{"id":2522,"date":"2023-06-20T21:15:30","date_gmt":"2023-06-20T12:15:30","guid":{"rendered":"https:\/\/idaten.clinic\/en\/?page_id=2522"},"modified":"2026-04-02T14:24:15","modified_gmt":"2026-04-02T05:24:15","slug":"prep-pep","status":"publish","type":"page","link":"https:\/\/idaten.clinic\/en\/prep-pep\/","title":{"rendered":"HIV \/ STI Prophylaxis"},"content":{"rendered":"


\n
\n<\/p>\n

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

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

<\/div>\n
\n PrEP<\/span><\/a>
\n PEP<\/span><\/a>
\n Doxy-PEP<\/span><\/a>
\n Gonorrhea Vaccine<\/span><\/a>
\n Vaginitis Prevention<\/span><\/a>\n<\/div>\n
<\/div>\n
\n
\n

Immediate in-hospital prescription<\/strong> by our certified doctor is available throughout our open hours.<\/p>\n

Those purchasing our PrEPcan contact us 24\/7 via LINE<\/strong> with any questions about PrEP<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n Official LINE<\/a>\n<\/div>\n
<\/div>\n
\n
\n

We also offer telemedicine consultations and delivery<\/strong> service of PrEP, PEP and other medications.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n Teleprescription<\/a>\n<\/div>\n
<\/div>\n

HIV Prevention Medicine (PrEP)<\/h2>\n
<\/div>\n

\n HIV\/AIDS can be prevented by oral medications. The method of taking it before the potential exposure is called PrEP (Pre-Exposure Prophylaxis), and the method of taking it after is PEP (Post-Exposure Prophylaxis).\n<\/p>\n

<\/div>\n

What is PrEP?<\/h3>\n
<\/div>\n

PrEP (Pre-Exposure Prophylaxis) is the use of an HIV-prevention medication before a potential exposure to HIV such as sexual activities. This approach is now even endorsed by the World Health Organization (WHO) as “One can take control of their own protection
\n unlike condoms.” We offer a few kinds of generic PrEP at an affordable price together with follow-up medical check-ups, so please feel free to contact us!\n<\/p>\n

<\/div>\n
\n
\n

Patients who purchase PrEP at our clinic can contact us 24\/7 via LINE with any questions about PrEP interactions with other medications, how to take PrEP, and more. Please don’t hesitate to reach out.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n Appointment<\/a>\n<\/div>\n
<\/div>\n
\n
\n

Recommended for those:<\/p>\n<\/p><\/div>\n

\n

– Engaging in sex without proper protection<\/p>\n

– Having anal intercourse<\/p>\n

– Having an HIV-positive partner<\/p>\n

– Engaging in sexual contact with multiple partners<\/p>\n

– Working in the sex industry<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
\n

We offer exclusive services for those working in the adult entertainment and AV industries. For details, please see below.<\/p>\n<\/p><\/div>\n<\/div>\n

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

Price of PrEP<\/h3>\n
<\/div>\n

For those who use it on demand, it is recommended to start with a one-month package (30 tablets) or a three-month package (90 tablets). All the packages include the price of blood tests necessary for the use and continuation of PrEP.<\/p>\n

<\/div>\n
\n
\n

Always ensure that you undergo appropriate tests when starting and\/or continuing PrEP. Prescriptions from facilities that do not conduct various tests, or personal imports without testing, carry the significant risk of HIV resistance and worsening
\n of hepatitis B.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
Price Calculation<\/div>\n
\n

[Price] = [Consultation Fee] + [Package Price] + [Optional Fees]<\/p>\n

– Consultation Fee: First visit 2,500 JPY, Follow-up 1,000 JPY<\/p>\n

– A doctor’s consultation is required for PrEP prescriptions.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
1-Month Package of PrEP<\/div>\n
\n

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

Including<\/strong>:<\/p>\n

– 1 bottle of PrEP (30 tablets), Descovy<\/p>\n

– HIV rapid test<\/p>\n

– Hepatitis B rapid test<\/p>\n

– Syphilis test (results notified via e-mail)<\/p>\n

– Renal function test (results notified via e-mail)<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
3-Month Package of PrEP<\/div>\n
\n

Price<\/strong>: 19,000 JPY<\/p>\n

Including<\/strong>:<\/p>\n

– 3 bottles of PrEP (90 tablets), Descovy<\/p>\n

– HIV rapid test<\/p>\n

– Hepatitis B rapid test<\/p>\n

– Syphilis test (results notified via e-mail)<\/p>\n

– Renal function test (results notified via e-mail)<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
6-Month Package of PrEP<\/div>\n
\n

Price<\/strong>: 37,000 JPY<\/p>\n

Including<\/strong>:<\/p>\n

– 6 bottles of PrEP (180 tablets), Descovy<\/p>\n

– HIV rapid test<\/p>\n

– Hepatitis B rapid test<\/p>\n

– Syphilis test (results notified via e-mail)<\/p>\n

– Renal function test (results notified via e-mail)<\/p>\n

– Extra tests to take in 3 months (HIV, hepatitis B and syphilis)<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
\n

For those who purchase a 6-month package and do not wish to revisit for testing after 3 months, we can provide a self-test kit.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

Those who have been tested for HIV and Hepatitis B within a week can be prescribed PrEP at the following prices.<\/p>\n

<\/div>\n
\n
\n

Make sure to bring your test results.<\/strong><\/p>\n

When starting or continuing PrEP, always ensure to undergo appropriate testing. Prescriptions or personal imports without undergoing the necessary tests at facilities can be dangerous, posing a risk of HIV resistance and worsening of Hepatitis
\n B.\n <\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
\n

Tests conducted outside our clinic are also eligible.<\/p>\n

For those using the regular testing 3-package, prescription is possible on the day of testing as it includes HIV and Hepatitis B tests.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
PrEP 1 bottle (30 pills)<\/div>\n
\n

Price<\/strong>: 7,000 JPY<\/p>\n

Only for those who bring their test results for HIV and Hepatitis B conducted within a week<\/strong><\/p>\n

Included:<\/strong><\/p>\n

– 1 bottle of PrEP (30 pills) Descovy<\/p>\n

– (Optional) Kidney function test (by email): Additional 500 JPY<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
PrEP 3 bottles (90 pills)<\/div>\n
\n

Price:<\/strong> 16,000 JPY<\/p>\n

Only for those who bring their test results for HIV and Hepatitis B conducted within a week<\/strong><\/p>\n

Included:<\/strong><\/p>\n

– 3 bottles of PrEP (90 pills) Descovy<\/p>\n

– (Optional) Kidney function test (by email): Additional 500 JPY<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

For those who import PrEP on their own, we have a package of routine check-ups.<\/p>\n

<\/div>\n
\n
PrEP routine check-ups<\/div>\n
\n

for those importing PrEP on their own<\/p>\n

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

Including<\/strong>:<\/p>\n

– HIV rapid test<\/p>\n

– Hepatitis B rapid test<\/p>\n

– Syphilis test (results notified via e-mail)<\/p>\n

– Renal function test (results notified via e-mail)<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
\n

Patients who purchase PrEP at our clinic can contact us 24\/7 via LINE with any questions about PrEP interactions with other medications, how to take PrEP, and more. Please don’t hesitate to reach out.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

PrEP is nothing more than an HIV prevention measure. Since it does not have a preventive effect against STIs other than HIV, it is recommended to take STI tests regularly. Infection with syphilis, gonorrhea or chlamydia makes you more vulnerable to HIV.
\n This is because inflammation of the mucous membranes caused by infection to the urethra, vagina, oral cavity or anus allows HIV to penetrate where the mucosal barrier is weak.<\/p>\n

We offer syphilis tests for free and gonorrhea and chlamydia tests at a special price to those purchasing PrEP or PEP for the purpose of comprehensively reducing the risk of HIV infection.<\/p>\n

<\/div>\n
\n
PrEP Limited Option<\/div>\n
\n

Gonorrhea and Chlamydia (genitals, throat, anus)<\/strong>: 3,000 JPY (20,000 JPY<\/s>)<\/p>\n

Discharge test (vaginal candida, vaginal trichomonas and bacterial vaginosis)<\/strong>: 3,000 JPY (4,500 JPY<\/s>)<\/p>\n

Contraceptive injection (Depo-Provera):<\/strong> 8,000 JPY* (9,000 JPY<\/s>) per dose or 22,000 JPY* (25,000 JPY<\/s>) per 3-dose package<\/p>\n

*If you purchase PrEP, doxy-PEP or medication for the prevention of vaginal candida from us, we can offer special pricing.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
\n

For patients using PrEP who wish to start Doxy-PEP, same-day prescription is available by adding the gonorrhea and chlamydia test (genital, throat and rectal). This option also offers a 2,000 JPY discount compared to the standard price.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

To start PrEP<\/h3>\n
<\/div>\n

Japanese guideline requires prior test for HIV, hepatitis B, kidney function and more when starting PrEP medication. (For more information, please see the Reference<\/a> written in Japanese language.)<\/p>\n

In starting PrEP, we perform rapid tests for HIV and hepatitis B, as well as tests for kidney function and quantitative syphilis.<\/p>\n

<\/div>\n
\n
\n

Always ensure that you undergo appropriate tests when starting and\/or continuing PrEP. Prescriptions from facilities that do not conduct various tests, or personal imports without testing, carry the significant risk of HIV resistance and worsening
\n of hepatitis B.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
\n

Our clinic is the only one in Kansai region recognized by PrEP in Japan, the Ministry of Health, Labour and Welfare’s AIDS Policy Research Project.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n Learn more [JP]<\/sup><\/a>\n<\/div>\n
<\/div>\n
\n
In case of HIV-positive<\/div>\n
\n

You may not use PrEP<\/strong>. After the confirmed diagnosis for HIV, treatment for HIV is necessary.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
In case of chronic hepatitis B<\/div>\n
\n

PrEP can be used, but the on-demand medication (method of using only right before and after sexual intercourse) is not available. Please consult our doctor for details.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
In case of other STIs<\/div>\n
\n

PrEP is available while being treated with other STIs. Please ask your doctor for more detail.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

Special discounted testing for syphilis, gonorrhea, chlamydia, and other STIs is available at the start and after completing PEP.<\/p>\n

We offer the following discounted tests exclusively to those who purchase a PEP package, valid for one month from the date of purchase.<\/p>\n

<\/div>\n
\n
PrEP Limited Option<\/div>\n
\n

Gonorrhea and Chlamydia (genitals, throat, anus)<\/strong>: 3,000 JPY (20,000 JPY)<\/s><\/p>\n

Discharge test (vaginal candida, vaginal trichomonas and bacterial vaginosis)<\/strong>: 3,000 JPY (4,500 JPY<\/s>)<\/p>\n

Contraceptive injection (Depo-Provera):<\/strong> 8,000 JPY* (9,000 JPY)<\/s> per dose or 22,000 JPY* (25,000 JPY)<\/s> per 3-dose package<\/p>\n

*If you purchase PrEP, doxy-PEP or medication for the prevention of vaginal candida from us, we can offer special pricing.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

How to take PrEP<\/h3>\n
<\/div>\n

There are 2 ways to take PrEP. If you have any questions about how to take it, please consult doctors.<\/p>\n

<\/div>\n
\n
Daily PrEP<\/div>\n
\n

This is a method of taking 1 tablet once a day at your own set time regardless of sexual intercourse. This is a proven method with a preventive effect of over 99% as well as the established safety.<\/p>\n

\"\"<\/figure>\n<\/p><\/div>\n<\/div>\n
<\/div>\n
\n
On-Demand PrEP<\/div>\n
\n

This method involves taking medication before and after sexual activity. It has been reported to provide 86% effectiveness in HIV prevention.<\/p>\n

Take 2 tablets 2 to 24 hours before intercourse, then take 1 tablet 24 hours later, followed by another 1 tablet 24 hours after that.<\/p>\n

Please ensure the timing of the doses is based on the time you take the first 2 tablets.<\/strong><\/p>\n

\"\"<\/figure>\n

If sexual activity continues over multiple days:<\/strong> Continue taking 1 tablet every 24 hours, and after the last day of sexual activity, take 1 tablet daily for 2 additional days.<\/p>\n

The second dose should be taken 24 hours after the first dose, not 24 hours after intercourse.<\/p>\n

\"\"<\/figure>\n<\/p><\/div>\n<\/div>\n
<\/div>\n
\n
\n

If on-demand PrEP is taken incorrectly (e.g., taking only 1 tablet instead of 2 for the first dose, missing one of the doses after intercourse), it may not be effective in preventing HIV. If you are unsure, please contact us via Official LINE.\n <\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
If You’re Unsure About How to Take It<\/div>\n
\n

We recommend daily PrEP for most patients.<\/p>\n

On-demand PrEP must be taken at specific times, and there have been reports of HIV infection when doses were missed or not taken correctly.<\/p>\n

With daily PrEP, even if the timing varies slightly or a dose is missed, blood levels of the medication remain stable, maintaining its preventive effectiveness.<\/p>\n

Daily PrEP is especially recommended for those who have sexual activity more than twice a month.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

Kinds of PrEP<\/h3>\n
<\/div>\n

We adopt Descovy (new medicine) as PrEP.<\/p>\n

<\/div>\n
\n
Major side effects of Descovy<\/div>\n
\n

Nausea, diarrhea, etc.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
Major side effects of Truvada<\/div>\n
\n

Short-term: Nausea, abdominal pain, diarrhea, headache, rash<\/p>\n

Long-term: Kidney disorder, bone salt decrease, etc.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

Comparison<\/h3>\n
<\/div>\n

We prescribe Descovy (generic medicine) as our standard. The widely used existing medicine Truvada has a risk of renal impairment and osteoporosis if used for a long time. From 2019, when Descovy was approved by the US FDA, there has been a gradual move
\n to switch PrEP from Truvada to Descovy, which has fewer side effects.<\/p>\n

<\/div>\n

Periodic Tests<\/h3>\n
<\/div>\n

In continuing PrEP, it is recommended to take a periodic HIV test approximately once every three months. If you don’t take PrEP correctly and thus get infected with HIV without realizing it and keep taking PrEP afterwards, HIV will become resistant to
\n the PrEP medication, which will be a significant obstacle to treatment.<\/p>\n

PrEP is proven to have a preventive effect close to 100%, but infections due to forgetting intake have been reported. If you are worried about forgetting to take PrEP, we recommend Daily PrEP.\n<\/p>\n

<\/div>\n

To Stop PrEP<\/h3>\n
<\/div>\n

If you want to quit PrEP, you need to quit after taking it for at least two days after the last potential exposure to HIV. It is safer to take it for about one or two days longer. Please consult our doctor in advance if you are unsure.<\/p>\n

<\/div>\n

Flow of PrEP Prescription<\/h3>\n
<\/div>\n

PrEP prescription will take approximately 30 minutes, from your arrival at our clinic to payment.<\/p>\n

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

Visiting us<\/p>\n

\n

You can make an appointment via our website or official LINE. If you fill the online questionnaire in advance, you will be able to have a smooth consultation after your visit.<\/p>\n

* Walk-ins are also available, but you may need to wait. Please tell the receptionist that you want PrEP.<\/p>\n<\/p><\/div>\n<\/div>\n

\n
Step 2<\/div>\n

Consultation<\/p>\n

\n

During the first visit, you will discuss with a doctor what kind of PrEP scheme is most suitable for you.<\/p>\n<\/p><\/div>\n<\/div>\n

\n
Step 3<\/div>\n

Examination<\/p>\n

\n

You will be taking rapid tests for HIV and hepatitis B, as well as standard tests for syphilis and kidney function (taking approximately 20 minutes).<\/p>\n

Those who visit us for the second time or later will be taking tests before the doctor’s examination.<\/p>\n<\/p><\/div>\n<\/div>\n

\n
Step 4<\/div>\n

Explanation of the results<\/p>\n

\n

The doctor will explain the results of the rapid tests. Feel free to ask any questions or discuss any concerns.<\/p>\n<\/p><\/div>\n<\/div>\n

\n
Step 5<\/div>\n

Prescription of PrEP<\/p>\n

\n

You will receive your medication at the reception after payment. Start taking it as instructed.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
\n

For ongoing medication for your second time or later, you can continue to be prescribed as long as there are no problems in rapid testing and the doctor’s examination.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

Frequently asked questions about PrEP<\/h3>\n
<\/div>\n
\n
\nWhat is the difference between generic and brand-name PrEP?<\/summary>\n

Generic medicines are released after the patent for the brand-name medicine has expired. They contain the same active ingredients, quality, efficacy and safety as the brand-name medicines have. The brand-name PrEP tablets are quite expensive,
\n costing approximately 110,000 JPY for a month. To provide our patients with a more affordable option, we adopt generic PrEP medication.<\/p>\n<\/details>\n

\nHow can you offer PrEP at a lower price?<\/summary>\n

We adopt generic medicines and strive to offer medications at an affordable price whenever possible. This is because we have a strong desire to promote the availability of HIV prevention medications in Japan for the purpose of promoting social
\n commitment.\n <\/p>\n<\/details>\n

\nWhich is better, daily or on-demand?<\/summary>\n

If you have sex twice a month or more, we recommend daily use. Even if you forget to take it by chance, the daily use reduces the risk of HIV more than on-demand PrEP does.<\/p>\n<\/details>\n

\nIs a condom necessary even if I take PrEP?<\/summary>\n

PrEP can only prevent HIV acquisition but not effective for other STIs. Thus, it is still recommended to use condoms during sex and take other measures to prevent STIs even with PrEP.<\/p>\n<\/details>\n

\nI forgot to take my medication. What should I do?<\/summary>\n

Take medication immediately as soon as you realize you’ve forgotten to take it, and resume your medication at the usual time from the following day.<\/p>\n<\/details>\n

\nHow should I store my medication?<\/summary>\n

The medicine is in a bottle with a desiccant. Please store the bottle at room temperature. Be careful not to leave it in a cold or warm environment such as in the refrigerator or in a hot car.<\/p>\n<\/details>\n<\/div>\n

<\/div>\n

HIV Post-Exposure Prophylaxis (PEP)<\/h2>\n
<\/div>\n

PEP, post-exposure prophylaxis, is an emergency prevention medication that can significantly reduce the risk of HIV infection when taken within 72 hours after a potential exposure to HIV.<\/p>\n

<\/div>\n
\n
\n

For patients taking PEP, our doctors certified by the Japanese Society for AIDS Research provide not only mental health support but also expert guidance and additional testing as needed, based on the nature of exposure, until HIV negativity is
\n confirmed.\n <\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
\n

If you have had a high-risk exposure to HIV and were not taking PrEP, you must take PEP (post-exposure prophylaxis) within 72 hours to prevent infection.<\/p>\n

Depending on shipping conditions, PEP delivery may be delayed. If you are able to visit us in person, we strongly recommend doing so.<\/strong><\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
Price Calculation<\/div>\n
\n

[Price] = [Consultation Fee] + [Package Price] + [Optional Fees]<\/p>\n

– Consultation Fee: First visit 2,500 JPY, Follow-up 1,000 JPY<\/p>\n

– A doctor’s consultation is required for PrEP prescriptions.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
Price: 66,000 JPY<\/div>\n
\n

Includes:<\/strong><\/p>\n

– HIV test (same day results)<\/p>\n

– Hepatitis B test (same day results)<\/p>\n

– Syphilis (results via email)<\/p>\n

– Kidney function test (results via email)<\/p>\n

– 1 bottle of PEP (30 tablets of Taffic)<\/p>\n

* Take 1 tablet daily for 28 days. The remaining 2 tablets are for backup use.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
\n

For patients who purchase PEP from us, we offer 24-hour support via Official LINE for any questions regarding drug interactions, how to take the medication and more. Please feel free to contact us.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

What is PEP?<\/h3>\n
<\/div>\n

PEP, post-exposure prophylaxis, is an immediate preventive measure that involves taking medication within 72 hours after a potential exposure to HIV, such as unprotected sex with someone who is HIV positive or at risk of HIV infection.<\/p>\n

Brand-name PEP is extremely expensive, costing around 10,000 yen per tablet. And clinics offering brand-name PEP normally charge around 300,000 yen, including initial consultation and testing fees. We offer generic PEP, which is significantly more affordable,
\n and the package includes rapid blood tests and follow-up care at approximately one-fourth of the price of brand-name PEP.<\/p>\n

<\/div>\n
\n
\n

Recommended for those:<\/p>\n<\/p><\/div>\n

\n

– Engaged in sex without proper protection<\/p>\n

– Experienced condom breakage during sex<\/p>\n

– Who had sex with multiple partners<\/p>\n

– Engaged in sexual contact with an HIV-positive individual<\/p>\n

– Sexually assaulted<\/p>\n

– Involved in needlestick injury<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
\n

Contraindicated to those:<\/p>\n<\/p><\/div>\n

\n

– Whose sexual partners have tested negative for HIV<\/p>\n

– Already being HIV positive<\/p>\n

– Who have tested positive for hepatitis B (as PEP may worsen the condition)<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

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

\n PEP prescription will take approximately 30 minutes, from your arrival at our clinic to payment.\n<\/p>\n

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

Visit us within 72 hours of the potential exposure<\/p>\n

\n

\n Walk-ins are welcome. Please inform the reception that you are seeking PEP.\n <\/p>\n

\n Appointment<\/a>\n <\/div>\n<\/p><\/div>\n<\/div>\n
\n
Step 2<\/div>\n

Consultation<\/p>\n

\n

\n Our doctor will interview you to determine your eligibility for PEP.\n <\/p>\n<\/p><\/div>\n<\/div>\n

\n
Step 3<\/div>\n

Examination<\/p>\n

\n

\n Blood tests will be conducted to confirm that you are not already infected with HIV and can safely take anti-HIV medication. It would take approximately 20 minutes.\n <\/p>\n<\/p><\/div>\n<\/div>\n

\n
Step 4<\/div>\n

Explanation and Consent<\/p>\n

\n

\n The doctor will explain the use of PEP and request you to sign a consent document.\n <\/p>\n<\/p><\/div>\n<\/div>\n

\n
Step 5<\/div>\n

Prescription<\/p>\n

\n

\n You will receive the medication at the reception after payment. Start taking it as instructed.\n <\/p>\n<\/p><\/div>\n<\/div>\n

\n
Step 6<\/div>\n

Follow-up<\/p>\n

\n

If you are able to visit our clinic one month after starting PEP, we will conduct follow-up tests for HIV, syphilis, and hepatitis B at the discounted rate of 3,000 JPY. Even if it is difficult for you to visit our clinic, we strongly recommend
\n undergoing these tests.<\/p>\n

Additionally, we also recommend periodic testing for HIV and hepatitis B in 3 months and 6 months (additional fees apply).\n <\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
\n

It is crucial to start taking PEP within 72 hours to minimize your risk.<\/strong>
We will accommodate you, even outside normal clinic hours. Get in touch now!<\/strong><\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

Price of PEP Package<\/h3>\n
<\/div>\n

We prescribe generic PEP, ensuring safety and minimizing patient burden in taking PEP.<\/p>\n

Brand-name PEP is extremely expensive, costing around 10,000 yen per tablet. And clinics offering brand-name PEP normally charge around 300,000 yen, including initial consultation and testing fees.<\/p>\n

We offer generic PEP, which is significantly more affordable, and the package includes rapid blood tests and follow-up care at approximately one-fourth of the price of brand-name PEP.<\/p>\n

<\/div>\n
\n
Price Calculation<\/div>\n
\n

[Price] = [Consultation Fee] + [Package Price] + [Optional Fees]<\/p>\n

– Consultation Fee: First visit 2,500 JPY, Follow-up 1,000 JPY<\/p>\n

– A doctor’s consultation is required for PrEP prescriptions.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
PEP Package: 66,000 JPY<\/div>\n
\n

We accept payment in cash (Japanese yen), credit cards, and various electronic payment methods such as WeChatPay, AliPay and UnionPay. We do not accept payment through Travel Insurance.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
What is included:<\/div>\n
\n

– 1 bottle of generic PEP<\/p>\n

– HIV test (same day results)<\/p>\n

– Hepatitis B test (same day results)<\/p>\n

– Syphilis (results via email)<\/p>\n

– Kidney function test (results via email)<\/p>\n

* Take 1 tablet daily for 28 days. The remaining 2 tablets are for backup use.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
\n

We provide comprehensive support for individuals taking PEP. A doctor certified by the Japanese Society for AIDS Research offers psychological care and, based on expert knowledge, recommends additional necessary tests until HIV-negative status
\n is confirmed after potential exposure.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

Special discounted testing for syphilis, gonorrhea, chlamydia, and other STIs is available at the start and after completing PEP.<\/p>\n

We offer the following discounted tests exclusively to those who purchase a PEP package, valid for one month from the date of purchase.<\/p>\n

<\/div>\n
\n
PEP Limited Options<\/div>\n
\n

Gonorrhea & Chlamydia (Genital, Throat, Anal – 3 sites)<\/strong>: 3,000 JPY (20,000 JPY<\/s>)<\/p>\n

Vaginal Discharge Test (Vaginal Candida, Trichomonas, Bacterial Vaginosis)<\/strong>: 3,000 JPY (4,500 JPY<\/s>)<\/p>\n

These options are valid for one month after purchasing PEP.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

A follow-up test one month after completing PEP is available at a special discounted price.<\/p>\n

<\/div>\n
\n
\n

If you wish to use doxy-PEP in addition to PEP, adding the “Gonorrhea and chlamydia (genital, throat and rectum; 3 sites)” test (3,000 JPY) allows same-day doxy-PEP prescription.<\/p>\n

We offer gonorrhea, chlamydia and syphilis testing at a special price for everyone who starts or continues doxy-PEP<\/strong>. Please see the section below.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
PEP Follow-up Test<\/div>\n
\n

HIV, Hepatitis B & Kidney function<\/strong>: 3,000 JPY<\/p>\n

HIV, Hepatitis B, Kidney function & Syphilis<\/strong>: 5,000 JPY<\/p>\n<\/p><\/div>\n<\/div>\n

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

Frequently Asked Questions<\/h3>\n
<\/div>\n
\n
\nWhat is the difference between PEP and PrEP?<\/summary>\n

\n PEP involves taking medication “after” a potential exposure to HIV, while PrEP is taken continuously “before” sexual contact to prevent HIV.\n <\/p>\n<\/details>\n

\nHow effective is PEP?<\/summary>\n

\n Since the introduction of PEP, there have been no reported cases of HIV transmission in advanced countries among healthcare workers who experienced needle stick injuries (accidental self-injection of a needle contaminated with HIV), which is known to
\n entail a higher risk than sexual contacts. Starting PEP as soon as possible significantly increases the effectiveness of HIV prevention.\n <\/p>\n<\/details>\n

\nI’m unsure whether I should take PEP. Is it necessary?<\/summary>\n

\n If you have had a contact or potential exposure to bodily fluids (such as semen, vaginal secretions, blood, etc.) from an HIV-infected individual, it is advisable to consider taking PEP. However, please consult a doctor for a specific assessment.\n <\/p>\n<\/details>\n

\nWhat is the difference between generic and brand-name PEP?<\/summary>\n

\n Generic drugs are released after the patent for the brand-name medication has expired. They contain the same active ingredients, quality, efficacy and safety as the brand-name medication. The brand-name PEP tablets are quite expensive, costing approximately
\n 10,000 yen per tablet. To provide our patients with a more affordable option, we offer generic PEP medication.\n <\/p>\n<\/details>\n

\nHow can you offer PEP at a lower price?<\/summary>\n

\n We utilize generic drugs to reduce costs and strive to offer medication at an affordable price whenever possible. This is because we have a strong desire to promote the availability of HIV prevention medications in Japan for the purpose of promoting social
\n commitment.\n <\/p>\n<\/details>\n

\nCan I take the prescribed PEP medication abroad?<\/summary>\n

\n Please check the laws and regulations of your destination, as the regulations may vary depending on countries and regions.\n <\/p>\n<\/details>\n

\nDo you provide medical consultations over the phone?<\/summary>\n

\n For the sake of patient safety and accurate prescription, we do not offer telemedicine consultations for PEP prescriptions. If you would not be able to start PEP within 72 hours after a potential exposure due to our business hours, please contact us through
\n our official LINE account.\n <\/p>\n<\/details>\n

\nMay I grind the tablets and take them?<\/summary>\n

\n It is not recommended because crushing the tablets may result in a bitter taste, and there is no available data on the absorption when the tablets are crushed.\n <\/p>\n<\/details>\n

\nIs there a specific time to take the medication?<\/summary>\n

\n PEP should be started within 72 hours after a potential exposure, and the earlier it is started, the higher the preventive effect. However, there is no specific time of day designated for taking the medication.\n <\/p>\n<\/details>\n

\nAre there any side effects?<\/summary>\n

\n Reported side effects include nausea, insomnia, irritability, dizziness, and others. In most cases, these side effects are mild. If you have any concerns, please consult with our doctors.\n <\/p>\n<\/details>\n

\nI missed a dose. What should I do?<\/summary>\n

\n If you realize you missed a dose, take one dose as soon as possible. However, if the next regular dose is approaching (typically within 12 hours), skip the missed dose and take one dose at the next regular dosing time. Under no circumstances should you
\n take two doses at once.\n <\/p>\n<\/details>\n

\nAre there any beverages that should be avoided?<\/summary>\n

\n There are no specific restrictions. However, it is advised to avoid consuming alcohol before or after taking the medication.\n <\/p>\n<\/details>\n

\nI vomited after taking the pill. What should I do?<\/summary>\n

\n If you vomit after taking the medication, do not take another dose. Once you feel better, try to take the medication at the next scheduled dosing time. Drinking plenty of water may help alleviate nausea.\n <\/p>\n<\/details>\n

\nAre there any medications or dietary supplements that should not be taken together?<\/summary>\n

\n Please avoid consuming products containing St. John’s Wort, as they may reduce the effectiveness of the medication. Additionally, supplements containing minerals such as aluminum, magnesium, iron or calcium may also diminish the effects of the medication.\n <\/p>\n<\/details>\n

\nI have heared 2 tablets for one dose. Is 1 tablet sufficient?<\/summary>\n

\n PEP necessitates the intake of three different components, and depending on the healthcare institution, multiple medications may be prescribed to cover all three. However, the PEP medication provided at our clinic contains all the necessary components
\n in a single tablet.\n <\/p>\n<\/details>\n

\nWhat are 2 extra tablets for?<\/summary>\n

\n The medication we prescribe at our clinic comes in a bottle with 30 tablets, leaving 2 tablets as extras. After completing the 28-day course, please dispose of the remaining tablets. It is acceptable to take the additional 2 tablets over the following
\n 2 days if desired, but there is currently no evidence to suggest that taking a total of 30 tablets enhances the effectiveness.\n <\/p>\n<\/details>\n<\/div>\n

<\/div>\n

Doxy-PEP<\/h2>\n
<\/div>\n

Syphilis, gonorrhea and chlamydia are now preventable. These can infect not only the genitals but also the throat or anus and the infections in the throat and anus often have no symptoms but can still be transmitted through sexual activity, leading to
\n a cycle of infection.<\/p>\n

Doxy-PEP involves taking 200 mg of doxycycline (Vibramycin) within 72 hours after sexual activity to prevent syphilis, gonorrhea and chlamydia.<\/p>\n

<\/div>\n
\n
\n

We also offer telemedicine consultations and delivery<\/strong> service of PrEP, PEP and other medications.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n Teleprescription<\/a>\n<\/div>\n
<\/div>\n

Effectiveness of Doxy-PEP<\/h3>\n
<\/div>\n

The infection prevention rates for Doxy-PEP have been reported as 87% for syphilis, 88% for chlamydia and 55% for gonorrhea<\/strong> (International AIDS Society Conference, July 2022).<\/p>\n

Given that the infection rates for syphilis, chlamydia and gonorrhea are approximately 30%, 50% and 50% respectively when having sexual contact with an infected person, these prevention rates are remarkably high and have gained global attention.<\/p>\n

Doxycycline is a commonly used antibiotic beyond STI prevention. Note that itcan have side effects such as abdominal pain, diarrhea and nausea.<\/p>\n

We can prescribe Doxy-PEP based on a thorough consultation with a doctor, discussing the risks and benefits to determine suitability for each patient.<\/p>\n

<\/div>\n
\n
\n

Recommended For<\/p>\n<\/p><\/div>\n

\n

– Those who have previously had STIs such as syphilis, gonorrhea or chlamydia<\/p>\n

– Those who engage in sexual activity including oral sex and wish to prevent syphilis, gonorrhea or chlamydia<\/p>\n

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

– Those with higher risk of exposure, such as individuals working in the adult entertainment or AV industries (CSW)<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
\n

In collaboration with the AIDS Clinical Center (ACC) and our partner clinic, Personal Health Clinic based in Tokyo, we prescribe Doxy-PEP to patients at high risk of contracting STIs.<\/p>\n

We are accumulating data to evaluate the effectiveness of Doxy-PEP in Japan and aim to develop new preventive healthcare models and contribute to society.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
\n

We offer exclusive packages for individuals working in the adult entertainment and AV industries. For more details, please see below.<\/p>\n<\/p><\/div>\n<\/div>\n

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

Syphilis, gonorrhea and chlamydia can be prevented with oral Doxy-PEP. Recent studies have also shown that gonorrhea may respond to certain vaccines. Learn more at the link below.<\/p>\n

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

Doxy-PEP Pricing<\/h3>\n
<\/div>\n
\n
\n

Before starting or continuing Doxy-PEP, proper testing is essential. Receiving a prescription without testing or through personal imports without examination increases the risk of antimicrobial resistance and is dangerous.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
\n

To receive a Doxy-PEP prescription, testing for syphilis, gonorrhea and chlamydia (all potentially exposed sites) is required. We offer special discounted STI testing for everyone starting or continuing Doxy-PEP.<\/strong><\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
Price Calculation<\/div>\n
\n

[Price] = [Consultation Fee] + [Package Price] + [Optional Fees]<\/p>\n

– Consultation Fee: First visit 2,500 JPY, Follow-up 1,000 JPY<\/p>\n

– Doxy-PEP prescriptions require a mandatory consultation with a doctor.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
Price<\/div>\n
\n

[Testing Fee]<\/p>\n

Syphilis, gonorrhea and chlamydia<\/strong> (genital, throat and rectum): 5,000 JPY (20,000 JPY<\/s>)<\/p>\n

\n
\n

If you prefer individual tests in combination with other services, we offer the following discounted prices:<\/p>\n

Syphilis (quantitative):<\/strong> 3,000 JPY (5,000 JPY<\/s>)<\/p>\n

Gonorrhea and chlamydia<\/strong> (genital, throat and rectum): 3,000 JPY (20,000 JPY<\/s>)<\/p>\n<\/p><\/div>\n<\/p><\/div>\n

[Medication Fee]<\/p>\n

\n\n\n\n<\/tbody>\n\n\n
Dosage<\/th>\nPrice (JPY)<\/th>\n<\/tr>\n<\/thead>\n
2 tablets (1 dose)<\/td>\n900<\/td>\n<\/tr>\n
10 tablets (5 doses)<\/td>\n4,000<\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n<\/p><\/div>\n<\/div>\n
<\/div>\n
\n
\n

If you have completed testing for syphilis, gonorrhea and chlamydia (all potentially exposed sites) within the past week, you can receive a prescription with only a consultation and medication fee.<\/p>\n

This applies to test results from other clinics as well. If you are using our 3-test regular package, Doxy-PEP can be prescribed on the day of testing, as it includes syphilis, gonorrhea and chlamydia.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
\n

If you are requesting Doxy-PEP as a medication-only option, please bring documentation of your test results.<\/strong> (Consultation fee will still apply)<\/p>\n

Always undergo proper testing when starting or continuing Doxy-PEP. Prescriptions from clinics that do not offer testing or imported medications without testing are risky and may lead to antimicrobial resistance.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

We also offer a discounted vaginal discharge test (for vaginal candida, trichomonas and bacterial vaginosis) for those prescribed Doxy-PEP.<\/p>\n

\n
Doxy-PEP Limited Option<\/div>\n
\n

Vaginal discharge test<\/strong> (vaginal candida, trichomonas, bacterial vaginosis): 3,000 JPY (4,500 JPY<\/s>)<\/p>\n

Contraceptive injection (Depo-Provera):<\/strong> 8,000 JPY* (9,000 JPY<\/s>) per dose or 22,000 JPY* (25,000 JPY<\/s>) per 3-dose package<\/p>\n

*If you purchase PrEP, doxy-PEP or medication for the prevention of vaginal candida from us, we can offer special pricing.<\/p>\n<\/p><\/div>\n<\/div>\n

For questions or information about the cost of doxy-PEP, please contact us via Official LINE.<\/p>\n

<\/div>\n
\n Official LINE<\/a>\n<\/div>\n
<\/div>\n

How to Start Doxy-PEP<\/h3>\n
<\/div>\n

According to guidelines, syphilis, gonorrhea and chlamydia testing (for all exposed sites) is mandatory before starting Doxy-PEP. (Details here<\/a>)<\/p>\n

We conduct quantitative syphilis testing and gonorrhea\/chlamydia PCR testing (genital, throat and rectum) for all patients starting Doxy-PEP.<\/p>\n

<\/div>\n
\n
\n

Always undergo proper testing before starting or continuing Doxy-PEP. Receiving prescriptions without testing or through personal importation is dangerous and increases the risk of antimicrobial resistance.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
\n

Our doctors, certified by the Japanese Society for AIDS Research, are available during all clinic hours to provide expert guidance and prescriptions for HIV prevention (PrEP\/PEP) and STI prevention medications.<\/p>\n

We offer 24-hour support via Official LINE for those purchasing these medications, including questions about interactions and usage. Feel free to reach out.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
If You Already Have an STI<\/div>\n
\n

Doxy-PEP is not effective against infections you already have.<\/strong><\/p>\n

Please consult with a doctor regarding treatment options.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

How to Take Doxy-PEP<\/h3>\n
<\/div>\n

Doxy-PEP involves taking 200 mg (2 tablets) of Vibramycin within 72 hours (ideally 24 hours)<\/strong> after sexual activity.<\/p>\n

Since gonorrhea and chlamydia can be detected by PCR as early as 24 hours post-intercourse, we recommend taking the medication within 24 hours. If you have questions about how to take it, please consult your doctor.<\/p>\n

\n \"\"\n<\/div>\n
<\/div>\n

Side Effects of Doxy-PEP<\/h3>\n
<\/div>\n

The antibiotic used for Doxy-PEP is commonly prescribed for acne and other infections, not only STIs.<\/p>\n

As with other antibiotics, possible side effects include diarrhea and nausea.<\/p>\n

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

Nausea, diarrhea<\/p>\n

– Nausea can often be avoided by taking the medication after meals.<\/p>\n

– Diarrhea may occur when starting the medication, but usually improves with continued use.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

Doxy-PEP is not suitable for everyone. Please inform your doctor if any of the following apply to you:<\/p>\n

<\/div>\n
\n
\n

Not Suitable For<\/p>\n<\/p><\/div>\n

\n

– Those trying to conceive, currently pregnant or breastfeeding<\/p>\n

– Those with photosensitivity<\/p>\n

– Those allergic to tetracycline antibiotics<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

Doxy-PEP and Antimicrobial Resistance<\/h3>\n
<\/div>\n

Taking Doxy-PEP when already infected with syphilis, gonorrhea or chlamydia may lead to resistance and make future treatment less effective.<\/p>\n

These STIs can infect not only the genitals but also the throat and rectum, and often present no symptoms.<\/p>\n

To prevent antimicrobial resistance, we require all patients starting Doxy-PEP to undergo syphilis, gonorrhea and chlamydia testing at a discounted rate.<\/strong><\/p>\n

We provide ongoing expert care to ensure safe use, including initial and regular follow-up testing.<\/p>\n

<\/div>\n

Doxy-PEP and Gonorrhea Vaccine<\/h3>\n
<\/div>\n

The meningococcal group B vaccine, originally developed for meningitis, is now being used to help prevent gonorrhea due to similarities in their outer membrane structures.<\/p>\n

Research since 2004, especially a recent French study, reports that this vaccine reduces gonorrhea risk by 51%<\/strong>.<\/p>\n

We believe that combining Doxy-PEP with the vaccine offers even greater protection against gonorrhea, which has been difficult to prevent.<\/p>\n

For patients with allergies to standard gonorrhea treatments, vaccination plays a particularly important preventive role.<\/p>\n

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

Prescription Process<\/h3>\n
<\/div>\n

The Doxy-PEP prescription process takes approximately 30 minutes including consultation and payment.<\/p>\n

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

Visit the Clinic<\/p>\n

\n

Please make an appointment via our website or Official LINE. Completing the online questionnaire in advance will help ensure a smooth consultation.<\/p>\n

* Walk-ins are also accepted but may involve waiting. Let the reception staff know you are here for Doxy-PEP.<\/p>\n<\/p><\/div>\n<\/div>\n

\n
Step 2<\/div>\n

Testing<\/p>\n

\n

We will conduct the required tests. If desired, you may consult with a doctor before testing.<\/p>\n<\/p><\/div>\n<\/div>\n

\n
Step 3<\/div>\n

Doctor’s Consultation<\/p>\n

\n

During your first visit, a doctor will assess your eligibility for Doxy-PEP and review your medication schedule with you.<\/p>\n<\/p><\/div>\n<\/div>\n

\n
Step 4<\/div>\n

Results<\/p>\n

\n

If a rapid test is performed, the results will be explained on-site. Otherwise, results will be sent by email.<\/p>\n<\/p><\/div>\n<\/div>\n

\n
Step 5<\/div>\n

Prescription<\/p>\n

\n

You will receive the medication at reception during checkout and can begin taking it immediately.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
\n

For follow-up prescriptions, testing and a doctor’s consultation will be required again. If no issues are found, continued prescriptions are available.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

Frequently Asked Questions<\/h3>\n
<\/div>\n
\n
\nIs it harmful to take this medication regularly?<\/summary>\n

Vibramycin is a widely used antibiotic with a well-established safety profile. However, prolonged use may slightly increase the risk of diarrhea or candida. Regular check-ins with a doctor are important.<\/p>\n<\/details>\n

\nIs resistance a concern?<\/summary>\n

Taking preventive medication without testing can lead to bacterial resistance. We always conduct testing before prescribing to ensure safe use.<\/p>\n<\/details>\n

\nIs testing required every time?<\/summary>\n

To avoid resistance, we require testing for each prescription. However, if you have STI test results from the past 7 days, additional testing is not necessary.<\/p>\n<\/details>\n

\nIs a doctor’s consultation required for every prescription?<\/summary>\n

Yes, all prescriptions require consultation with a doctor.<\/p>\n<\/details>\n

\nHow should I store the medication?<\/summary>\n

Store it at room temperature. Avoid placing it in hot areas such as cars or inside a refrigerator.<\/p>\n<\/details>\n<\/div>\n

<\/div>\n

<\/p>\n

Gonococcal Vaccine (Meningococcal B Vaccine)<\/h2>\n

The meningococcal B vaccine was initially used to prevent meningitis, an inflammation of the membranes covering the brain and spinal cord. And since the outer membrane structure of meningococcal B and gonococcal bacteria are similar, it was hypothesized
\n that the vaccine could also prevent gonorrhea.<\/p>\n

Since around 2004, there has been progress in its development, and a recent French study reported that the meningococcal B vaccine can prevent 51% of gonorrhea cases<\/strong>.<\/p>\n

We believe that using the vaccine in combination with Doxy-PEP can provide a higher level of prevention against gonorrhea, which has been difficult to prevent until now.<\/p>\n

For individuals allergic to gonorrhea treatment medications, preventing infection with a vaccine is particularly important.<\/p>\n

<\/div>\n
\n
\n

Recommended For<\/p>\n<\/p><\/div>\n

\n

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

– Those allergic to first-line gonorrhea treatments (e.g. ceftriaxone)<\/p>\n

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

– Those at high risk of infection, such as individuals working in the adult entertainment or AV industries (CSW)<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
\n

The gonorrhea vaccine can be administered on the same day as your Doxy-PEP prescription. Please consult with a doctor.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

While no serious side effects have been reported, the following reactions may occur:<\/p>\n

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

More than 10%: Pain or swelling at the injection site, fatigue, headache<\/p>\n

1-9%: Nausea, fever<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

The vaccine price is listed below. Two doses are recommended for effective protection against gonorrhea.<\/p>\n

<\/div>\n
\n
Gonorrhea Vaccine<\/div>\n
\n

Price: 25,000 JPY per dose<\/p>\n

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

Schedule: Initial dose and a second dose one month later<\/p>\n

Combining Doxy-PEP with the vaccine offers higher preventive effect against gonorrhea.<\/p>\n

\n
\n

Patients vaccinated at our clinic are eligible for free testing for gonorrhea and chlamydia<\/strong> (genital, throat and rectum) during both doses (20,000 JPY<\/s>).<\/p>\n

Additionally, for one year from the initial dose, gonorrhea and chlamydia testing (genital, throat and rectum) is available for 3,000 JPY<\/strong> at any time.<\/p>\n

This testing is available only as part of non-insurance-based medical care. Treatment will also be provided as private care in accordance with Japan’s legal restrictions on mixed billing.<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

<\/p>\n

Vaginitis Prevention<\/h2>\n

Vaginitis (vaginal candida and bacterial vaginosis) can be managed with an option focused on preventing recurrence<\/strong>.<\/p>\n

We also offer prevention of vaginitis through phone consultation and medication delivery.<\/p>\n

<\/div>\n
\n Teleprescription<\/a>\n<\/div>\n
<\/div>\n
\n
\n

Vaginitis can be prevented<\/p>\n<\/p><\/div>\n

\n

Vaginal candida:<\/strong> Preventive oral therapy (once weekly for 6 months) is expected to reduce the recurrence rate to approximately 10-20%<\/strong>.<\/p>\n

Bacterial vaginosis:<\/strong> Treating both the patient and their partner has been reported to reduce the 12-week recurrence rate from 63% to 35%<\/strong>, approximately a 50% reduction.<\/p>\n

\n Effectiveness varies by individual. The optimal approach depends on recurrence patterns and test results.\n <\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

Preventing Vaginal Candida<\/h3>\n
<\/div>\n

Vaginal candida (candida vaginitis) is an infection caused by overgrowth of fungi of the Candida genus in the vagina.<\/p>\n

It is characterized by intense itching, white crumbly discharge and burning discomfort, and many people experience it at least once.<\/p>\n

When it recurs four or more times per year<\/strong>, it is referred to as recurrent vaginal candida, and recurrence rates of approximately 60-70% within 6 months have been reported.<\/p>\n

Using preventive medication for vaginal candida taken once weekly for 6 months has been reported to reduce the recurrence rate to approximately 10-20%<\/strong>.<\/p>\n

<\/div>\n
\n
\n

Recommended for those who:<\/p>\n<\/p><\/div>\n

\n

– Experience vaginal candida four or more times per year<\/p>\n

– Have severe itching or discomfort that interferes with daily life<\/p>\n

– Have repeated vaginal suppository treatments or therapies<\/p>\n

– Constantly worry that it may recur again<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
Effects<\/div>\n
\n

– Reduces the need for repeated vaginal suppositories or treatments<\/p>\n

– Decreases anxiety about symptoms<\/p>\n

– Improves quality of life (QOL)<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
\n

Not only frequency, but also the severity of symptoms and anxiety<\/strong> are important factors in decision-making.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
How to take it<\/div>\n
\n

Induction therapy (initial phase): Oral dosing on day 1, day 4 and day 7 (3 doses total)<\/p>\n

Maintenance therapy (maintenance phase): As a general rule, continue oral dosing once weekly for 6 months<\/p>\n

After completing 6 months of maintenance therapy, we will monitor progress and consider next steps as needed.<\/p>\n

If you experience side effects such as mild nausea or abdominal discomfort, or if you are planning pregnancy, the duration can be adjusted in consultation with a doctor.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n \"\"
\n<\/figure>\n
<\/div>\n
\n
Preventive medication for vaginal candida<\/div>\n
\n

For first-time patients, the induction plus 6-month continuation package offers the best value. For ongoing therapy, you may choose a 1-month, 3-month or 6-month supply.<\/p>\n

Induction package (day 1, 4 and 7): 4,000 JPY<\/p>\n

Continuation 1 month (once weekly x 4): 5,000 JPY<\/p>\n

Continuation 3 months (once weekly x 12): 12,000 JPY<\/p>\n

Continuation 6 months (once weekly x 24): 20,000 JPY<\/p>\n

Induction plus continuation 6-month package: 22,000 JPY<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

For patients starting or undergoing induction with preventive medication for vaginal candida, we offer vaginal discharge testing and contraceptive injections at special prices.<\/p>\n

<\/div>\n
\n
Limited options<\/div>\n
\n

Vaginal discharge test<\/strong> (vaginal candida, trichomonas and bacterial vaginosis): 3,000 JPY (4,500 JPY<\/s>)<\/p>\n

Contraceptive injection<\/strong> (Depo-Provera): 8,000 JPY (9,000 JPY<\/s>) per dose or 22,000 JPY (25,000 JPY<\/s>) for 3 doses<\/p>\n

Special pricing is available for those who purchase PrEP, doxy-PEP or preventive medication for vaginal candida from us.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

Preventing Bacterial Vaginosis<\/h3>\n
<\/div>\n

Bacterial vaginosis occurs when the balance of bacteria in the vagina is disrupted. It can develop even in individuals without sexual experience, and many women may experience it at least once.<\/p>\n

While it usually does not cause severe symptoms, it may increase the risk of HIV infection and other STIs.<\/p>\n

It is known that treating partners together can help prevent bacterial vaginosis<\/strong>.<\/p>\n

A randomized controlled trial published in March 2025 reported that, in addition to standard treatment for women, providing male partners with 7 days of oral medication plus topical treatment<\/strong> reduced the 12-week recurrence rate from 63% to 35%<\/strong>,
\n approximately a 50% reduction.<\/p>\n

<\/div>\n
\n
Common symptoms of bacterial vaginosis<\/div>\n
\n

– Increased amount of vaginal discharge<\/p>\n

– Grayish-white discharge<\/p>\n

– Fishy odor<\/p>\n

– Genital itching or discomfort<\/p>\n

\n
\n

Bacterial vaginosis cannot be diagnosed based on symptoms alone.<\/p>\n

We recommend undergoing a vaginal discharge test (microscopic examination).<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
\n

Recommended for those who:<\/p>\n<\/p><\/div>\n

\n

– Experience repeated recurrence of bacterial vaginosis<\/p>\n

– Develop symptoms after each sexual encounter<\/p>\n

– Have the same partner but do not see improvement in symptoms<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

Testing for bacterial vaginosis is performed by collecting vaginal discharge with a cotton swab and examining it under a microscope.<\/p>\n

Because you collect the sample yourself, there is no genital examination or associated pain. The entire process from testing to diagnosis takes approximately 30 minutes.<\/p>\n

<\/div>\n
\n
Vaginal discharge test<\/div>\n
\n

– Test items:<\/strong> vaginal candida, trichomonas and bacterial vaginosis<\/p>\n

– Price:<\/strong> 4,500 JPY<\/p>\n

– Results:<\/strong> Results for candida, trichomonas and bacterial vaginosis are available on the same day (approximately 30 minutes)<\/p>\n

The results will be explained by a doctor, and a consultation fee will be charged separately.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n
\n
Treatment and preventive medication for bacterial vaginosis<\/div>\n
\n

For the patient:<\/strong> Vaginal suppositories: 4,500 JPY for 6 days<\/p>\n

– Use the vaginal suppository once daily at bedtime for 6 days. Symptoms often improve within 2-3 days, but it is important to complete the full 6-day course.<\/p>\n

For the partner:<\/strong> Oral medication plus topical medication: 6,000 JPY for 7 days<\/p>\n

– If you prefer only oral or only topical medication, it can be prescribed for 4,000 JPY.<\/p>\n<\/p><\/div>\n<\/div>\n

<\/div>\n

Frequently Asked Questions<\/h3>\n
<\/div>\n
\n
\nWill taking preventive medication for vaginal candida for 6 months cure it completely?<\/summary>\n

Six months is the standard duration for maintenance therapy. While it does not guarantee zero recurrence, many patients experience fewer episodes and reduced severity.<\/p>\n<\/details>\n

\nDo I need to continue taking preventive medication for vaginal candida for life?<\/summary>\n

Treatment is usually completed after 6 months, followed by observation. If you experience side effects or are planning pregnancy, the duration can be adjusted in consultation with a doctor. Based on recurrence patterns and test results, our doctors
\n will recommend the most appropriate regimen.<\/p>\n<\/details>\n

\nAre vaginal candida and bacterial vaginosis STIs?<\/strong><\/summary>\n

Vaginal candida and bacterial vaginosis are conditions caused by disruption of the vaginal microbial balance and differ somewhat from what are typically referred to as STIs. However, sexual activity, especially without condoms, and partner-related
\n factors can contribute to worsening or recurrence.<\/p>\n<\/details>\n

\nDoes frequent recurrence after treatment mean the treatment is not working?<\/summary>\n

Not necessarily. These forms of vaginitis are known to recur easily<\/strong>. Even after symptoms improve with treatment, changes in the vaginal environment or partner-related factors may lead to recurrence. If recurrences persist, please
\n consult us to review treatment methods, lifestyle factors and whether partner treatment is appropriate.<\/p>\n<\/details>\n

\nShould my partner also be treated?<\/strong><\/summary>\n

If recurrences continue or symptoms appear after each sexual encounter, it may be worthwhile to consider treating both the patient and their partner<\/strong>. As benefits vary by situation, our doctors will provide a thorough explanation
\n based on recurrence patterns and test results.<\/p>\n<\/details>\n

\nIs it safe to have sex during or immediately after treatment?<\/summary>\n

During periods of severe symptoms or while undergoing treatment, stimulation may worsen symptoms or lead to recurrence. If possible, we recommend abstaining until treatment is complete and symptoms have settled. For those with frequent recurrence,
\n condom use and considering partner treatment may also help prevent recurrence.<\/p>\n<\/details>\n

\nCan vaginal candida or bacterial vaginosis be identified based on the amount or appearance of discharge alone?<\/summary>\n

Other infections such as gonorrhea and chlamydia can present with similar symptoms, and vaginal candida and bacterial vaginosis can be difficult to distinguish based on symptoms alone. Confirming the cause through a vaginal discharge test and
\n selecting appropriate treatment is essential.<\/p>\n<\/details>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Please select the section to jump. Note that the prices indicated in this page are all inclusive of tax. PrEP PEP Doxy-PEP Gonorrhea Vaccine Vaginitis Prevention Immediate in-hospital prescription by our certified doctor is available throughout our open hours. Those purchasing our PrEPcan contact us 24\/7 via LINE with any questions about PrEP Official LINE\u2026<\/p>\n","protected":false},"author":7,"featured_media":0,"parent":0,"menu_order":13,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"class_list":["post-2522","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/idaten.clinic\/en\/wp-json\/wp\/v2\/pages\/2522","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/idaten.clinic\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/idaten.clinic\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/idaten.clinic\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/idaten.clinic\/en\/wp-json\/wp\/v2\/comments?post=2522"}],"version-history":[{"count":95,"href":"https:\/\/idaten.clinic\/en\/wp-json\/wp\/v2\/pages\/2522\/revisions"}],"predecessor-version":[{"id":4317,"href":"https:\/\/idaten.clinic\/en\/wp-json\/wp\/v2\/pages\/2522\/revisions\/4317"}],"wp:attachment":[{"href":"https:\/\/idaten.clinic\/en\/wp-json\/wp\/v2\/media?parent=2522"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}