We offer generic Nebido, the long-acting male hormone injection at nearly half the price<\/strong> of its original.<\/p>\n Feel free to LINE us as we also stock all other kinds of hormone therapy medications.<\/p>\n<\/p><\/div>\n<\/div>\n Whether the consultation is conducted face-to-face or online, you can undergo hormone therapy and\/or testing immediately after the consultation at the day of your visit.<\/p>\n<\/p><\/div>\n<\/div>\n We offer initial gender affirmation consultations in person at any of our business days.<\/p>\n The following dates indicate availability of consultations with Dr. Shin IKEBUKURO.<\/p>\n July, 2026: 31 (Fri)<\/p>\n<\/p><\/div>\n<\/div>\n If you have any questions regarding the gender affirmation, contact us via our official LINE.<\/p>\n Please select the section to jump to. The tests and treatments we can perform are as follows:<\/p>\n Our counseling and hormone therapy are not covered by Japanese national health insurance.<\/p>\n<\/p><\/div>\n<\/div>\n For those with GD, we initially ask to your concerns, provide advice on what can be done and suggest what to begin with.<\/p>\n We offer consultations on GI\/GD, hormone therapy, and potential surgeries (for surgeries, we will provide referrals).<\/p>\n We also provide advice for those wishing to undergo gender transition and support for preparations for a gender affirming surgery. Note that the procedures for gender change are carried out at the court.<\/p>\n While we offer consultations on treatment policies, we do not diagnose GI\/GD.<\/p>\n<\/p><\/div>\n<\/div>\n Treatment for individuals with GD or GD includes “hormone therapy” and “gender-related surgeries”.<\/p>\n We ensure safe hormone therapy while conducting thorough medical consultations and examinations.<\/p>\n If you are considering a mastectomy or gender-affirming surgery, we offer assistance in selecting the appropriate hospital and provide necessary referrals.<\/p>\n Those who have undergone a gender affirming surgery will become able to apply for a “change of gender in the family register” at the family court.<\/p>\n We offer hormone administration for FTM (Female to Male) to transition from female to male and MTF (Male to Female) to transition from male to female.<\/p>\n Administering hormones helps individuals get closer to their desired physical appearance, but it may also lead to changes from their original healthy state.<\/p>\n It is crucial to consult with a doctor in advance; self-administering hormones without medical guidance can be hazardous.<\/p>\n<\/p><\/div>\n<\/div>\n Starting hormone replacement therapy can increase the risk of various diseases such as liver dysfunction, kidney dysfunction, lipid metabolism disorders, diabetes, polycythemia, thrombosis and osteoporosis.<\/p>\n The following examinations may be eligible for coverage under the Japanese national health insurance.<\/p>\n We investigate liver and kidney functions, lipid metabolism disorders, uric acid levels, hormone levels, etc. Based on these results, hormone dosage will be adjusted as necessary.<\/p>\n<\/p><\/div>\n<\/div>\n There is a risk of thrombosis as a complication associated with hormone therapy.<\/p>\n We provide not only blood tests but also comprehensive medical care whenever necessary. This includes lower limb ultrasound, cardiac echography and neck echography to evaluate the risk of cerebral infarction and myocardial infarction.<\/p>\n<\/p><\/div>\n<\/div>\n Here is an overview of the available options and possible side effects of hormone therapy.<\/p>\n Main Indications:<\/strong><\/p>\n Individuals who are AFAB (Assigned Female at Birth), transgender men (FTM) and non-binary individuals<\/p>\n Medication Options:<\/strong><\/p>\n Injectables: Short-acting testosterone (Testoviron), long-acting testosterone (Nebido generic)<\/p>\n Topicals: Cernos Gel, Glomin, 1UP Formula<\/p>\n Orals: Cernos Capsules<\/p>\n Main Effects:<\/strong><\/p>\n Fat redistribution, increased muscle mass, increased facial and body hair, deepening of the voice, cessation of menstruation, clitoral enlargement, vaginal atrophy, oily skin and acne, androgenetic alopecia (AGA)<\/p>\n Common Side Effects:<\/strong><\/p>\n Polycythemia, liver function abnormalities, cardiovascular disease, hypertension and others<\/p>\n<\/p><\/div>\n<\/div>\n Testoviron, a short-acting testosterone preparation, contains the same active ingredients as Enarmon Depot and Testinon Depot.<\/p>\n<\/p><\/div>\n<\/div>\n Main Indications:<\/strong><\/p>\n AMAB (Assigned Male at Birth) individuals such as transgender women (MTF: Male-to-Female) and non-binary individuals<\/p>\n Medication Options:<\/strong><\/p>\n Topical gel: L’Estrogel<\/p>\n Transdermal patch: Estrana Tape<\/p>\n Oral medication: Progynova (estradiol [17\u03b2-estradiol] preparation)<\/p>\n Injectable medication: Progynon Depot<\/p>\n Main Effects:<\/strong><\/p>\n Breast development, body contour changes such as increased fat deposition, decreased muscle strength, skin softening and reduced sebum production, reduced libido and erectile function, testicular atrophy and loss of spermatogenic function, etc.<\/p>\n Main Side Effects:<\/strong><\/p>\n Thrombosis, cardiovascular disease, gallstones, hyperprolactinemia, dyslipidemia, breast cancer (long-term risk), etc.<\/p>\n <\/br><\/p>\n Conjugated estrogens (e.g., Premarin) are associated with difficulties in evaluating blood concentration levels and have been reported to carry risks such as thrombosis. Main Indications:<\/strong><\/p>\n Individuals who are AMAB (Assigned Male at Birth), transgender women (MTF) and non-binary individuals<\/p>\n Medication Options:<\/strong><\/p>\n Orals: Spironolactone<\/p>\n Main Effects:<\/strong><\/p>\n Reduction in testosterone levels, breast development and tenderness, decreased erectile function and libido, reduction in body hair<\/p>\n Common Side Effects:<\/strong><\/p>\n Frequent urination, low blood pressure, mood decline, arrhythmias, general fatigue and muscle weakness due to electrolyte imbalances such as hyperkalemia or hyponatremia<\/p>\n<\/p><\/div>\n<\/div>\n Main Indications:<\/strong><\/p>\n AMAB (Assigned Male at Birth) individuals such as transgender women (MTF: Male-to-Female) and non-binary individuals<\/p>\n Medication Options:<\/strong><\/p>\n Oral medication: Micronized progesterone (natural progesterone)<\/p>\n Main Effects:<\/strong><\/p>\n \n It may be added with the expectation of promoting breast development, although the effect varies between individuals. Changes in breast and nipple sensitivity may occur.\n <\/p>\n Main Side Effects:<\/strong><\/p>\n \n Drowsiness and fatigue, dizziness, headache, mood changes (including low mood), breast pain or breast\/nipple sensitivity, nausea or stomach discomfort, abdominal bloating, edema, etc.\n <\/p>\n <\/p>\n Some synthetic progestins (e.g., medroxyprogesterone acetate) have been associated with increased risks of breast cancer, cardiovascular events, and thrombosis, and therefore are not used at our clinic.<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\n During hormone therapy, there’s an increased risk of various diseases such as liver dysfunction, kidney dysfunction, lipid metabolism disorders, diabetes, polycythemia, thrombosis and osteoporosis.<\/p>\n Additionally, it’s essential to periodically measure hormone levels because excessive hormone replacement therapy could potentially lead to lethal complications.<\/p>\n We recommend blood testing and hormone measurement in starting and continuing hormone replacement therapy.<\/p>\n Blood count, liver function, kidney function, electrolytes, uric acid, CK, TG, LDL, HDL, blood sugar, HbA1c<\/p>\n<\/p><\/div>\n<\/div>\n In addition to the above, the following hormone tests can be conducted.<\/p>\n Before oophorectomy:<\/strong> Estrogen, Testosterone<\/p>\n After oophorectomy:<\/strong> Testosterone<\/p>\n * Oophorectomy refers to the surgical removal of one or both ovaries.<\/p>\n<\/p><\/div>\n<\/div>\n In addition to the above, the following hormone tests can be conducted.<\/p>\n Before orchiectomy:<\/strong> Estrogen, Testosterone<\/p>\n After orchiectomy:<\/strong> Estrogen, (Testosterone)<\/p>\n * Orchiectomy refers to the surgical removal of one or both testicles.<\/p>\n * The level of prolactin will be measured annually.<\/p>\n<\/p><\/div>\n<\/div>\n The gender affirmation will primarily not be covered by Japanese national health insurance. However, depending on the patient’s underlying conditions, blood tests and other examinations may be covered by insurance.<\/p>\n For more details, please consult with our doctor.<\/p>\n<\/p><\/div>\n<\/div>\n The gender affirmation will primarily not be covered by Japanese national health insurance.<\/p>\n But, periodic examinations associated with hormone therapy may be covered by insurance, so please consult the doctor.<\/p>\n The price of medical care without insurance will be calculated based on the following pricing system.<\/p>\n [Total Price] = [Consultation Fee] + [Test Fee] + [Medication Fee]<\/p>\n<\/p><\/div>\n<\/div>\n The consultation fee varies depending on whether it’s your initial visit or a follow-up visit.<\/p>\n Irrespective of insurance coverage, a follow-up consultation fee applies for all subsequent visits.<\/p>\n Please refer to the top of this page to see whether your preferred consultation date falls on an face-to-face consultation day or an online consultation via video call.<\/p>\n Initial fee: 2,500 JPY<\/p>\n Follow-up fee: 1,000 JPY<\/p>\n<\/p><\/div>\n<\/div>\n The prices for the tests are as follows:<\/p>\n *The number of days for test results is counted from the “start of testing.” For specimens collected in the evening, on Sundays, holidays or during the New Year holidays, the next business day will be considered the “start of testing.” For not covered
Note that the prices indicated in this page are all inclusive of tax.<\/p>\n
\n Hormone Therapy<\/a>
\n Prices<\/a>
\n Consultation Flow<\/a><\/div>\nAbout Gender Affirmation<\/h2>\n
Counseling<\/h3>\n
Hormone Therapy<\/h3>\n
Regular Examinations<\/h3>\n
Hormone Therapy<\/h2>\n
Hormone Therapy Options<\/h3>\n
Guidelines suggest avoiding conjugated estrogens when estradiol (17\u03b2-estradiol)
\n formulations are available.<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\nRequired Examinations<\/h3>\n
Prices<\/h2>\n
Consultation Fee<\/h3>\n
Test Fee<\/h3>\n
\n
\n \nType of Test<\/th>\n Price (JPY)<\/th>\n Results*<\/th>\n<\/tr>\n<\/thead>\n \n Hormone
Therapy
Blood Test
Package<\/td>\n3,000<\/td>\n 2-3 days<\/td>\n<\/tr>\n \n Testosterone
+ Estrogen<\/td>\n2,000<\/td>\n 4-5 days<\/td>\n<\/tr>\n \n Testosterone<\/td>\n 1,500<\/td>\n 4-5 days<\/td>\n<\/tr>\n \n Free
Testosterone<\/td>\n1,500<\/td>\n 4-5 days<\/td>\n<\/tr>\n \n Estrogen<\/td>\n 1,500<\/td>\n 4-5 days<\/td>\n<\/tr>\n \n D-dimer
(Thrombosis
Risk Assessment)<\/td>\n1,500<\/td>\n 2-3 days<\/td>\n<\/tr>\n \n LH<\/td>\n 1,500<\/td>\n 4-5 days<\/td>\n<\/tr>\n \n FSH<\/td>\n 1,500<\/td>\n 4-5 days<\/td>\n<\/tr>\n \n Prolactin<\/td>\n 1,500<\/td>\n 4-5 days<\/td>\n<\/tr>\n \n Chromosome
Test**<\/td>\n33,000<\/td>\n 4-6 weeks<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n
\n by Japanese national insurance services, results are available by email.<\/p>\n
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