and precautions for ED treatment medicine are as follows.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Side effects<\/div>\r\n
\r\n

Flushing, headache, palpitations, stuffy nose, eye congestion<\/p>\r\n

Cialis (Tadalafil) has fewer side effects compared to others.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Precautions<\/div>\r\n
\r\n

It is necessary to be careful if you are taking nitrates, undergoing arrhythmia treatment, undergoing dialysis, have a history of myocardial infarction, having high or low blood pressure or are elderly (over 65 years old), so please consult your\r\n doctor.\r\n <\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Price<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The cost and characteristics of each ED treatment medicine are as follows.<\/p>\r\n

Note that these are not covered by Japanese national health insurance.<\/p>\r\n

We also offer a value trial set for those who want to try various ED treatment medicines to find the one that suits you most.<\/p>\r\n\r\n

\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Medication<\/th>\r\n Ingredient<\/th>\r\n # of
tablets<\/th>\r\n 		Price
(JPY)<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
Viagra

Sildenafil
(generic)<\/td>\r\n 		Viagra 50mg<\/td>\r\n 1<\/td>\r\n 1,600<\/td>\r\n <\/tr>\r\n
10<\/td>\r\n 14,000<\/td>\r\n <\/tr>\r\n
Viagra OD
Film 50mg<\/td>\r\n 		1<\/td>\r\n 1,200<\/td>\r\n <\/tr>\r\n
10<\/td>\r\n 11,000<\/td>\r\n <\/tr>\r\n
Sildenafil
50mg<\/td>\r\n 		1<\/td>\r\n 1,000<\/td>\r\n <\/tr>\r\n
10<\/td>\r\n 9,000<\/td>\r\n <\/tr>\r\n\r\n \r\n
Levitra

Vardenafil
(generic)<\/td>\r\n 		* We do not offer Levitra.<\/td>\r\n <\/tr>\r\n
Vardenafil
10mg<\/td>\r\n 		1<\/td>\r\n 1,500<\/td>\r\n <\/tr>\r\n
10<\/td>\r\n 13,000<\/td>\r\n <\/tr>\r\n
Vardenafil
20mg<\/td>\r\n 		1<\/td>\r\n 1,700<\/td>\r\n <\/tr>\r\n
10<\/td>\r\n 15,000<\/td>\r\n <\/tr>\r\n\r\n \r\n
Cialis

Tadalafil
(Generic)<\/td>\r\n 		Cialis 10 mg<\/td>\r\n 1<\/td>\r\n 1,800<\/td>\r\n <\/tr>\r\n
10<\/td>\r\n 14,000<\/td>\r\n <\/tr>\r\n
Cialis 20 mg<\/td>\r\n 1<\/td>\r\n 2,000<\/td>\r\n <\/tr>\r\n
10<\/td>\r\n 18,000<\/td>\r\n <\/tr>\r\n
Tadalafil 2.5 mg
(Daily regimen)<\/td>\r\n 		1<\/td>\r\n 220<\/td>\r\n <\/tr>\r\n
10<\/td>\r\n 2,100<\/td>\r\n <\/tr>\r\n
30<\/td>\r\n 6,000<\/td>\r\n <\/tr>\r\n
90<\/td>\r\n 17,000<\/td>\r\n <\/tr>\r\n
Tadalafil 5 mg
(Daily regimen)<\/td>\r\n 		1<\/td>\r\n 400<\/td>\r\n <\/tr>\r\n
10<\/td>\r\n 3,800<\/td>\r\n <\/tr>\r\n
30<\/td>\r\n 11,000<\/td>\r\n <\/tr>\r\n
90<\/td>\r\n 31,500<\/td>\r\n <\/tr>\r\n
Tadalafil 10 mg<\/td>\r\n 1<\/td>\r\n 1,200<\/td>\r\n <\/tr>\r\n
10<\/td>\r\n 11,000<\/td>\r\n <\/tr>\r\n
Tadalafil 20 mg<\/td>\r\n 1<\/td>\r\n 1,400<\/td>\r\n <\/tr>\r\n
10<\/td>\r\n 12,000<\/td>\r\n <\/tr>\r\n\r\n \r\n
Stendra

Avanafil
(generic)<\/td>\r\n 		* Stendra is not available.<\/td>\r\n <\/tr>\r\n
Avanafil 100 mg<\/td>\r\n 1<\/td>\r\n 1,100<\/td>\r\n <\/tr>\r\n
10<\/td>\r\n 9,000<\/td>\r\n <\/tr>\r\n
Avanafil 200 mg<\/td>\r\n 1<\/td>\r\n 1,200<\/td>\r\n <\/tr>\r\n
10<\/td>\r\n 10,000<\/td>\r\n <\/tr>\r\n\r\n \r\n
Zydena

Udenafil
(generic)<\/td>\r\n 		* Zydena is not available.<\/td>\r\n <\/tr>\r\n
Udenafil 100 mg<\/td>\r\n 1<\/td>\r\n 1,100<\/td>\r\n <\/tr>\r\n
10<\/td>\r\n 9,000<\/td>\r\n <\/tr>\r\n
Udenafil 200 mg<\/td>\r\n 1<\/td>\r\n 1,200<\/td>\r\n <\/tr>\r\n
10<\/td>\r\n 10,000<\/td>\r\n <\/tr>\r\n\r\n \r\n
Trial
package<\/td>\r\n 		Sildenafil 50 mg
+ Vardenafil 10 mg
+ Tadalafil 10 mg
(3 types)<\/td>\r\n 		1 set<\/td>\r\n 3,400<\/td>\r\n <\/tr>\r\n
Sildenafil 50 mg
+ Vardenafil 10 mg
+ Tadalafil 10 mg
+ Avanafil 100 mg
(4 types)<\/td>\r\n 		1 set<\/td>\r\n 4,000<\/td>\r\n <\/tr>\r\n
Sildenafil 50 mg
+ Vardenafil 10 mg
+ Tadalafil 10 mg
+ Avanafil 100 mg
+ Udenafil 100 mg
(5 types)<\/td>\r\n 		1 set<\/td>\r\n 4,600<\/td>\r\n <\/tr>\r\n\r\n \r\n
Trial
package+<\/td>\r\n 		Sildenafil 50 mg
+ Vardenafil 20 mg
+ Tadalafil 20 mg
(3 types)<\/td>\r\n 		1 set<\/td>\r\n 3,800<\/td>\r\n <\/tr>\r\n
Sildenafil 50 mg
+ Vardenafil 20 mg
+ Tadalafil 20 mg
+ Avanafil 200 mg
(4 types)<\/td>\r\n 		1 set<\/td>\r\n 4,600<\/td>\r\n <\/tr>\r\n
Sildenafil 50 mg
+ Vardenafil 20 mg
+ Tadalafil 20 mg
+ Avanafil 200 mg
+ Udenafil 200 mg
(5 types)<\/td>\r\n 		1 set<\/td>\r\n 5,400<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n

Steps<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The flow of ED medication prescription at our clinic is as follows.<\/p>\r\n\r\n

\r\n
Step 1<\/div>\r\n

Consultation<\/p>\r\n

\r\n

Discuss with the doctor and decide which medicine to get.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

\r\n
Step 2<\/div>\r\n

Prescription and billing<\/p>\r\n

\r\n

After payment, receive the medication at the reception. First visit incurs consultation fees, but subsequent visits allow for prescription without consultation (no consultation fee required).<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Premature Ejaculation<\/h2>\r\n

Premature ejaculation refers to a condition where an individual ejaculates sooner than expected by themselves or by their partner.<\/p>\r\n

Data suggests that 1 out of 3.5 men in Japan are struggling with premature ejaculation, making it a common concern.\r\n<\/p>\r\n\r\n

<\/div>\r\n\r\n

Causes<\/h3>\r\n\r\n
<\/div>\r\n\r\n

Premature ejaculation is thought to have three main causes.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

\r\n Hypersensitivity Premature Ejaculation<\/strong>\r\n <\/p>\r\n

The penis and surrounding nerves are sensitive, making ejaculation easier with slight stimulation.<\/p>\r\n

This is because even unintentional stimulation triggers ejaculation before sexual excitement reaches the brain.\r\n <\/p>\r\n

Younger individuals (ages 10’s-20’s) with strong erectile function and\/or sexual desire are more prone to this.\r\n <\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

\r\n Psychogenic Premature Ejaculation<\/strong>\r\n <\/p>\r\n

Stress or trauma related to sexual activity can activate the sympathetic nervous system, causing premature ejaculation.\r\n <\/p>\r\n

Specifically, stress at work or within relationship can be contributing factors.<\/p>\r\n

Lack of confidence, anxiety and nervousness can lead to loss of control over ejaculation timing.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

\r\n Debilitative Premature Ejaculation<\/strong>\r\n <\/p>\r\n

Aging causes a decrease in male hormones (testosterone), leading to reduced muscle mass.<\/p>\r\n

Weakened muscles supposed to control ejaculation contributes to easier ejaculation.<\/p>\r\n

Debilitative premature ejaculation is more common among individuals aged 40’s-60’s, when male hormone secretion declines.<\/p>\r\n

It can often be accompanied by erectile dysfunction (ED).<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Eligibility<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The following individuals are eligible for premature ejaculation treatment.<\/p>\r\n

Not only those concerned about the timing of ejaculation but also those experiencing stress caused by it are eligible for the treatment.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n Eligible for:\r\n <\/div>\r\n
\r\n

Individuals experiencing stress or discomfort due to early ejaculation.<\/p>\r\n

Those whose partner experiences the discomfort like above.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Types of Medication<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The component dapoxetine calms the sympathetic nervous system, reducing excessive brain excitement and extending ejaculation time.<\/p>\r\n

Although premature ejaculation medication has yet to be approved in Japan, it’s approved in over 50 countries worldwide.\r\n<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

By taking ED medication, erectile hardness is improved, and it can extend the time to ejaculation.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Side Effects and Precautions<\/h3>\r\n\r\n
<\/div>\r\n\r\n

Side effects and precautions for premature ejaculation medication are as follows.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Side Effects<\/div>\r\n
\r\n

Nausea, dizziness, headache, dry mouth, etc.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Precautions<\/div>\r\n
\r\n

Consult your doctor if you currently have heart or liver conditions, or if you’re taking antidepressants.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Price<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The price of premature ejaculation treatment medication is as follows:<\/p>\r\n

Note that these are not covered by Japanese national health insurance.<\/p>\r\n\r\n

\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Medication<\/th>\r\n # of
tablets<\/th>\r\n 		Price
(JPY)<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
Dapoxetine
60mg<\/td>\r\n 		1<\/td>\r\n 900<\/td>\r\n <\/tr>\r\n
5<\/td>\r\n 4,000<\/td>\r\n <\/tr>\r\n
15<\/td>\r\n 11,000<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n
\r\n
\r\n

If premature ejaculation results from multiple factors, combining medication with ED treatment can enhance effects.\r\n <\/p>\r\n

Both treatments are non-addictive and can be used safely in combination.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Steps<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The consultation process for prescribing premature ejaculation medication at our clinic is as follows:<\/p>\r\n\r\n

\r\n
Step 1<\/div>\r\n

Interview and Examination<\/p>\r\n

\r\n

Consult with a doctor to consider appropriate medication.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

\r\n
Step 2<\/div>\r\n

Prescription and Billing<\/p>\r\n

\r\n

After payment, receive the medication at the reception. First visit incurs consultation fees, but subsequent visits allow for prescription without consultation (no consultation fee required).<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

AGA Medications<\/h2>\r\n

AGA (Androgenetic Alopecia), typically characterized by hair loss starting around the forehead’s hairline and the crown, gradually progresses to more noticeable baldness over time.<\/p>\r\n

If AGA develops, it is not possible to naturally stop the progression of hair thinning, hence starting treatment early is recommended.<\/p>\r\n

FAGA (Female Androgenetic Alopecia) refers to hair loss occurring due to a decrease in female hormones and a dominance of male hormones, and is becoming increasingly recognized as a cause of hair thinning and loss in women. The effectiveness of Minoxidil and Spironolactone is anticipated<\/strong>.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

We offer value packages for 3 or 6-month bundles as well as for multiple medications.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n Recommended for:\r\n <\/div>\r\n
\r\n

– Individuals with a family history of hair loss<\/p>\r\n

– Finding hair on the pillow<\/p>\r\n

– Noticing hair thinning<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n Female AGA<\/a>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n

Causes of AGA\/FAGA<\/h3>\r\n\r\n
<\/div>\r\n\r\n

[Causes of AGA]<\/u><\/p>\r\n

AGA develops when dihydrotestosterone (DHT), a potent androgen, binds to androgen receptors in the scalp.<\/p>\r\n

This binding suppresses the division of hair matrix cells in areas such as the frontal and crown regions, shortening the growth phase of the hair cycle.<\/p>\r\n

As a result, hair enters the regression phase before growing sufficiently, leading to thinning and hair loss.<\/p>\r\n\r\n

[Causes of FAGA]<\/u><\/p>\r\n

While AGA is commonly known to affect men, it can also occur in women<\/strong>.<\/p>\r\n

Women also produce small amounts of androgens, but estrogen\u2014a female hormone\u2014typically helps prevent hair loss.<\/p>\r\n

When estrogen levels decline for any reason, and androgens become relatively dominant, this hormonal imbalance can lead to thinning hair\u2014a condition known as FAGA.<\/p>\r\n

Estrogen levels may decrease due to aging, stress or poor lifestyle habits. However, since a baseline amount of estrogen continues to be produced, complete hair loss is rare. FAGA is characterized by the following patterns of hair thinning:<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n Characteristics of Hair Loss in FAGA\r\n <\/div>\r\n
\r\n

– Diffuse thinning across the entire scalp<\/p>\r\n

– Thinner hair strands<\/p>\r\n

– Prominent thinning at the crown<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

AGA Treatment<\/h3>\r\n\r\n
<\/div>\r\n\r\n

Treatment of AGA involves inhibiting dihydrotestosterone (DHT), the harmful male hormone. DHT is produced when testosterone is converted by the enzyme 5-alpha-reductase. To inhibit DHT, treatments that block this enzyme (5-alpha-reductase), including\r\n oral and topical medications, are necessary.<\/p>\r\n

Finasteride and Dutasteride act on 5-alpha-reductase to normalize the hair cycle, creating an environment that promotes thicker and longer hair growth.<\/p>\r\n

Minoxidil supports the production of substances like Insulin-like Growth Factor 1 (IGF-1) and Vascular Endothelial Growth Factor (VEGF), which promote cell growth and development, and the formation of new blood vessels, thereby activating hair follicles\r\n and encouraging hair growth.<\/p>\r\n

We offer all three medications: Finasteride, Dutasteride, and Minoxidil.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

Finasteride and dutasteride are not approved for use in cisgender women.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Finasteride<\/div>\r\n
\r\n

Effects<\/strong>: Normalizes the hair cycle and promotes the growth of thicker, longer hair.<\/p>\r\n

Side effects<\/strong>: Initial hair loss, decreased libido, erectile dysfunction (ED)<\/p>\r\n

Dosage<\/strong>: One tablet per day<\/p>\r\n

Price<\/strong>:\r\n

1-month: 4,000 JPY<\/p>\r\n

3-month: 10,500 JPY (3,500 JPY\/month)<\/p>\r\n

6-month: 18,000 JPY (3,000 JPY\/month)<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Dutasteride<\/div>\r\n
\r\n

Effects<\/strong>: Said to be three times as effective at promoting hair growth and inhibiting 5-alpha-reductase type II compared to Finasteride.<\/p>\r\n

Side effects<\/strong>: Initial hair loss, decreased libido, erectile dysfunction (ED)<\/p>\r\n

Dosage<\/strong>: One tablet per day<\/p>\r\n

Price<\/strong>:\r\n

1-month: 5,000 JPY<\/p>\r\n

3-month: 13,500 JPY (4,500 JPY\/month)<\/p>\r\n

6-month: 24,000 JPY (4,000 JPY\/month)<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Minoxidil (Oral)<\/div>\r\n
\r\n

Product<\/strong>: Minoxidil 5mg (MINOXIHEART)<\/p>\r\n

Effects<\/strong>: Stimulates the division of hair-producing cells and increases blood flow to the scalp, thereby facilitating hair growth.<\/p>\r\n

Side effects<\/strong>: Initial hair loss, scalp rash, skin reactions (redness, itching, rash), hypertrichosis, low blood pressure<\/p>\r\n

Dosage<\/strong>: Half to one tablet per use<\/p>\r\n

Price<\/strong>:\r\n

1-month: 4,000 JPY<\/p>\r\n

3-month: 10,500 JPY (3,500 JPY\/month)<\/p>\r\n

6-month: 18,000 JPY (3,000 JPY\/month)<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Minoxidil (Topical)<\/div>\r\n
\r\n

Product<\/strong>: Topical Minoxidil Solution 5% (Fuji Chemical Industries, Over-the-counter Drug)<\/p>\r\n

Effects<\/strong>: Stimulates the division of hair-producing cells and increases blood flow to the scalp, thereby facilitating hair growth.<\/p>\r\n

Side effects<\/strong>: Initial hair loss, scalp rash, skin reactions (redness, itching, rash)<\/p>\r\n

Dosage<\/strong>: Apply 1ml twice a day to areas of thinning hair<\/p>\r\n

Price<\/strong>:\r\n

1-month: 5,000 JPY<\/p>\r\n

3-month: 13,500 JPY (4,500 JPY\/month)<\/p>\r\n

6-month: 24,000 JPY (4,000 JPY\/month)<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Types and Prices of FAGA Treatments<\/h3>\r\n\r\n
<\/div>\r\n\r\n

As with AGA treatment, managing FAGA requires suppressing dihydrotestosterone (DHT), a potent androgen. However, finasteride and dutasteride are not approved for use in cisgender women<\/strong>.<\/p>\r\n

For this reason, FAGA is treated with medications such as spironolactone, which has anti-androgenic effects. It prevents DHT from binding to androgen receptors in the scalp, helping to restore the normal hair cycle and create an environment where hair\r\n can grow thicker and longer.<\/p>\r\n

Minoxidil can be used by cisgender women. For topical use, a 1% minoxidil solution is typically recommended to minimize side effects such as skin irritation.<\/p>\r\n

We offer three types of medications for FAGA treatment: spironolactone, oral minoxidil and topical minoxidil. Please note that all treatments are not covered by Japanese national health insurance.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Spironolactone<\/div>\r\n
\r\n

Overview<\/strong>: In addition to treating hair thinning in women, it is also used to treat acne and excessive hair growth. Treatment can be started with a low dose and gradually increased. Its anti-androgenic action prevents DHT, the\r\n main cause of AGA and FAGA, from binding to androgen receptors in the scalp.<\/p>\r\n

Side Effects<\/strong>: Electrolyte imbalance (especially hyperkalemia), impaired kidney function, low blood pressure, frequent urination, irregular menstruation, breakthrough bleeding and breast tenderness<\/p>\r\n

Dosage<\/strong>: Depends on the severity of FAGA (typically starts around 50 mg)<\/p>\r\n

Price<\/strong>:<\/p>\r\n

\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Dosage<\/th>\r\n # of
tablets<\/th>\r\n 		Price
(JPY)<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
50 mg<\/td>\r\n 30<\/td>\r\n 2,500<\/td>\r\n <\/tr>\r\n
100 mg<\/td>\r\n 30<\/td>\r\n 5,000<\/td>\r\n <\/tr>\r\n
150 mg<\/td>\r\n 30<\/td>\r\n 7,500<\/td>\r\n <\/tr>\r\n
200 mg<\/td>\r\n 30<\/td>\r\n 10,000<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n <\/div>\r\n <\/div>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n
\r\n
\r\n

We perform regular blood tests to monitor for electrolyte imbalances and kidney function issues to ensure safe use of spironolactone.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n\r\n
\r\n
Minoxidil (Oral)<\/div>\r\n
\r\n

Product<\/strong>: Minoxidil 5 mg (MINOXIHEART)<\/p>\r\n

Effect<\/strong>: Promotes the division of hair matrix cells and enhances blood circulation in the scalp, delivering nutrients to these cells and supporting hair growth.<\/p>\r\n

Side Effects<\/strong>: Initial hair shedding, scalp rash, skin reactions (redness, itching, irritation), excessive hair growth and low blood pressure<\/p>\r\n

Dosage<\/strong>: 0.5 to 1 tablet per dose<\/p>\r\n

Price<\/strong>:<\/p>\r\n

1-month: 4,000 JPY<\/p>\r\n

3-month: 10,500 JPY (3,500 JPY\/month)<\/p>\r\n

6-month: 18,000 JPY (3,000 JPY\/month)<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Minoxidil for Women (Topical)<\/div>\r\n
\r\n

Product<\/strong>: Topical Minoxidil Solution 1% (Fuji Chemical Industries, Over-the-counter Drug)<\/p>\r\n

Features<\/strong>: Effective for preventing hair loss and promoting hair growth in women, influenced by factors such as age, stress, and lifestyle. Suitable for treatment of female pattern hair loss.<\/p>\r\n

Effects<\/strong>: Stimulates the division of hair-producing cells and increases blood flow to the scalp, thereby facilitating hair growth.<\/p>\r\n

Side effects<\/strong>: Initial hair loss, scalp rash, skin reactions (redness, itching, rash)<\/p>\r\n

Dosage<\/strong>: Apply 1ml twice a day to areas of thinning hair<\/p>\r\n

Price<\/strong>:\r\n

1-month: 4,500 JPY<\/p>\r\n

3-month: 12,000 JPY (4,000 JPY\/month)<\/p>\r\n

6-month: 22,000 JPY (3,667 JPY\/month)<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Value Packages<\/h3>\r\n\r\n
<\/div>\r\n\r\n

We offer value package prices to make it more affordable to start and continue hair loss prevention and hair growth promotion.<\/p>\r\n

Finasteride and Dutasteride are described as medications that ‘prevent hair loss and strengthen hair,’ while Minoxidil is known as a ‘hair growth medication.’ When using Minoxidil, it is recommended to use it in combination with Finasteride or Dutasteride\r\n to prevent hair loss and promote hair growth synergistically.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Finasteride Pack<\/div>\r\n
\r\n

Content<\/strong>: By prescribing a combination of Finasteride (oral) and Minoxidil (topical\/oral), we provide an economical way to promote hair loss prevention and hair growth.<\/p>\r\n

Recommended for<\/strong>: Those concerned about AGA or who want to start prevention, those troubled by hair loss or hair quality, etc.<\/p>\r\n

Finasteride + Minoxidil Oral<\/strong>:\r\n

1-month: 7,000 JPY
(You can save 1,000 JPY)<\/p>\r\n

3-month: 18,000 JPY (6,000 JPY\/month)
(You can save 3,000 JPY)<\/p>\r\n

6-month: 30,000 JPY (5,000 JPY\/month)
(You can save 6,000 JPY)<\/p>\r\n

Finasteride + Minoxidil Topical<\/strong>:\r\n

1-month: 8,000 JPY
(You can save 1,000 JPY)<\/p>\r\n

3-month: 22,500 JPY (7,500 JPY\/month)
(You can save 1,500 JPY)<\/p>\r\n

6-month: 40,000 JPY (6,667 JPY\/month)
(You can save 2,000 JPY)<\/p>\r\n

Finasteride + Minoxidil Oral + Minoxidil Topical<\/strong>:\r\n

1-month: 11,000 JPY
(You can save 2,000 JPY)<\/p>\r\n

3-month: 30,000 JPY (10,000 JPY\/month)
(You can save 4,500 JPY)<\/p>\r\n

6-month: 52,000 JPY (8,667 JPY\/month)
(You can save 8,000 JPY)<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Dutasteride Pack<\/div>\r\n
\r\n

Content<\/strong>: By prescribing a combination of Dutasteride (oral) and Minoxidil (oral\/topical), we provide an economical way to promote hair loss prevention and hair growth. This set offers more potent AGA treatment compared to Finasteride\r\n alone.\r\n <\/p>\r\n

Recommended for<\/strong>: Those who want to start serious AGA treatment, not just prevention, or those who have found single-drug treatments insufficient.<\/p>\r\n

Dutasteride + Minoxidil Oral<\/strong>:\r\n

1-month:8,000 JPY
(You can save 1,000 JPY)<\/p>\r\n

3-month: 21,000 JPY (7,000 JPY\/month)
(You can save 3,000 JPY)<\/p>\r\n

6-month: 36,000 JPY (6,000 JPY\/month)
(You can save 6,000 JPY)<\/p>\r\n

Dutasteride + Minoxidil Topical<\/strong>:\r\n

1-month:9,000 JPY
(You can save 1,000 JPY)<\/p>\r\n

3-month: 25,500 JPY (8,500 JPY\/month)
(You can save 1,500 JPY)<\/p>\r\n

6-month: 46,000 JPY (7,667 JPY\/month)
(You can save 2,000 JPY)<\/p>\r\n

Dutasteride + Minoxidil Oral + Minoxidil Topical<\/strong>:\r\n

1-month:12,000 JPY
(You can save 2,000 JPY)<\/p>\r\n

3-month: 33,000 JPY (11,000 JPY\/month)
(You can save 4,500 JPY)<\/p>\r\n

6-month: 58,000 JPY (9,667 JPY\/month)
(You can save 8,000 JPY)<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

AGA Treatment for Transgender Individuals<\/h3>\r\n\r\n
<\/div>\r\n\r\n

We are receiving an increasing number of inquiries about AGA from transgender individuals, particularly transgender men, who experience gender dysphoria or gender incongruence.<\/p>\r\n

Hair thinning or loss may occur with testosterone therapy, but appropriate medication can help prevent or treat AGA effectively.<\/p>\r\n

The effectiveness of AGA medications in addressing hair thinning caused by testosterone therapy is also recognized by WPATH (World Professional Association for Transgender Health).<\/p>\r\n

We specialize in providing AGA treatment for transgender individuals.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n Watch video [JP]<\/sup><\/a>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n

This video provides detailed information on AGA medications for transgender individuals.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n Watch video [JP]<\/sup><\/a>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n

Consultation Process<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The process for prescribing AGA medications at our clinic is as follows:<\/p>\r\n\r\n

\r\n
Step 1<\/div>\r\n

Medical Consultation and Examination<\/p>\r\n

\r\n

After discussing with a doctor, suitable medications are considered.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

\r\n
Step 2<\/div>\r\n

Prescription and Payment<\/p>\r\n

\r\n

At reception, AGA medications will be provided. An initial consultation fee applies, but subsequent visits for prescription renewals do not require a consultation or fee.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Contraceptive Pill<\/h2>\r\n

This is a method of contraception (birth control or pregnancy prevention) that women can control at their own will. If taken properly, the failure rate (pregnancy rate) is 0.1%, which means you can prevent pregnancy with a high probability. The medication\r\n has also the following effects in addition to contraception.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Menstrual shifting<\/div>\r\n
\r\n

You can delay your period for travel, events, exams, etc.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Improvement of
menstrual irregularities<\/div>\r\n
\r\n

Your period will come regularly almost every 28 days.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Relief of menstrual
pain \/ bleeding<\/div>\r\n
\r\n

The amount of menstrual blood decreases, making menstrual pain more manageable.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Relief of PMS<\/div>\r\n
\r\n

By controlling hormonal fluctuations, it helps to alleviate premenstrual syndrome (PMS) such as irritability, breast tension, swelling of the hands, feet and face, etc.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

It also has effects on treating endometriosis, improving acne, and reducing the incidence of ovarian cancer and endometrial cancer.<\/p>\r\n\r\n

<\/div>\r\n\r\n

Eligibility<\/h3>\r\n\r\n
<\/div>\r\n\r\n

You are suitable for taking the pill as long as you can enjoy the benefits mentioned above.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n Suitable for those wanting to:\r\n <\/div>\r\n
\r\n

– prevent a pregnancy,<\/p>\r\n

– shift their menstruation,<\/p>\r\n

– alleviate the symptoms of premenstrual syndrome (PMS), or<\/p>\r\n

– improve \/ alleviate menstrual pain and irregular menstruation.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Side effects<\/h3>\r\n\r\n
<\/div>\r\n\r\n

One serious side effect of the pill is that the incidence of thrombosis (a disease where blood clots in the vessels) is 2-3 times higher than in people who are not taking the pill. The incidence of thrombosis increases even in those who are not taking the pill during their pregnancy and\/or childbirth as the hormone balance changes. However, it is known that the incidence of thrombosis from the pill is much lower than the risk during pregnancy regardless of a use of pill. Note that those who smoke are at higher risk of thrombosis, so we ask them to quit smoking.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

We offer mini-pills with fewer side effects (pills that do not contain estrogen) and contraceptive injections (Depo-Provera, an estrogen-free contraceptive formulation).<\/p>\r\n

These medications can be used even by individuals for whom combined oral contraceptives are not recommended, such as those who smoke or are breastfeeding. If you are interested, please feel free to consult with a doctor.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Initial symptoms of thrombosis<\/div>\r\n
\r\n

Calf pain, swelling, numbness (often only on one side), chest pain, shortness of breath, fainting, dizziness, headache, incoherent speech, etc.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Contraceptive injection (Depo-Provera)<\/h3>\r\n\r\n
<\/div>\r\n\r\n

Depo-Provera is a contraceptive method given as an injection once every three months<\/strong>.<\/p>\r\n

The injection contains a hormone called progestin, which suppresses ovulation and prevents pregnancy.<\/p>\r\n

There is no need to take daily medication, and its simplicity – receive an injection and return after three months – is a key feature.<\/p>\r\n

Individuals currently using oral contraceptives or mini-pills can switch to Depo-Provera.<\/p>\r\n

It is also possible to switch back to oral contraceptives or mini-pills after using Depo-Provera.<\/p>\r\n

Click the blog below to view a detailed explanation.<\/p>\r\n\r\n

<\/div>\r\n\r\n\r\n\r\n
\r\n\t
\r\n

Recommended for<\/p>\r\n\t<\/div>\r\n\t

\r\n

– You sometimes forget to take oral contraceptives<\/p>\r\n

– Taking medication every day feels burdensome<\/p>\r\n\t<\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Depo-Provera is a contraceptive method that many individuals can use safely. However, it is known that long-term use may cause a temporary decrease in bone mineral density.<\/p>\r\n

Please be sure to inform us before or during use of Depo-Provera if any of the following apply to you.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n\t
Individuals who should pay attention to bone health<\/div>\r\n\t
\r\n\t\t

– You have experienced a fracture even after a minor fall<\/p>\r\n\t\t

– You have been diagnosed with osteoporosis<\/p>\r\n\t\t

– You are significantly underweight or have experienced sudden weight loss<\/p>\r\n\t\t

– You have been using steroid medications for a long period<\/p>\r\n\t\t

– You have kidney disease, malabsorption disorders or thyroid disease<\/p>\r\n\t\t

– You have persistent lower back or back pain or feel that your height has decreased<\/p>\r\n \t<\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Even if any of these apply, it does not necessarily mean that you cannot use Depo-Provera immediately.<\/p>\r\n

Based on your symptoms and medical background, we can discuss together whether continued use is appropriate and explore other options.<\/p>\r\n\r\n

<\/div>\r\n\r\n

Price<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The price of the contraceptive pills and injections at our clinic is as follows.<\/p>\r\n

Note that these are not covered by Japanese national health insurance.<\/p>\r\n\r\n

\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n\t\t\t \r\n\t\t\t
<\/caption>\r\n
Type<\/th>\r\n Medication
Name<\/th>\r\n 		# of
Sheets
or Doses<\/th>\r\n 		Price
(JPY)<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
Low-
dose
pills<\/td>\r\n 		Marvelon 28<\/td>\r\n 1<\/td>\r\n 2,300<\/td>\r\n <\/tr>\r\n
3<\/td>\r\n 6,500<\/td>\r\n <\/tr>\r\n
6<\/td>\r\n 12,500<\/td>\r\n <\/tr>\r\n
Triquilar 28<\/td>\r\n 1<\/td>\r\n 2,300<\/td>\r\n <\/tr>\r\n
3<\/td>\r\n 6,500<\/td>\r\n <\/tr>\r\n
6<\/td>\r\n 12,500<\/td>\r\n <\/tr>\r\n
Favoir 28
(Marvelon
generic)<\/td>\r\n 		1<\/td>\r\n 2,000<\/td>\r\n <\/tr>\r\n
3<\/td>\r\n 5,500<\/td>\r\n <\/tr>\r\n
6<\/td>\r\n 10,500<\/td>\r\n <\/tr>\r\n
Labelle
feuille 28
(Triquilar
generic)<\/td>\r\n 		1<\/td>\r\n 2,000<\/td>\r\n <\/tr>\r\n
3<\/td>\r\n 5,500<\/td>\r\n <\/tr>\r\n
6<\/td>\r\n 10,500<\/td>\r\n <\/tr>\r\n
Mid-
dose
pills<\/td>\r\n 		Planovar 21<\/td>\r\n 1<\/td>\r\n 1,700<\/td>\r\n <\/tr>\r\n
Mini
pills<\/td>\r\n 		Azalia
(Cerazette
generic)<\/td>\r\n 		1<\/td>\r\n 2,500<\/td>\r\n <\/tr>\r\n
3<\/td>\r\n 7,000<\/td>\r\n <\/tr>\r\n
6<\/td>\r\n 12,500<\/td>\r\n <\/tr>\r\n
Slinda<\/td>\r\n 1<\/td>\r\n 3,000<\/td>\r\n <\/tr>\r\n
3<\/td>\r\n 8,500<\/td>\r\n <\/tr>\r\n
6<\/td>\r\n 16,500<\/td>\r\n <\/tr>\r\n
Contraceptive injection<\/span>Contra-
ceptive
injection<\/td>\r\n 		Depo-Provera<\/td>\r\n 1<\/td>\r\n 9,000<\/td>\r\n\t\t <\/tr>\r\n
3<\/td>\r\n 25,000<\/td>\r\n <\/tr>\r\n
Depo-Provera
with discount*<\/td>\r\n 		1<\/td>\r\n 8,000<\/td>\r\n <\/tr>\r\n
3<\/td>\r\n 22,000<\/td>\r\n <\/tr>\r\n\t\t
Blood tests<\/td>\r\n For those taking
oral contraceptives
(Recommended once a year)<\/td>\r\n 		1<\/td>\r\n 2,500<\/td>\r\n\t\t <\/tr>\r\n\t\t
Bone health test
[For individuals using
contraceptive injection]
(Recommended once a year)<\/td>\r\n 		1<\/td>\r\n 2,500<\/td>\r\n\t\t <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n<\/div>\r\n

* Discount is applied if you purchase PrEP, doxy-PEP or medication for the prevention of vaginal candida from us.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

We offer Slinda, a new formulation of the mini pill.
For first-time users, Slinda is available at 2,500 JPY per sheet, and you may purchase as many sheets as needed.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Steps<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The steps for prescribing the contraceptive pill at our clinic is as follows.<\/p>\r\n\r\n

\r\n
Step 1<\/div>\r\n

Doctor’s consultation, examination and blood test<\/p>\r\n

* first time only<\/p>\r\n<\/div>\r\n\r\n

\r\n
Step 2<\/div>\r\n

Explanation of the pill \/ injection<\/p>\r\n

* first time only<\/p>\r\n<\/div>\r\n\r\n

\r\n
Step 3<\/div>\r\n

Prescription and billing<\/p>\r\n

\r\n

After payment, receive the medication at the reception. Injections will be administered by our nurse.<\/p>\r\n

First visit incurs consultation fees, but subsequent visits allow for prescription without consultation (no consultation fee required).<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n\t
\r\n

If you visit us more than 15 weeks after your previous contraceptive injection<\/strong>, additional contraception such as condoms or emergency contraception is required. A consultation with a doctor is necessary (a consultation fee applies).<\/p>\r\n

When using the contraceptive injection (Depo-Provera), individuals who are considered high-risk according to our criteria are required to have a consultation at least once a year.<\/p>\r\n\t<\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Morning-After Pill
(Emergency Contraception)<\/h2>\r\n

If you’ve had a sexual intercourse with a possibility of pregnancy against your will, morning-after pill can help you prevent pregnancy. You should visit a medical institution as soon as possible if you fail in contraception.<\/p>\r\n

You don’t need a national health insurance card or parental consent to prescribe the morning-after pill. Prescription is also available even if you’re under 18.<\/p>\r\n\r\n

<\/div>\r\n\r\n

Eligibility<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The main candidates for taking the morning-after pill (emergency contraceptive) are as follows.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n Suitable for those who:\r\n <\/div>\r\n
\r\n

– want to use contraception,<\/p>\r\n

– used a condom, which slipped off or broke,<\/p>\r\n

– forgot to take the pill and had intercourse,<\/p>\r\n

– get sexually assaulted, or<\/p>\r\n

– want to prevent unwanted pregnancy for other reasons.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

Among the morning-after pills prescribed at our clinic, Ella can be used within 120 hours<\/strong> (5 days) after intercourse.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Types of Medication<\/h3>\r\n\r\n
<\/div>\r\n\r\n

We have 2 kinds of morning-after pills. Both prevent pregnancy by suppressing ovulation through the action of their active ingredient, progesterone.<\/p>\r\n

Furthermore, they prevent pregnancy by inhibiting the growth of the endometrium and preventing the fertilized egg, if created, from implanting.<\/p>\r\n

Note that these are not covered by Japanese national health insurance and that a consultation fee will be charged in addition to the price of medication.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Ella<\/div>\r\n
\r\n

Price<\/strong>: 7,000 JPY (1 tablet \/ dose)<\/p>\r\n

Dosing time<\/strong>: Take one tablet within 120 hours (5 days) after intercourse for 98.9% contraceptive effectiveness.<\/p>\r\n

BMI*<\/strong>: Suitable for all individuals.<\/p>\r\n

Note<\/strong>: Ella is an FDA-approved emergency contraceptive, widely used internationally. It remains effective for up to 5 days after intercourse and has minimal side effects such as nausea. Its active ingredient, ulipristal acetate\r\n (a progestin), is also used in the treatment of uterine fibroids.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Levonorgestrel<\/div>\r\n
\r\n

Price<\/strong>: 7,000 JPY (1 tablet \/ dose)<\/p>\r\n

Dosing time<\/strong>: 1 tablet \/ dose within 72 hours (3 days) after intercourse for contraceptive effect\r\n <\/p>\r\n

BMI*<\/strong>: Only for those with less than 30<\/p>\r\n

Approval<\/strong>: Levonorgestrel is approved by the Ministry of Health, Labour and Welfare of Japan\r\n <\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

*BMI = weight [kg] \/ (height [m])²<\/p>\r\n\r\n

<\/div>\r\n\r\n

Side Effects and Precautions<\/h3>\r\n\r\n
<\/div>\r\n\r\n

Emergency contraceptives have almost no side effects, but rarely, you may experience nausea, headache, abdominal pain, or abnormal bleeding.<\/p>\r\n

We can also prescribe anti-nausea medication if you want.<\/p>\r\n

If you vomit within 3 hours of medication, you need to take another tablet.<\/p>\r\n

If you’re worried about possible vomiting, we can prescribe two tablets at the same time (one for use, one as a spare in case of vomiting), so please consult us.<\/p>\r\n

People who should not take emergency contraceptives include the following.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n Contraindicated to:\r\n <\/div>\r\n
\r\n

– Those allergic to the ingredients of this medicine,<\/p>\r\n

– pregnant women,<\/p>\r\n

– those with heart or liver problems, or<\/p>\r\n

– breastfeeding women.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Dosing Time<\/h3>\r\n\r\n
<\/div>\r\n\r\n

Even if the recommended time for taking the emergency contraceptive after intercourse has passed, you can still take the emergency contraceptive. You can still expect a certain effect although the effect is greatly reduced compared to when taken within\r\n 72 hours after intercourse. Consult a doctor for more details.<\/p>\r\n\r\n

<\/div>\r\n\r\n

Contraception Check-Up<\/h3>\r\n\r\n
<\/div>\r\n\r\n

If you have bleeding like a period within 3 weeks after taking the morning-after pill, it suggests that the contraception is successful.<\/p>\r\n

If you haven’t had a menstrual cycle 3 weeks after sexual intercourse, there is a possibility that contraception may have failed. Please use a pregnancy test or go to a hospital to get checked and confirm if you are pregnant.<\/p>\r\n\r\n

<\/div>\r\n\r\n

Steps<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The flow of morning-after pill prescription at our clinic is as follows.<\/p>\r\n\r\n

\r\n
Step 1<\/div>\r\n

Consultation and examination<\/p>\r\n<\/div>\r\n\r\n

\r\n
Step 2<\/div>\r\n

Explanation of how to use the medication<\/p>\r\n<\/div>\r\n\r\n

\r\n
Step 3<\/div>\r\n

Prescription and billing<\/p>\r\n

\r\n

You will receive the medication at the reception after payment. Note that consultation fee will be charged.\r\n <\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Acne treatment and prevention<\/h2>\r\n

Acne is a common condition that affects people of all ages and genders.<\/p>\r\n

It can worsen due to various factors, including lifestyle, diet, hormone therapy, cosmetics and skincare products.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

We provide acne treatment and prevention for people of all genders.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Gender and acne treatment and prevention<\/div>\r\n
\r\n

For persistent acne in trans men receiving testosterone therapy, it is possible to improve and prevent acne without stopping testosterone therapy<\/strong>.<\/p>\r\n

In trans women, estrogen plus anti-androgen therapy may reduce sebum production and lead to improvement of acne.<\/p>\r\n

In cisgender women, we can provide acne treatment and prevention together with treatment for hair thinning (FAGA).<\/p>\r\n

If you are receiving hormone therapy, please inform the doctor.<\/strong><\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

To provide medical care tailored to each patient’s needs, prescription schedule and causes of acne, all acne treatments are prescribed as not covered by Japanese national health insurance.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

For patients concerned about post-inflammatory hyperpigmentation after acne treatment, melasma or dullness, we also offer an oral whitening package and bifloxacin combination tablets (vitamin B2 plus B6).<\/p>\r\n\r\n

<\/div>\r\n\r\n
Learn More<\/a> <\/div>\r\n\r\n
<\/div>\r\n\r\n

Types of acne<\/h3>\r\n\r\n
<\/div>\r\n\r\n

Acne, formally called acne vulgaris, is a chronic inflammatory disorder of the pilosebaceous unit.<\/p>\r\n

The condition progresses in stages and is broadly divided into four main types.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Whiteheads<\/div>\r\n
\r\n

Also called closed comedones. These occur when pores become clogged, causing rough skin with small whitish bumps.<\/p>\r\n

There are usually no subjective symptoms.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Blackheads<\/div>\r\n
\r\n

Also called open comedones. Pores become clogged but remain open, and melanin within keratinocytes makes the comedones appear black.<\/p>\r\n

Symptoms are often minimal, although lesions may occasionally become quite large.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Red acne<\/div>\r\n
\r\n

Inflammation develops within comedones, progressing to red inflammatory papules.<\/p>\r\n

These often hurt when pressed and appear red, which frequently prompts patients to seek consultation.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Yellow acne<\/div>\r\n
\r\n

Represents further progression of inflammation in red papules, with formation of pustules containing pus.<\/p>\r\n

In many cases, the surrounding skin is swollen and oral antibiotics are required.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

After treating acute inflammatory lesions (red and yellow acne), appropriate maintenance therapy can help prevent recurrence.<\/p>\r\n

We not only treat all four types of acne lesions (comedones, inflammatory papules and pustules), but also provide preventive care.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Causes of acne<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The causes of acne can be grouped into four main categories. In most cases, several factors overlap.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Excess sebum production<\/div>\r\n
\r\n

This is related to puberty and hormonal imbalance, including in individuals receiving masculinizing hormone therapy. Sebum production is thought to correlate with acne severity.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Follicular obstruction<\/div>\r\n
\r\n

Keratinization leads to blockage of hair follicles. Acne tends to occur on the face, anterior chest and upper back.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Proliferation of Cutibacterium acnes<\/div>\r\n
\r\n

Acne is not an infectious disease, but the resident bacterium Cutibacterium acnes (C. acnes) plays an important role.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Lifestyle factors<\/div>\r\n
\r\n

Lack of sleep, diet and stress are thought to worsen acne.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Acne treatment<\/h3>\r\n\r\n
<\/div>\r\n\r\n

Acne treatment is provided stepwise according to symptoms and severity.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

Types of acne treatment<\/p>\r\n <\/div>\r\n

\r\n

– Topical medications:<\/strong> We use agents such as antibiotics and keratolytic medications.<\/p>\r\n

– Oral medications:<\/strong> For more severe symptoms, we prescribe oral antibiotics and adjust hormone therapy as needed.<\/p>\r\n

– Skincare guidance:<\/strong> We provide individualized advice on cleansing, moisturizing and lifestyle adjustments.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

Depending on each patient’s condition, we may combine multiple medications and treatment approaches to both treat acne and prevent recurrence.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

[Topical medications]<\/strong><\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

If you develop marked redness, burning, itching or erosion, stop using the product and consult a doctor.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Adapalene gel<\/div>\r\n
\r\n

Effect<\/strong>: Normalizes follicular keratinization and has evidence for preventing new acne lesions.<\/p>\r\n

How to use<\/strong>: Apply gently once daily to the face or trunk. A sensation of irritation often appears within 1-2 weeks after starting, but tends to improve after 2 weeks. Using a moisturizer together can reduce irritation.<\/p>\r\n

Price<\/strong>:<\/p>\r\n

\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Formulation<\/th>\r\n Price (JPY)<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
1 tube<\/td>\r\n 1,200<\/td>\r\n <\/tr>\r\n
3 tubes<\/td>\r\n 3,000
(1,000 \/ tube)<\/td>\r\n <\/tr>\r\n
6 tubes<\/td>\r\n 5,000
(833 \/ tube)<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n <\/div>\r\n <\/div>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n
\r\n
Bepio lotion<\/div>\r\n
\r\n

Effect<\/strong>: Has keratolytic (peeling) activity and an oxidizing bactericidal effect. It is effective for inflammatory lesions such as red and yellow acne. A key feature is that it does not promote resistant bacteria.<\/p>\r\n

How to use<\/strong>: Apply gently once daily to the face only. Irritation or, rarely, contact dermatitis may occur shortly after starting or within several months.<\/p>\r\n

Price<\/strong>:<\/p>\r\n

\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Formulation<\/th>\r\n Price (JPY)<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
1 bottle<\/td>\r\n 2,500<\/td>\r\n <\/tr>\r\n
3 bottles<\/td>\r\n 7,000
(2,333 \/ bottle)<\/td>\r\n <\/tr>\r\n
6 bottles<\/td>\r\n 13,000
(2,167 \/ bottle)<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n <\/div>\r\n <\/div>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n
\r\n
Duac combination gel<\/div>\r\n
\r\n

Effect<\/strong>: A topical medication combining the antibacterial effect of clindamycin with the keratolytic and bactericidal actions of benzoyl peroxide. By suppressing proliferation of C. acnes and improving follicular obstruction, it\r\n has been shown to be highly effective for inflammatory acne such as red and yellow lesions. It is also characterized by a low risk of inducing resistant bacteria.<\/p>\r\n

How to use<\/strong>: Usually applied once daily after cleansing to clean skin, gently spreading over areas prone to acne. If irritation or dryness occurs, symptoms may improve by reducing the amount or frequency of application and using\r\n a moisturizer.<\/p>\r\n

Price<\/strong>:<\/p>\r\n

\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Formulation<\/th>\r\n Price (JPY)<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
1 tube<\/td>\r\n 3,000<\/td>\r\n <\/tr>\r\n
3 tubes<\/td>\r\n 8,000
(2,667 \/ tube)<\/td>\r\n <\/tr>\r\n
6 tubes<\/td>\r\n 15,000
(2,500 \/ tube)<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n <\/div>\r\n <\/div>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n
\r\n
Epiduo gel<\/div>\r\n
\r\n

Effect<\/strong>: A topical medication that combines the keratinization-normalizing action of adapalene on the follicular infundibulum with the keratolytic and bactericidal effects of benzoyl peroxide. It has been shown to be effective\r\n both for preventing new acne lesions and for treating inflammatory acne such as red and yellow lesions. Compared with single agents, a smaller amount can be used to cover larger areas, making treatment simpler and easier to continue.<\/p>\r\n

How to use<\/strong>: Apply once daily, usually at night after cleansing, spreading a thin layer over the entire face or other acne-prone areas. Irritation symptoms such as dryness, stinging or redness may occur particularly during the\r\n first 1-2 weeks, but usually improve gradually. Using a moisturizer may help reduce irritation.<\/p>\r\n

Price<\/strong>:<\/p>\r\n

\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Formulation<\/th>\r\n Price (JPY)<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
1 tube<\/td>\r\n 4,000<\/td>\r\n <\/tr>\r\n
3 tubes<\/td>\r\n 11,000
(3,667 \/ tube)<\/td>\r\n <\/tr>\r\n
6 tubes<\/td>\r\n 20,000
(3,333 \/ tube)<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n <\/div>\r\n <\/div>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n
\r\n
Zebiax lotion<\/div>\r\n
\r\n

Effect<\/strong>: A topical quinolone antibiotic containing 2% ozenoxacin. It suppresses proliferation of bacteria such as C. acnes and staphylococci and is effective for inflammatory acne such as red and yellow lesions. It is also used\r\n for superficial skin infections with pustules.<\/p>\r\n

How to use<\/strong>: Usually applied once daily after cleansing, in a thin layer over inflamed acne lesions. If acne is widespread, apply gently over the entire affected area. Avoid the eyes, mouth, mucous membranes and broken skin. As\r\n this is a topical antibiotic, follow the doctor’s instructions and avoid prolonged use at your own discretion.<\/p>\r\n

Price<\/strong>:<\/p>\r\n

\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Formulation<\/th>\r\n Price (JPY)<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
1 bottle<\/td>\r\n 1,800<\/td>\r\n <\/tr>\r\n
3 bottles<\/td>\r\n 5,000
(1,667 \/ bottle)<\/td>\r\n <\/tr>\r\n
6 bottles<\/td>\r\n 9,000
(1,500 \/ bottle)<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n <\/div>\r\n <\/div>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n
\r\n
Heparinoid cream<\/div>\r\n
\r\n

Effect<\/strong>: Effective for moisturizing and prevention of post-inflammatory hyperpigmentation. It can also be used as a moisturizer.<\/p>\r\n

How to use<\/strong>: Apply as needed to areas requiring moisturization or according to the intended use.<\/p>\r\n

Price<\/strong>:<\/p>\r\n

\r\n \r\n \r\n \r\n \r\n \r\n \r\n
Formulation<\/th>\r\n Price (JPY)<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
25 g (cream)<\/td>\r\n 800<\/td>\r\n <\/tr>\r\n
50 g (lotion)<\/td>\r\n 1,200<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n <\/div>\r\n <\/div>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n

[Oral medications]<\/strong><\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Minocycline<\/div>\r\n
\r\n

Effect<\/strong>: Widely used for red and yellow acne, as it both suppresses C. acnes proliferation and reduces inflammation. Used mainly for moderate to severe acne.<\/p>\r\n

How to use<\/strong>: Take once daily after meals.<\/p>\r\n

Price<\/strong>:<\/p>\r\n

\r\n \r\n \r\n \r\n \r\n \r\n \r\n
Formulation<\/th>\r\n Price (JPY)<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
30 tablets<\/td>\r\n 4,000<\/td>\r\n <\/tr>\r\n
90 tablets<\/td>\r\n 9,000<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n <\/div>\r\n <\/div>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n
\r\n
Isotretinoin<\/div>\r\n
\r\n

Effect<\/strong>: A vitamin A derivative effective for severe or treatment-resistant acne. It suppresses sebum production and improves follicular obstruction and inflammation. In Western countries it is considered a first-line drug for\r\n acne treatment.<\/p>\r\n

How to use<\/strong>: Usually taken 1-2 times daily after meals. Because of potential effects on pregnancy and interactions with other medications, it is prescribed under strict medical supervision.<\/p>\r\n

Price<\/strong>:<\/p>\r\n

\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Formulation<\/th>\r\n # of
tablets<\/th>\r\n 		Price
(JPY)<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
10 mg<\/td>\r\n 30<\/td>\r\n 7,000<\/td>\r\n <\/tr>\r\n
90<\/td>\r\n 18,000<\/td>\r\n <\/tr>\r\n
180<\/td>\r\n 34,000<\/td>\r\n <\/tr>\r\n
20 mg<\/td>\r\n 30<\/td>\r\n 10,000<\/td>\r\n <\/tr>\r\n
90<\/td>\r\n 26,000<\/td>\r\n <\/tr>\r\n
180<\/td>\r\n 49,000<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n <\/div>\r\n <\/div>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n
\r\n
Spironolactone<\/div>\r\n
\r\n

Effect<\/strong>: For cis women and trans women, spironolactone reduces sebum by inhibiting androgen action and improves adult female acne. It is also positioned as an oral treatment option in guidelines.<\/p>\r\n

How to use<\/strong>: We generally start at 50-100 mg per day depending on gender and response, then adjust as needed. It must not be used during pregnancy or in those planning pregnancy. Patients with renal impairment or those taking antihypertensive\r\n or diuretic medications should consult the doctor.<\/p>\r\n

Price<\/strong>:<\/p>\r\n

<\/div>\r\n
\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Formulation<\/th>\r\n # of
tablets<\/th>\r\n 		Price
(JPY)<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
50 mg<\/td>\r\n 30<\/td>\r\n 2,500<\/td>\r\n <\/tr>\r\n
100 mg<\/td>\r\n 30<\/td>\r\n 5,000<\/td>\r\n <\/tr>\r\n
150 mg<\/td>\r\n 30<\/td>\r\n 7,500<\/td>\r\n <\/tr>\r\n
200 mg<\/td>\r\n 30<\/td>\r\n 10,000<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n <\/div>\r\n <\/div>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n
\r\n
\r\n

Spironolactone is also effective for hair thinning (FAGA) in cis women.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
Learn More<\/a> <\/div>\r\n\r\n
<\/div>\r\n\r\n
\r\n
\r\n

In trans women, hormone therapy (estrogen plus anti-androgen therapy) may reduce sebum and improve acne. Hormone therapy can be assessed and managed in detail at our gender affirmation service.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
Learn More<\/a> <\/div>\r\n\r\n
<\/div>\r\n\r\n

[Skincare] (clinic-exclusive cosmetics)<\/strong><\/p>\r\n

We offer various cleansers, lotions, moisturizing emulsions, serums and creams that are effective for acne treatment and prevention.<\/p>\r\n\r\n

<\/div>\r\n\r\n

<Cleansing><\/p>\r\n\r\n

\r\n \r\n
\r\n \r\n
\"Skin<\/figure>\r\n \r\n <\/div>\r\n \r\n \r\n
\r\n
\r\n
Skin Peel Bar Tea Tree<\/div>\r\n
\r\n

Price<\/strong>: 500 JPY \/ 2,750<\/p>\r\n

Formulation:<\/strong> 15 g \/ 135 g<\/p>\r\n

Characteristics:<\/strong> Contains 1.0% AHA, tea tree oil and a vitamin A derivative.<\/p>\r\n

Daily cleansing removes old keratin and excess sebum and keeps the skin clean.<\/p>\r\n

Recommended for patients concerned about acne and those who wish to prevent acne.<\/p>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

<Lotion><\/p>\r\n\r\n

\r\n \r\n
\r\n
\r\n
\"\"<\/figure><\/div>\r\n <\/div>\r\n \r\n \r\n
\r\n
\r\n
AC Clear Watery Essence<\/div>\r\n
\r\n

Price<\/strong>: 4,950<\/p>\r\n

Formulation:<\/strong> 100 ml<\/p>\r\n

Characteristics:<\/strong> Contains three moisturizing ingredients and two skin-conditioning ingredients.<\/p>\r\n

Provides a rich, hydrating feel with plentiful cosmetic ingredients.<\/p>\r\n

Combines the functions of a lotion and a serum, making it easy to use.<\/p>\r\n

Supports the skin’s natural barrier function and helps maintain a state in which acne is less likely to form.<\/p>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n<\/div>\r\n\r\n

<Moisturizing emulsion><\/p>\r\n\r\n

\r\n \r\n
\r\n
\r\n
\"\"<\/figure><\/div>\r\n <\/div>\r\n \r\n \r\n
\r\n
\r\n
AC Clear Gel<\/div>\r\n
\r\n

Price<\/strong>: 4,950<\/p>\r\n

Formulation:<\/strong> 30 g<\/p>\r\n

Characteristics:<\/strong> Moisturizing gel containing ingredients such as placenta extract.<\/p>\r\n

Provides care from acne prevention to dullness after acne care.<\/p>\r\n

Recommended both for overall facial moisturization and for targeted care.<\/p>\r\n

A gentle, fresh-feeling gel.<\/p>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

<Serums><\/p>\r\n\r\n\r\n

\r\n\r\n \r\n
\r\n \r\n
\"\"<\/figure>\r\n \r\n <\/div>\r\n \r\n\r\n \r\n
\r\n
\r\n
VC Concentrate 15b<\/div>\r\n
\r\n

Price<\/strong>: 5,000<\/p>\r\n

Formulation:<\/strong> 12 ml<\/p>\r\n

Characteristics:<\/strong> High-concentration vitamin C serum.<\/p>\r\n

Recommended for skin with visible pores and acne scars.<\/p>\r\n

Provides moisture and smooths the skin.<\/p>\r\n

Clear type that blends easily into the skin.<\/p>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n \r\n
\r\n \r\n
\"\"<\/figure>\r\n \r\n <\/div>\r\n \r\n \r\n
\r\n
\r\n
HQ Brightening<\/div>\r\n
\r\n

Price<\/strong>: 2,200<\/p>\r\n

Formulation:<\/strong> 3 ml<\/p>\r\n

Characteristics:<\/strong> Serum containing hydroquinone.<\/p>\r\n

Penetrates into the deeper layers of the stratum corneum and is effective for treating acne marks.<\/p>\r\n

Serum type that spreads easily on the skin.<\/p>\r\n

Suitable even for sensitive skin.<\/p>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

<Creams><\/p>\r\n\r\n

\r\n \r\n
\r\n \r\n
\"\"<\/figure>\r\n \r\n <\/div>\r\n \r\n \r\n
\r\n
\r\n
AZA Clear<\/div>\r\n
\r\n

Price<\/strong>: 2,000<\/p>\r\n

Formulation:<\/strong> 15 g<\/p>\r\n

Characteristics:<\/strong> High-concentration azelaic acid cream.<\/p>\r\n

Recommended for at-home skincare for acne and oily skin.<\/p>\r\n

Provides a non-greasy yet hydrating feel.<\/p>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n \r\n
\r\n \r\n
\"\"<\/figure>\r\n \r\n <\/div>\r\n \r\n \r\n
\r\n
\r\n
HQ Double Bright E<\/div>\r\n
\r\n

Price<\/strong>: 2,200<\/p>\r\n

Formulation:<\/strong> 6 g<\/p>\r\n

Characteristics:<\/strong> Cream containing hydroquinone.<\/p>\r\n

Penetrates into the deeper layers of the stratum corneum and is effective for treating acne marks.<\/p>\r\n

Light, non-greasy cream suitable even for sensitive skin.<\/p>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n \r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
Learn More<\/a> <\/div>\r\n\r\n
<\/div>\r\n\r\n

Whitening and hyperpigmentation care<\/h3>\r\n\r\n
<\/div>\r\n\r\n

For patients concerned about post-inflammatory hyperpigmentation after acne treatment, melasma or dullness, we offer an oral whitening package and bifloxacin combination tablets (vitamin B2 plus B6).<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

Oral medications for whitening and hyperpigmentation are not used for acne treatment or prevention.<\/p>\r\n

For acne treatment and prevention, please refer to the earlier sections on topical medications, oral medications and skincare.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Oral whitening package (3 agents)<\/div>\r\n
\r\n

Effect<\/strong>: Aims to improve melasma and post-inflammatory hyperpigmentation. The key component tranexamic acid (750 mg per day) suppresses plasmin activity, which is central to pigment formation, while vitamin C (Cinal, 3 tablets\r\n per day) and vitamin E (Yubera, 150 mg per day) provide antioxidant support.<\/p>\r\n

How to use<\/strong>: As a guide, each medication is taken three times daily and the response is evaluated every few months. Tranexamic acid may not be suitable for patients with a history or high risk of thrombosis, prolonged immobilization\r\n or severe renal impairment. If you notice anything unusual while taking it, stop and consult a doctor. Each component can also be purchased individually.<\/p>\r\n

Price<\/strong>:<\/p>\r\n

\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Formulation<\/th>\r\n Price (JPY)<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
1-month
package<\/td>\r\n 		4,000<\/td>\r\n <\/tr>\r\n
3-month
package<\/td>\r\n 		11,000
(3,667 \/ month)<\/td>\r\n <\/tr>\r\n
6-month
package<\/td>\r\n 		20,000
(3,333 \/ month)<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n <\/div>\r\n <\/div>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n
\r\n
Bifloxacin combination tablets<\/div>\r\n
\r\n

Effect<\/strong>: Tablets containing vitamins B2 and B6, used to support skin and mucosal condition in conditions such as seborrheic dermatitis and stomatitis.<\/p>\r\n

How to use<\/strong>: As a guide, take three times daily according to the doctor’s instructions. Avoid long-term high-dose use and adjust the treatment period according to symptoms. Rare cases of peripheral neuropathy have been reported\r\n with prolonged high-dose vitamin B6<\/sub>. If you develop numbness or sensory changes, stop taking the medication and seek medical attention.<\/p>\r\n

Price<\/strong>:<\/p>\r\n

\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Formulation<\/th>\r\n # of
tablets<\/th>\r\n 		Price
(JPY)<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
1-month
package<\/td>\r\n 		90<\/td>\r\n 1,200<\/td>\r\n <\/tr>\r\n
3-month
package<\/td>\r\n 		270<\/td>\r\n 3,300
(1,100 \/ month)<\/td>\r\n <\/tr>\r\n
6-month
package<\/td>\r\n 		540<\/td>\r\n 6,000
(1,000 \/ month)<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n <\/div>\r\n <\/div>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n

Price<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The prices for each acne treatment and preventive medication and whitening or hyperpigmentation care are as shown in the tables below.<\/p>\r\n

All prescriptions are not covered by Japanese national health insurance.<\/p>\r\n\r\n

<\/div>\r\n\r\n

[Acne treatment and prevention]<\/p>\r\n\r\n

\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Medication<\/th>\r\n Formulation<\/th>\r\n Unit<\/th>\r\n Price (JPY)<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
Topical
medic–<\/span>
ations<\/td>\r\n 		Adapalene
gel<\/td>\r\n 		1
item<\/td>\r\n 		1,200<\/td>\r\n <\/tr>\r\n
3
items<\/td>\r\n 		3,000<\/td>\r\n <\/tr>\r\n
6
items<\/td>\r\n 		5,000<\/td>\r\n <\/tr>\r\n\r\n
Bepio
lotion<\/td>\r\n 		1
bottle<\/td>\r\n 		2,500<\/td>\r\n <\/tr>\r\n
3
bottles<\/td>\r\n 		7,000<\/td>\r\n <\/tr>\r\n
6
bottles<\/td>\r\n 		13,000<\/td>\r\n <\/tr>\r\n\r\n
Duac
combination
gel<\/td>\r\n 		1
tube<\/td>\r\n 		3,000<\/td>\r\n <\/tr>\r\n
3
tubes<\/td>\r\n 		8,000<\/td>\r\n <\/tr>\r\n
6
tubes<\/td>\r\n 		15,000<\/td>\r\n <\/tr>\r\n\r\n
Epiduo
gel<\/td>\r\n 		1
tube<\/td>\r\n 		4,000<\/td>\r\n <\/tr>\r\n
3
tubes<\/td>\r\n 		11,000<\/td>\r\n <\/tr>\r\n
6
tubes<\/td>\r\n 		20,000<\/td>\r\n <\/tr>\r\n\r\n
Zebiax
lotion<\/td>\r\n 		1
bottle<\/td>\r\n 		1,800<\/td>\r\n <\/tr>\r\n
3
bottles<\/td>\r\n 		5,000<\/td>\r\n <\/tr>\r\n
6
bottles<\/td>\r\n 		9,000<\/td>\r\n <\/tr>\r\n\r\n
Heparinoid
cream
& lotion<\/td>\r\n 		25 g<\/td>\r\n 800<\/td>\r\n <\/tr>\r\n
50 g<\/td>\r\n 1,200<\/td>\r\n <\/tr>\r\n\r\n
Oral
medic–<\/span>
ations<\/td>\r\n 		Minocycline<\/td>\r\n 30
tablets<\/td>\r\n 		4,000<\/td>\r\n <\/tr>\r\n
90
tablets<\/td>\r\n 		9,000<\/td>\r\n <\/tr>\r\n\r\n
Isotretinoin
10 mg<\/td>\r\n 		30
tablets<\/td>\r\n 		7,000<\/td>\r\n <\/tr>\r\n
90
tablets<\/td>\r\n 		18,000<\/td>\r\n <\/tr>\r\n
180
tablets<\/td>\r\n 		34,000<\/td>\r\n <\/tr>\r\n\r\n
Isotretinoin
20 mg<\/td>\r\n 		30
tablets<\/td>\r\n 		10,000<\/td>\r\n <\/tr>\r\n
90
tablets<\/td>\r\n 		26,000<\/td>\r\n <\/tr>\r\n
180
tablets<\/td>\r\n 		49,000<\/td>\r\n <\/tr>\r\n\r\n
Spironolactone
(50 mg)<\/td>\r\n 		30
tablets<\/td>\r\n 		2,500<\/td>\r\n <\/tr>\r\n
Spironolactone
(100 mg)<\/td>\r\n 		30
tablets<\/td>\r\n 		5,000<\/td>\r\n <\/tr>\r\n
Spironolactone
(150 mg)<\/td>\r\n 		30
tablets<\/td>\r\n 		7,500<\/td>\r\n <\/tr>\r\n
Spironolactone
(200 mg)<\/td>\r\n 		30
tablets<\/td>\r\n 		10,000<\/td>\r\n <\/tr>\r\n\r\n
Clinic-
exclusive
cosmetics<\/td>\r\n 		Skin Peel
Bar Tea Tree
(cleanser)<\/td>\r\n 		15 g<\/td>\r\n 500<\/td>\r\n <\/tr>\r\n
135 g<\/td>\r\n 2,750<\/td>\r\n <\/tr>\r\n
AC Clear
Watery Essence
(lotion)<\/td>\r\n 		100 mL<\/td>\r\n 4,950<\/td>\r\n <\/tr>\r\n
AC Clear Gel
(moisturizing
emulsion)<\/td>\r\n 		30 g<\/td>\r\n 4,950<\/td>\r\n <\/tr>\r\n
VC Concentrate
15b (serum)<\/td>\r\n 		12 mL<\/td>\r\n 5,000<\/td>\r\n <\/tr>\r\n
HQ Brightening
(serum)<\/td>\r\n 		3 mL<\/td>\r\n 2,200<\/td>\r\n <\/tr>\r\n
AZA Clear
(cream)<\/td>\r\n 		15 g<\/td>\r\n 2,000<\/td>\r\n <\/tr>\r\n
HQ Double
Bright E
(cream)<\/td>\r\n 		6 g<\/td>\r\n 2,200<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n

[Whitening and hyperpigmentation care]<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

Oral medications for whitening and hyperpigmentation are not used for acne treatment or prevention.<\/p>\r\n

For acne treatment and prevention, please refer to the sections on topical medications, oral medications and skincare under [Acne treatment and prevention].<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Item<\/th>\r\n Dose
per day<\/th>\r\n 		Package<\/th>\r\n Price
(JPY)<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
Oral
whitening
package<\/td>\r\n 		–<\/td>\r\n 1 month<\/td>\r\n 4,000<\/td>\r\n <\/tr>\r\n
3 months<\/td>\r\n 11,000<\/td>\r\n <\/tr>\r\n
6 months<\/td>\r\n 20,000<\/td>\r\n <\/tr>\r\n\r\n
Tranexamic
acid<\/td>\r\n 		750 mg<\/td>\r\n 1 month<\/td>\r\n 2,000<\/td>\r\n <\/tr>\r\n
3 months<\/td>\r\n 5,000<\/td>\r\n <\/tr>\r\n
6 months<\/td>\r\n 9,500<\/td>\r\n <\/tr>\r\n\r\n
Cinal
combination
tablets<\/td>\r\n 		3 tablets<\/td>\r\n 1 month<\/td>\r\n 1,200<\/td>\r\n <\/tr>\r\n
3 months<\/td>\r\n 3,300<\/td>\r\n <\/tr>\r\n
6 months<\/td>\r\n 6,000<\/td>\r\n <\/tr>\r\n\r\n
Yubera
tablets<\/td>\r\n 		150 mg<\/td>\r\n 1 month<\/td>\r\n 1,200<\/td>\r\n <\/tr>\r\n
3 months<\/td>\r\n 3,300<\/td>\r\n <\/tr>\r\n
6 months<\/td>\r\n 6,000<\/td>\r\n <\/tr>\r\n\r\n
Bifloxacin
combination
tablets<\/td>\r\n 		3 tablets<\/td>\r\n 1 month<\/td>\r\n 1,200<\/td>\r\n <\/tr>\r\n
3 months<\/td>\r\n 3,300<\/td>\r\n <\/tr>\r\n
6 months<\/td>\r\n 6,000<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n

Consultation process<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The consultation process for prescriptions related to acne treatment and prevention or whitening and hyperpigmentation care is as follows.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Step 1<\/div>\r\n

Medical questionnaire and examination by the doctor<\/p>\r\n

\r\n

The doctor will discuss your concerns with you and determine the most suitable medications.<\/p>\r\n <\/div>\r\n<\/div>\r\n

\r\n
Step 2<\/div>\r\n

Prescription and payment<\/p>\r\n

\r\n

At reception, we will provide your acne treatment and preventive medications and related items. For subsequent visits, the doctor will review your condition at each consultation and adjust prescriptions as needed (a consultation fee will be charged).\r\n If you wish to purchase clinic-exclusive skincare products only, please speak to the reception staff (no consultation fee is required).<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Smoking Cessation Treatment<\/h2>\r\n

Do you want to quit smoking but find it difficult to succeed?<\/p>\r\n

While many recognize the risks associated with smoking, nicotine addiction often makes it extremely challenging to quit on one’s own. This is the current reality for many people.<\/p>\r\n

Additionally, due to the discontinuation of the smoking cessation medication “Champix,” clinics offering smoking cessation treatments have become very limited.<\/p>\r\n

We provide two types of smoking cessation treatments, and consultations are always available.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

Note that smoking cessation treatment is not covered by Japanese Natoinal Health Insurance.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

The Risks of Smoking<\/h3>\r\n\r\n
<\/div>\r\n\r\n

Smoking is known to be a major cause of numerous diseases, including hypertension, arteriosclerosis, heart attacks, lung cancer and various other types of cancer.<\/p>\r\n

Recent studies have shown that smoking increases the risk of dementia by 2 to 3 times, and it is linked to Alzheimer’s disease and vascular dementia, both of which are common in Japan.<\/p>\r\n

Smokers are also at a higher risk of stroke, fractures, and requiring long-term care in the future.<\/p>\r\n

On the other hand, quitting smoking is acknowledged to be extremely difficult.<\/p>\r\n

Nicotine, a substance found in tobacco, binds to nicotine receptors in the brain, releasing a large amount of dopamine, which induces a temporary feeling of euphoria. However, when the nicotine level in the body drops, withdrawal symptoms such as irritability\r\n and restlessness appear.<\/p>\r\n

To alleviate these withdrawal symptoms, individuals often find themselves smoking again to feel calm, leading to nicotine addiction and continued smoking.<\/p>\r\n\r\n

<\/div>\r\n\r\n

Benefits of Smoking Cessation Treatment<\/h3>\r\n\r\n
<\/div>\r\n\r\n

Undergoing smoking cessation treatment offers three major benefits:<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Reduces the Risk of Various Diseases<\/div>\r\n
\r\n

Smoking cessation lowers the risk of various diseases caused by smoking, including cancer, lifestyle diseases, and dementia.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
High Success Rate with Continued Treatment<\/div>\r\n
\r\n

Smoking cessation treatment has a success rate of approximately 65% when the treatment period prescribed for each medication is followed. We recommend Varenismart, the generic version of Champix.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Saves Money<\/div>\r\n
\r\n

If you smoke one pack per day at 550 JPY per pack, you spend approximately 200,000 JPY annually on cigarettes.<\/p>\r\n

For example, quitting smoking for five years could save you 1,000,000 JPY.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

We offer smoking cessation treatment starting at approximately 450 JPY per day.<\/p>\r\n

Affordable 2-week and 4-week packages are also available.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Types of Smoking Cessation Treatment<\/h3>\r\n\r\n
<\/div>\r\n\r\n

We offer two types of smoking cessation treatments.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

We recommend Varenismart, known for its excellent treatment outcomes.<\/p>\r\n

For those who succeed in quitting smoking within 12 weeks, continuing the medication for an additional 12 weeks is known to further improve long-term success rates.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Medication<\/th>\r\n Varenismart
(Generic Champix)<\/th>\r\n 		Nicotinell TTS<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
Type<\/td>\r\n Non-nicotine medication
(oral)<\/td>\r\n 		Nicotine medication
(patch)<\/td>\r\n <\/tr>\r\n
Mechanism<\/td>\r\n Acts on nicotine receptors
to suppress withdrawal symptoms
and reduce the satisfaction
of smoking.<\/td>\r\n 		Slowly absorbs nicotine
through the skin to temporarily
alleviate withdrawal symptoms.<\/td>\r\n <\/tr>\r\n
Success Rate<\/td>\r\n Approximately 65%<\/td>\r\n Approximately 53%<\/td>\r\n <\/tr>\r\n
Treatment
Duration<\/td>\r\n 		12-24 weeks<\/td>\r\n 8 weeks<\/td>\r\n <\/tr>\r\n
Usage<\/td>\r\n Days 1-3: 0.5mg once daily
Days 4-7: 0.5mg twice daily
Day 8 to end: 1mg twice daily<\/td>\r\n 		Weeks 1-4: 30mg once daily
Weeks 5-6: 20mg once daily
Weeks 7-8: 10mg once daily<\/td>\r\n <\/tr>\r\n
Side Effects<\/td>\r\n Mild nausea and drowsiness<\/td>\r\n Insomnia and contact dermatitis<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n

Price of Smoking Cessation Treatment<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The costs and details of each treatment are outlined in the table below.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

We provide smoking cessation treatment as a private medical service.<\/p>\r\n

While the initial consultation incurs a fee, medications can be prescribed without additional consultations from the second visit onward.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Medication<\/th>\r\n Package<\/th>\r\n Duration
(weeks)<\/th>\r\n 		Price
(JPY)<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
Varenismart
(Generic
Champix)<\/td>\r\n 		Premium
Package<\/td>\r\n 		24<\/td>\r\n 77,000<\/td>\r\n <\/tr>\r\n
Basic
Package<\/td>\r\n 		12<\/td>\r\n 40,000<\/td>\r\n <\/tr>\r\n
Initial
Package*<\/td>\r\n 		4<\/td>\r\n 15,000<\/td>\r\n <\/tr>\r\n
Continuation
Package*<\/td>\r\n 		8<\/td>\r\n 28,000<\/td>\r\n <\/tr>\r\n
Nicotinell
TTS<\/td>\r\n 		Basic
Package<\/td>\r\n 		8<\/td>\r\n 35,000<\/td>\r\n <\/tr>\r\n
Initial
Package*<\/td>\r\n 		2<\/td>\r\n 10,000<\/td>\r\n <\/tr>\r\n
Continuation
Package*<\/td>\r\n 		6<\/td>\r\n 28,000<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n<\/div>\r\n

*The initial package is designed to allow patients to start with a smaller quantity while monitoring for side effects. For continued treatment, please purchase the continuation package.<\/p>\r\n\r\n

<\/div>\r\n\r\n

Smoking Cessation Treatment with Insurance<\/h3>\r\n\r\n
<\/div>\r\n\r\n

Treatment with Nicotinell TTS may be covered by insurance for eligible individuals who meet specific conditions.<\/p>\r\n

Please consult directly with your doctor to determine eligibility, as insurance-covered smoking cessation treatment comes with various restrictions.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

Varenismart is not eligible for insurance-covered treatment.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n Insurance Eligibility for Smoking Cessation Treatment\r\n <\/div>\r\n
\r\n

Only individuals meeting all the following criteria<\/strong> are eligible for insurance-covered smoking cessation treatment with Nicotinell TTS:<\/p>\r\n

– No history of insurance-covered smoking cessation treatment in the past year<\/p>\r\n

– A score of 5 or higher on the nicotine dependency test<\/p>\r\n

– Smoking index (daily cigarette count multiplied by the years of smoking) of 200 or higher (applicable only to those aged 35 and older)<\/p>\r\n

– A strong determination to quit smoking immediately<\/p>\r\n

– Written consent to undergo all five sessions (12 weeks) of smoking cessation treatment<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
<\/th>\r\n Private Medical
Smoking Cessation<\/th>\r\n 		Insurance-Covered
Smoking Cessation<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
Consultation<\/td>\r\n Only for the initial visit<\/td>\r\n All five visits
12 weeks of appointments required<\/td>\r\n <\/tr>\r\n
Price (JPY)<\/td>\r\n From 10,000<\/td>\r\n Approximately 13,000 JPY*
(30% copay)<\/td>\r\n <\/tr>\r\n
Medication<\/td>\r\n Varenismart
Nicotinell TTS<\/td>\r\n 		Nicotinell TTS only<\/td>\r\n <\/tr>\r\n
Prescription<\/td>\r\n Issued in-house
(can be completed in one visit)<\/td>\r\n 		Picked up at a pharmacy
(prescription issued at each visit)<\/td>\r\n <\/tr>\r\n
Conditions<\/td>\r\n No specific restrictions<\/td>\r\n Various restrictions apply
(see above)<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n<\/div>\r\n

*Includes payment at dispensing pharmacies.<\/p>\r\n\r\n

<\/div>\r\n\r\n

Flow of Consultation<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The consultation process for prescribing smoking cessation medications at our clinic is as follows:<\/p>\r\n\r\n

[For Private Medical Treatment]<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Step 1<\/div>\r\n

Doctor’s Consultation and Examination<\/p>\r\n

\r\n

The doctor will discuss and evaluate the suitable medication for you.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

\r\n
Step 2<\/div>\r\n

Prescription and Payment<\/p>\r\n

\r\n

The smoking cessation medication will be provided at the reception. While the initial visit incurs a consultation fee, from the second visit onward, prescriptions are issued without additional consultation or fees.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

[For Insurance-Covered Treatment]<\/strong><\/p>\r\n

Only those who can complete all the scheduled appointments below are eligible.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Step 1<\/div>\r\n

Doctor’s Consultation and Examination<\/p>\r\n

\r\n

The doctor will review your treatment history and conduct an examination to determine insurance eligibility.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

\r\n
Step 2<\/div>\r\n

Prescription and Payment<\/p>\r\n

\r\n

During the first visit, the doctor and the patient will set the quit date.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

\r\n
Step 3<\/div>\r\n

Two Weeks After the Quit Date<\/p>\r\n

\r\n

The doctor will conduct a follow-up consultation to continue treatment.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

\r\n
Step 4<\/div>\r\n

Four Weeks After the Quit Date<\/p>\r\n

\r\n

The doctor will conduct a follow-up consultation to continue treatment.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

\r\n
Step 5<\/div>\r\n

Eight Weeks After the Quit Date<\/p>\r\n

\r\n

The doctor will conduct a follow-up consultation. While no further prescriptions are issued beyond the 8th week, consultations are mandatory for insurance-covered treatments.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

\r\n
Step 6<\/div>\r\n

Twelve Weeks After the Quit Date<\/p>\r\n

\r\n

The doctor will evaluate the success of the smoking cessation treatment.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Frequently Asked Questions<\/h3>\r\n\r\n
<\/div>\r\n\r\n
\r\n
\r\n Is Varenismart (Generic Champix) eligible for insurance-covered treatment?<\/summary>\r\n

Varenismart, an overseas generic medication, is not eligible for insurance coverage. The original branded medication, Champix, is no longer available due to discontinuation. As a result, we have adopted generic alternatives that are proven safe\r\n and effective.<\/p>\r\n <\/details>\r\n\r\n

\r\n Why was Champix discontinued in Japan?<\/summary>\r\n

Pfizer’s varenicline (Champix) production was halted due to the detection of “N-nitroso-varenicline” above acceptable levels. However, Varenismart, the generic medication we provide, has been confirmed safe for use.<\/p>\r\n <\/details>\r\n\r\n

\r\n I completed 12 weeks of Varenismart but worry about staying smoke-free. Can I continue treatment?<\/summary>\r\n

For patients who quit smoking within 12 weeks, continuing Varenismart for an additional 12 weeks has been shown to improve long-term success rates. We recommend a 24-week treatment plan.<\/p>\r\n <\/details>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n\r\n\r\n

Influenza Prevention Medication<\/h2>\r\n

We offer influenza prevention medications.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

Influenza prevention medication and vaccines are not covered by Japanese national health insurance.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Effectiveness and Indications<\/h3>\r\n\r\n
<\/div>\r\n\r\n

When started within 48 hours of contact<\/strong> with someone infected with influenza, prevention medications are reported to reduce the risk of developing symptoms by 60-90%. Please consult us if you are looking to lower your infection risk before\r\n travel, studying abroad or other important events.<\/p>\r\n

*This is not a substitute for vaccination (can be used together).<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

Influenza vaccination can also be administered on the same day!<\/strong><\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

Recommended for<\/p>\r\n <\/div>\r\n

\r\n

– Those planning international travel, studying abroad, long-term business trips or exams and wish to avoid infection<\/p>\r\n

– Those living with infected individuals such as family members or in shared accommodations like dormitories<\/p>\r\n

– Individuals at higher risk of complications such as older adults or those with chronic respiratory conditions, heart disease, diabetes or kidney dysfunction (subject to doctor’s evaluation)<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Types of Prevention Medication<\/h3>\r\n\r\n
<\/div>\r\n\r\n

We offer the following two options for influenza prevention medications:<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Oseltamivir (Tamiflu generic)<\/div>\r\n
\r\n

Price<\/strong>: 5,000 JPY<\/p>\r\n

Preventive Effectiveness:<\/strong> Approximately 60-90%<\/p>\r\n

Dosing Schedule:<\/strong> 75 mg once daily for 10 days<\/p>\r\n

Side Effects:<\/strong> Nausea, vomiting, abdominal discomfort and headache. Please consult a doctor if you have kidney dysfunction or severe gastrointestinal symptoms.<\/p>\r\n

Pediatric Use:<\/strong> Indicated for children aged 1 year or older. Only children weighing 37.5 kg (82.7 lb) or more may take 75 mg once daily for 10 days.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

We do not prescribe oseltamivir for children weighing under 37.5 kg (82.7 lb).<\/p>\r\n <\/div>\r\n <\/div>\r\n\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Inavir<\/div>\r\n
\r\n

Price<\/strong>: 7,000 JPY<\/p>\r\n

Preventive Effectiveness:<\/strong> Approximately 70-80%<\/p>\r\n

Dosing Schedule:<\/strong> 40 mg single inhalation<\/p>\r\n

Side Effects:<\/strong> Throat irritation and cough. Not suitable for individuals with asthma, COPD, milk protein allergy or those unable to inhale medication.<\/p>\r\n

Pediatric Use:<\/strong> For children under 10 years of age, 20 mg single inhalation (4,000 JPY). Not suitable for children who cannot inhale.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Price<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The prices for our influenza prevention medications are as follows:<\/p>\r\n

All prescriptions are not covered by Japanese national health insurance.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n \r\n \r\n \r\n \r\n \r\n \r\n
Product Name<\/th>\r\n How to Take<\/th>\r\n Price
(JPY)<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
Oseltamivir
(Tamiflu generic)<\/td>\r\n 		Start within 48 hours
of exposure
1 capsule
once daily for 10 days*<\/td>\r\n 		5,000<\/td>\r\n <\/tr>\r\n
Inavir<\/td>\r\n Start within 48 hours
of exposure
40 mg single
inhalation**<\/td>\r\n 		7,000<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n<\/div>\r\n

*For adults. We do not prescribe this medication to children under 37.5 kg (82.7 lb).<\/p>\r\n

**For those aged 10 and older. For children under 10, the dose is 20 mg (4,000 JPY). Not suitable for children who cannot perform inhalation.<\/p>\r\n\r\n

<\/div>\r\n\r\n

Consultation Process<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The consultation process for receiving a prescription for influenza prevention medication is as follows:<\/p>\r\n\r\n

\r\n
Step 1<\/div>\r\n

Medical interview and consultation<\/p>\r\n<\/div>\r\n\r\n

\r\n
Step 2<\/div>\r\n

Explanation of how to take the medication<\/p>\r\n<\/div>\r\n\r\n

\r\n
Step 3<\/div>\r\n

Prescription and payment<\/p>\r\n

\r\n

You will receive your influenza prevention medication at reception (a consultation fee applies).<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Sublingual Immunotherapy<\/h2>\r\n

Have you been experiencing itchy eyes, a runny nose that won’t stop, etc? It could be an allergy caused by cedar pollen or dust mites. We offer sublingual immunotherapy, which can significantly improve allergic symptoms caused by cedar pollen and dust\r\n mites.\r\n<\/p>\r\n

Regarding sublingual immunotherapy, the prescribing doctor and medical institution must pass specialized training and examinations based on approval conditions for sublingual immunotherapy medications. And our doctors have passed the product’s appropriate\r\n use test and are certified as a prescribing institution.<\/p>\r\n

Please feel free to visit us with confidence.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

Sublingual immunotherapy can be covered by Japanese national health insurance for both testing and prescriptions.<\/p>\r\n

A confirmed diagnosis of cedar pollen allergy or mite-induced allergic rhinitis is required to start the therapy.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

What is Sublingual Immunotherapy<\/h3>\r\n\r\n
<\/div>\r\n\r\n

Sublingual immunotherapy is a type of allergen immunotherapy. It gradually introduces allergens, which cause allergic reactions, under the tongue to help the body become accustomed to them. This helps to reduce symptoms or may lead to a fundamental improvement\r\n in the body’s response to allergens.<\/p>\r\n

Unlike traditional subcutaneous immunotherapy, which involves injections, sublingual immunotherapy is painless and can be administered at home, making it a less burdensome option for patients.<\/p>\r\n

While it has fewer risks of systemic side effects, such as anaphylactic shock, compared to subcutaneous immunotherapy, it requires patients to thoroughly understand the dosage, method of administration, and potential side effects.<\/p>\r\n

In Japan, sublingual immunotherapy is covered by Japanese national health insurance only for cedar pollen and dust mite allergens that cause allergic rhinitis. A confirmed diagnosis of these allergic conditions is necessary before starting treatment.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
What is Cedar Pollen Allergy?<\/div>\r\n
\r\n

Allergic rhinitis is a condition caused by pollen from plants, leading to symptoms such as sneezing, runny nose, nasal congestion, and itchy eyes.<\/p>\r\n

When these symptoms are triggered by cedar pollen, it is called “cedar pollen allergy,” and it is estimated that nearly 40% of the Japanese population suffers from this condition.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
What is Mite-Induced Allergic Rhinitis?<\/div>\r\n
\r\n

Perennial allergic rhinitis causes sneezing, runny nose, and nasal congestion, and it occurs year-round, regardless of the season. Approximately 25% of the Japanese population is affected by this condition.<\/p>\r\n

The main causes of perennial allergic rhinitis include mites, fungi (mold), insects, and pet dander. When it is caused by mites, it is known as “mite-induced allergic rhinitis.”<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Effectiveness<\/h3>\r\n\r\n
<\/div>\r\n\r\n

Sublingual immunotherapy offers the following potential benefits:<\/p>\r\n

With long-term, consistent treatment, it can reduce or even cure allergic symptoms, providing lasting relief over time.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n Effects of Sublingual Immunotherapy\r\n <\/div>\r\n
\r\n

– Improvement of sneezing, runny nose, and nasal congestion<\/p>\r\n

– Relief from itchy eyes and watery eyes<\/p>\r\n

– Reduction in the use of allergy medications<\/p>\r\n

– Improvement in quality of life (QOL)<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

The time it takes to feel the effects of treatment may vary. Please refer to the following guidelines:<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n Time to Feel the Effects\r\n <\/div>\r\n
\r\n

Cedar pollen allergy: from the first pollen season after starting treatment<\/p>\r\n

Mite-induced allergic rhinitis: a few months after starting treatment<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

For both treatments, the recommended treatment duration is approximately 3 to 5 years.<\/p>\r\n\r\n

<\/div>\r\n\r\n

Side Effects<\/h3>\r\n\r\n
<\/div>\r\n\r\n

Since sublingual immunotherapy involves administering allergens under the tongue, local or systemic allergic reactions may occur.<\/p>\r\n

Minor side effects typically involve local reactions around the mouth, as shown below.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n Side Effects\r\n <\/div>\r\n
\r\n

– Swelling, itching, discomfort, or abnormal sensation in the mouth<\/p>\r\n

– Swollen lips<\/p>\r\n

– Irritation or discomfort in the throat<\/p>\r\n

– Itchy ears, etc.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

There is also a very small chance of severe systemic allergic reactions (anaphylaxis).<\/p>\r\n

The following are the key times when severe allergic reactions may occur.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

Critical Times to Watch<\/p>\r\n <\/div>\r\n

\r\n

– About 30 minutes after taking the medication<\/p>\r\n

– At the start of treatment<\/p>\r\n

– (In the case of sublingual immunotherapy for cedar pollen allergy) During the pollen season<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

For this reason, the first dose of sublingual immunotherapy must be administered at our clinic, and you are required to stay at the clinic for 30 minutes after taking the medication<\/strong>.<\/p>\r\n\r\n

<\/div>\r\n\r\n

Precautions and Treatment Duration<\/h3>\r\n\r\n
<\/div>\r\n\r\n

Here are the key points to consider when starting sublingual immunotherapy and some important precautions.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

\r\n A diagnosis is required before starting treatment<\/strong>\r\n <\/p>\r\n

A confirmed diagnosis of cedar pollen allergy or mite-induced allergic rhinitis is necessary to receive sublingual immunotherapy.<\/p>\r\n

Before starting treatment, we will perform a serum antibody test to confirm the diagnosis.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

\r\n Take one tablet under the tongue once a day<\/strong>\r\n <\/p>\r\n

After placing the tablet under the tongue, avoid swallowing for one minute and keep the tablet in the mouth.<\/p>\r\n

Avoid gargling and refrain from eating or drinking for five minutes after taking the tablet.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

\r\n There are times when you cannot start treatment for cedar pollen allergy<\/strong>\r\n <\/p>\r\n

Treatment cannot be started during the pollen season (approximately from December to May, depending on the region).<\/p>\r\n

However, mite-induced allergic rhinitis treatment can be started at any time of the year.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

\r\n Monthly consultations are required, and treatment duration is 3 to 5 years<\/strong>\r\n <\/p>\r\n

Sublingual immunotherapy requires consistent administration for 3 to 5 years.<\/p>\r\n

The first dose will be taken at our clinic, and from the second day onwards, you can take the medication at home.<\/p>\r\n

Monthly visits are required, with prescriptions available for a maximum of 30 days.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

Price<\/h3>\r\n\r\n
<\/div>\r\n\r\n

Sublingual immunotherapy consultations can be covered by Japanese national health insurance.<\/p>\r\n

The following are the estimated costs for the necessary tests and prescriptions:<\/p>\r\n\r\n

\r\n \r\n \r\n \r\n \r\n \r\n \r\n
Item<\/th>\r\n Approx. Price
(JPY)*<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
Initial examination and testing<\/td>\r\n 6,000<\/td>\r\n <\/tr>\r\n
Initial and ongoing prescriptions<\/td>\r\n 500**<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n<\/div>\r\n

* After being covered by Janapese national health insurance<\/p>\r\n

**Excludes pharmacy fees (approximately 1,500-2,000 JPY\/month after 30% coverage).<\/p>\r\n\r\n

<\/div>\r\n\r\n

Treatment Process<\/h3>\r\n\r\n
<\/div>\r\n\r\n

\r\n Sublingual immunotherapy can only be conducted through in-person consultations.\r\n<\/p>\r\n

\r\n Walk-ins may result in long wait times, so we recommend making an appointment and completing a questionnaire in advance.\r\n<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Step 1<\/div>\r\n

Appointment<\/p>\r\n

\r\n

\r\n Please make an appointment via the “\u5bfe\u9762\u8a3a\u7642 [Face-to-ce Consultation]” option in our LINE rich menu.\r\n <\/p>\r\n
\r\n

\r\n Official LINE<\/a>\r\n <\/div>\r\n\r\n <\/div>\r\n<\/div>\r\n\r\n
\r\n
Step 2<\/div>\r\n

Fill Out the Questionnaire<\/p>\r\n

\r\n

\r\n Please fill out the questionnaire using the link in the Official LINE.\r\n <\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

\r\n
Step 3<\/div>\r\n

Consultation and Testing on the Day of Visit<\/p>\r\n

\r\n

On the day of your appointment, please arrive at the designated time. You will be given a number at reception and called by this number for the consultation, testing, and payment.<\/p>\r\n

Based on the questionnaire, we will ask detailed questions about the severity of your symptoms. If you wish to proceed with sublingual immunotherapy, we will conduct a blood test.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

\r\n
Step 4<\/div>\r\n

Explanation of Results and Determining the Start Date of Treatment<\/p>\r\n

\r\n

After the blood test, you will have another consultation with the doctor to determine if you are eligible for sublingual immunotherapy.<\/p>\r\n

If you are eligible, we will schedule your next visit and issue a prescription.<\/p>\r\n

You will need to exchange the prescription for the medication at your local pharmacy within four days of the prescription date.<\/p>\r\n
\r\n

\r\n
\r\n

Please check with your preferred pharmacy to ensure they have the necessary medication for sublingual immunotherapy in stock.<\/p>\r\n

We can also provide information about pharmacies near our clinic that stock the medication, so feel free to ask our staff.<\/p>\r\n <\/div>\r\n <\/div>\r\n <\/div>\r\n<\/div>\r\n\r\n

\r\n
Step 5<\/div>\r\n

Initial Treatment<\/p>\r\n

\r\n

Please come to the clinic at the scheduled time for your initial dose, which will be administered in the clinic<\/strong>.<\/p>\r\n

You will stay in the clinic for 30 minutes after taking the medication to ensure there are no adverse reactions before leaving.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

\r\n
Step 6<\/div>\r\n

Ongoing Treatment<\/p>\r\n

\r\n

We will monitor your symptoms and any allergic reactions on a monthly basis and continue prescribing the medication accordingly.<\/p>\r\n

The treatment duration is approximately 3 to 5 years.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n\r\n\r\n

For Those with Severe Cedar Pollen Allergies<\/h3>\r\n\r\n
<\/div>\r\n\r\n

Since 2020, we have been able to offer subcutaneous injections of the anti-IgE antibody omalizumab (Xolair\u00ae) from February to May for those with severe to very severe cedar pollen allergies.<\/p>\r\n

We believe this treatment is highly worth considering for individuals who experience intense symptoms from cedar pollen allergies, as listed below.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Ideal Candidates for Xolair Treatment<\/div>\r\n
\r\n

– Individuals experiencing severe nasal symptoms such as sneezing, runny nose and nasal congestion caused by cedar pollen allergies<\/p>\r\n

– Individuals who continue to suffer from cedar pollen allergy symptoms all day despite using oral medications or nasal sprays<\/p>\r\n

– Individuals who experience significant drowsiness from antihistamines, making it difficult to increase dosage or switch to stronger medications<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

Eligibility Criteria<\/p>\r\n <\/div>\r\n

\r\n

– Individuals with severe to very severe cedar pollen allergies who, during the previous cedar pollen season, sought treatment at a medical facility and showed no improvement in symptoms despite using steroid nasal sprays and oral antihistamines.\r\n Additionally, they must be able to present their prescription details (e.g., medication record or medication app).<\/p>\r\n

*Those who treated their allergies with over-the-counter nasal sprays or oral medications last season are not eligible for Xolair treatment this season.<\/strong><\/p>\r\n

– Individuals who have undergone standard treatment (oral antihistamines + steroid nasal sprays) for at least one week this season but found it insufficiently effective.<\/p>\r\n

– Individuals aged 12 years or older, weighing between 20-150 kg, with a total serum IgE level of 30-1,500 IU\/ml and a specific IgE antibody level to cedar pollen (blood test) of class 3 or higher.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n Estimated Treatment Cost\r\n <\/div>\r\n
\r\n

The cost covers only the Xolair medication, with an out-of-pocket expense of approximately 4,500-70,000 JPY per month for those with 30% insurance coverage.<\/p>\r\n

Since the dosage varies based on individual weight and total IgE levels in the blood, out-of-pocket costs will differ from person to person.<\/p>\r\n

Additional costs include consultation, blood test fees, and prescription fees for antihistamines that need to be taken concurrently.<\/p>\r\n

For more details, please refer to the following site from the pharmaceutical company.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

To prescribe Xolair under insurance, three visits are required before the initial injection.<\/p>\r\n

During these visits, we will 1) diagnose severe pollen allergy, 2) conduct non-specific\/specific IgE antibody tests, and 3) confirm that existing treatments are insufficiently effective.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Step 1<\/div>\r\n

Appointment<\/p>\r\n

\r\n

\r\n Please make an appointment through the “In-Person Consultation [\u5bfe\u9762\u8a3a\u7642]” option on our Official LINE rich menu.\r\n <\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n Official LINE<\/a>\r\n <\/div>\r\n <\/div>\r\n<\/div>\r\n\r\n
\r\n
Step 2<\/div>\r\n

Complete the Questionnaire<\/p>\r\n

\r\n

\r\n Please fill out the questionnaire via the link on Official LINE.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

\r\n
Step 3<\/div>\r\n

Visit for Consultation and Examination<\/p>\r\n

\r\n

Please arrive at your scheduled time. You will receive a number at reception and will be called by number for tests and payment.<\/p>\r\n

During the consultation, we will diagnose if you have severe or very severe cedar pollen allergy. Please bring your medication record detailing prescriptions from the previous cedar pollen season.<\/p>\r\n

We will perform a blood test and prescribe at least a one-week supply of oral antihistamines and steroid nasal sprays.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

\r\n
Step 4<\/div>\r\n

Results Review and Assessment<\/p>\r\n

\r\n

If current medications are deemed insufficiently effective, Xolair treatment may be considered.<\/p>\r\n

Based on the blood test results and body weight, we will determine the Xolair dosage and dosing interval (every 2 or 4 weeks) and conduct a follow-up blood test after the prescription.<\/p>\r\n

The Xolair injection date will be scheduled.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

\r\n
Step 5<\/div>\r\n

First Treatment<\/p>\r\n

\r\n

Come to your previously scheduled appointment time for the initial injection.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

\r\n
Step 6<\/div>\r\n

Ongoing Treatment<\/p>\r\n

\r\n

2-4 weeks after the first injection, another dose of Xolair will be administered. Xolair treatment is available only from February to May when cedar pollen levels are high.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n\r\n
<\/div>\r\n\r\n

Tumor Markers<\/h2>\r\n

We offer tumor marker testing, which measures substances such as proteins produced by cancer cells, enabling early detection of cancer.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

Special discounts are available when tests are conducted together with a health checkup.<\/p>\r\n

You can also opt for a comprehensive blood test, including tests for lifestyle-related diseases, at the time of tumor marker testing.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

What Are Tumor Markers?<\/h3>\r\n\r\n
<\/div>\r\n\r\n

Tumor marker tests involve blood or urine testing to assist in cancer diagnosis, monitor disease progression or evaluate treatment efficacy.<\/p>\r\n

Generally, tumor marker levels tend to rise as cancer in the body increases and decrease as it lessens. This allows estimation of cancer volume and evaluation of progression or treatment effectiveness.<\/p>\r\n

Depending on the type of cancer, multiple markers may be tested in combination.<\/p>\r\n

Non-cancerous conditions\u2014such as aging, pregnancy, menstruation, alcohol consumption, smoking or certain medications\u2014may affect marker levels independent of cancer. In rare cases, even with cancer, marker levels may not rise.<\/p>\r\n

Therefore, if you have symptoms, we recommend consulting with a doctor about whether additional tests beyond tumor markers may be necessary.<\/p>\r\n\r\n

<\/div>\r\n\r\n

Main Tumor Markers<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The main tumor markers by cancer type are as follows:<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n Main Tumor Markers\r\n <\/div>\r\n
\r\n

Thyroid cancer: CEA<\/p>\r\n

Lung cancer: CYFRA, CEA, ProGRP, NSE, SLX, etc.<\/p>\r\n

Esophageal cancer: SCC, CEA<\/p>\r\n

Gastric cancer: CEA, CA19-9<\/p>\r\n

Colorectal cancer: CEA, CA19-9<\/p>\r\n

Liver cancer (hepatocellular carcinoma): AFP, PIVKA-II, etc.<\/p>\r\n

Biliary tract cancer: CA19-9, CEA<\/p>\r\n

Pancreatic cancer: CA19-9, SPan-1, CEA, etc.<\/p>\r\n

Prostate cancer: PSA<\/p>\r\n

Breast cancer: CEA, CA15-3<\/p>\r\n

Cervical cancer: SCC, CA125, CEA<\/p>\r\n

Ovarian cancer: CA125<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

We offer several packages tailored to your needs.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Tumor Marker Simple (5 markers)<\/div>\r\n
\r\n

Price<\/strong>: 8,000 JPY (7,000 JPY with health checkup)<\/p>\r\n

Recommended for:<\/strong> Those seeking screening for the most common tumor markers<\/p>\r\n

Includes:<\/strong><\/p>\r\n

(Men) CEA, AFP, CA19-9, SCC, PSA<\/p>\r\n

(Women) CEA, AFP, CA19-9, CA125, CA15-3<\/p>\r\n

Screening coverage:<\/strong> Stomach, colon, esophagus, liver, bile duct, prostate, ovary, uterus<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Tumor Marker Basic (7 markers)<\/div>\r\n
\r\n

Price<\/strong>: 11,000 JPY(9,000 JPY with health checkup)<\/p>\r\n

Recommended for:<\/strong> Those seeking screening for common tumor markers including lungs<\/p>\r\n

Includes:<\/strong><\/p>\r\n

(Men) CEA, AFP, CA19-9, SCC, PSA, CYFRA, ProGRP<\/p>\r\n

(Women) CEA, AFP, CA19-9, CA125, CA15-3, CYFRA, ProGRP<\/p>\r\n

Screening coverage:<\/strong> Stomach, colon, esophagus, liver, bile duct, prostate, ovary, uterus, lungs<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Tumor Marker Premium (11 markers)<\/div>\r\n
\r\n

Price<\/strong>: 16,000 JPY (13,000 JPY with health checkup)<\/p>\r\n

Recommended for:<\/strong> Those seeking comprehensive tumor marker screening<\/p>\r\n

Includes:<\/strong><\/p>\r\n

(Men) CEA, AFP, CA19-9, PIVKA-II, SPan-1, SCC, PSA, CYFRA, ProGRP, SLX, NSE<\/p>\r\n

(Women) CEA, AFP, CA19-9, PIVKA-II, SPan-1, CA125, CA15-3, CYFRA, ProGRP, NSE<\/p>\r\n

Screening coverage:<\/strong> Stomach, colon, esophagus, liver, bile duct, pancreas, prostate, ovary, uterus, breast, lungs<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Lung Cancer Marker Package (4 markers)<\/div>\r\n
\r\n

Price<\/strong>: 7,000 JPY (6,000 JPY with health checkup)<\/p>\r\n

Recommended for:<\/strong> Those specifically interested in lung cancer screening or smokers concerned about lung cancer<\/p>\r\n

Includes:<\/strong><\/p>\r\n

CYFRA, ProGRP, NSE, SLX<\/p>\r\n

Screening coverage:<\/strong> Lungs<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

The following table shows the markers included in each package. Individual markers can also be added separately.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Marker<\/th>\r\n Simple<\/th>\r\n Basic<\/th>\r\n Premium<\/th>\r\n Lung
Pack<\/th>\r\n <\/tr>\r\n
M<\/th>\r\n F<\/th>\r\n M<\/th>\r\n F<\/th>\r\n M<\/th>\r\n F<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
CEA<\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n <\/td>\r\n <\/tr>\r\n
AFP<\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n <\/td>\r\n <\/tr>\r\n
CA19-9<\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n <\/td>\r\n <\/tr>\r\n
SCC<\/td>\r\n \u2713<\/td>\r\n <\/td>\r\n \u2713<\/td>\r\n <\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n <\/td>\r\n <\/tr>\r\n
PIVKA-II<\/td>\r\n <\/td>\r\n <\/td>\r\n <\/td>\r\n <\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n <\/td>\r\n <\/tr>\r\n
SPan-1<\/td>\r\n <\/td>\r\n <\/td>\r\n <\/td>\r\n <\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n <\/td>\r\n <\/tr>\r\n
PSA<\/td>\r\n \u2713<\/td>\r\n <\/td>\r\n \u2713<\/td>\r\n <\/td>\r\n \u2713<\/td>\r\n <\/td>\r\n <\/td>\r\n <\/tr>\r\n
CA125<\/td>\r\n <\/td>\r\n \u2713<\/td>\r\n <\/td>\r\n \u2713<\/td>\r\n <\/td>\r\n \u2713<\/td>\r\n <\/td>\r\n <\/tr>\r\n
CA15-3<\/td>\r\n <\/td>\r\n \u2713<\/td>\r\n <\/td>\r\n \u2713<\/td>\r\n <\/td>\r\n \u2713<\/td>\r\n <\/td>\r\n <\/tr>\r\n
CYFRA<\/td>\r\n <\/td>\r\n <\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n <\/tr>\r\n
ProGRP<\/td>\r\n <\/td>\r\n <\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n <\/tr>\r\n
SLX<\/td>\r\n <\/td>\r\n <\/td>\r\n <\/td>\r\n <\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n \u2713<\/td>\r\n <\/tr>\r\n
NSE<\/td>\r\n <\/td>\r\n <\/td>\r\n <\/td>\r\n <\/td>\r\n \u2713<\/td>\r\n <\/td>\r\n \u2713<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n<\/div>\r\n

*We recommend selecting markers based on the sex assigned at birth.<\/p>\r\n\r\n

<\/div>\r\n\r\n

If you wish to include comprehensive testing such as for lifestyle-related diseases along with tumor marker screening, additional testing is available at a discounted price.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
Lifestyle Disease Blood Test Package<\/div>\r\n
\r\n

Price<\/strong>: 3,000 JPY<\/p>\r\n

Includes:<\/strong> Complete blood count, liver function, kidney function, electrolytes, uric acid, CK, TG, LDL, HDL, blood glucose, HbA1c<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n

If Tumor Marker Levels Are Elevated<\/h3>\r\n\r\n
<\/div>\r\n\r\n

If tumor marker levels exceed the reference range, we recommend a consultation with a doctor to determine the next steps.<\/p>\r\n

Elevated levels do not necessarily indicate cancer. Depending on your condition, we can offer additional testing or referrals to partnered hospitals. Please feel free to consult us.<\/p>\r\n\r\n

<\/div>\r\n\r\n

Price<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The prices for each tumor marker and package are listed below.<\/p>\r\n

All tumor marker tests are not covered by Japanese national health insurance.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n

Special discounts are available when tests are conducted together with a health checkup<\/strong> (prices in parentheses).<\/p>\r\n

You can also opt for a comprehensive blood test, including tests for lifestyle-related diseases, at the time of tumor marker testing.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Package<\/th>\r\n Price
(JPY)<\/th>\r\n 		Discounted
price (JPY)*<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
Individual
tumor marker<\/td>\r\n 		2,000 each<\/td>\r\n –<\/td>\r\n <\/tr>\r\n
Tumor Marker
Simple
(5 markers)<\/td>\r\n 		8,000<\/td>\r\n 7,000<\/td>\r\n <\/tr>\r\n
Tumor Marker
Basic
(7 markers)<\/td>\r\n 		11,000<\/td>\r\n 9,000<\/td>\r\n <\/tr>\r\n
Tumor Marker
Premium
(11 markers)<\/td>\r\n 		16,000<\/td>\r\n 13,000<\/td>\r\n <\/tr>\r\n
Lung Cancer
Marker Package
(4 markers)<\/td>\r\n 		7,000<\/td>\r\n 6,000<\/td>\r\n <\/tr>\r\n
Lifestyle Disease
Blood Test Package<\/td>\r\n 		3,000<\/td>\r\n –<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n<\/div>\r\n

* Applied when taken together with a health checkup<\/p>","protected":false},"excerpt":{"rendered":"

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