{"id":3660,"date":"2024-06-23T14:34:18","date_gmt":"2024-06-23T05:34:18","guid":{"rendered":"https:\/\/idaten.clinic\/en\/?page_id=3660"},"modified":"2026-06-18T18:26:50","modified_gmt":"2026-06-18T09:26:50","slug":"loh","status":"publish","type":"page","link":"https:\/\/idaten.clinic\/en\/loh\/","title":{"rendered":"Late Onset Hypogonadism (LOH)"},"content":{"rendered":"\r\n\r\n\r\n

Have you been experiencing extremely tired, unmotivated, lacking sexual desire, or unable to sleep<\/strong> lately? These could be symptoms of LOH (Late-Onset Hypogonadism) syndrome.<\/p>\r\n

Despite the growing global attention to LOH syndrome, the availability of treatment in Japan has been limited due to lack of recognition.<\/p>\r\n\r\n

We are highly specialized in diagnosing and treating LOH syndrome: you can consult with certified testosterone treatment specialists to discuss appropriate hormone therapy and future plans, ensuring you receive the best possible care.<\/p>\r\n\r\n

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\r\n Consultations for LOH are not covered by Japanese National Health Insurance.\r\n <\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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\r\n Appointment<\/a>\r\n<\/div>\r\n\r\n
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If you have any questions about LOH, please contact us via our official LINE account.<\/p>\r\n\r\n

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\r\n Official LINE<\/a>\r\n<\/div>\r\n\r\n
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Please select the section to jump.<\/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 About LOH<\/a>\r\n Flow<\/a>\r\n Tests<\/a>\r\n Treatments<\/a>\r\n Prices<\/a>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n

About LOH<\/h2>\r\n

It is estimated that approximately 6 million people in Japan suffer from LOH, a condition that has been recognized globally since the early 2000s (it is sometimes referred to as LOH syndrome).<\/p>\r\n

LOH is defined as “a syndrome caused by a decrease in male hormones (testosterone) associated with aging and stress.” In recent years, cases of decreased male hormone levels have been observed even in younger men (in their 20s and 30s).<\/p>\r\n

Male hormones play various roles beyond just sperm production and muscle strengthening. They also affect muscles, bones, the central nervous system, the prostate, sexual function, and urinary function. When men experience LOH, these functions can\r\n be impaired, leading to a variety of symptoms as listed below.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
\r\n Symptoms of LOH\r\n <\/div>\r\n
\r\n

– Decreased sexual desire (\u2605)<\/p>\r\n

– Weaker erections (\u2605)<\/p>\r\n

– Feeling less energetic<\/p>\r\n

– Reduced physical strength or stamina<\/p>\r\n

– Shorter height<\/p>\r\n

– Feeling less enjoyment in daily life<\/p>\r\n

– Feeling sad or irritable<\/p>\r\n

– Reduced exercise capacity<\/p>\r\n

– Falling asleep after dinner<\/p>\r\n

– Decreased work performance<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
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If you experience both (\u2605) symptoms or more than three of the symptoms listed above, you may have LOH.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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

While male hormones are often associated with “sexual desire,” they also have a significant impact on mental well-being. We frequently hear about symptoms such as “having sexual desire but being unable to sleep well” or “being told that your personality\r\n has changed and feeling an inexplicable sense of anxiety.”<\/p>\r\n

To objectively assess the severity of LOH symptoms, the AMS score (Aging Males’ Symptoms questionnaire) can be used. This questionnaire allows you to evaluate your condition on a scale from 1 (no symptoms) to 5 (very severe symptoms) across various\r\n categories. By totaling your score, you can better understand the severity of your symptoms.<\/p>\r\n

The AMS score is also known to be highly useful in measuring the effectiveness of hormone therapy.<\/p>\r\n\r\n

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

[AMS Score]<\/p>\r\n

For each question, rate the severity of your symptoms on a scale from 1 to 5. The total score across 17 items will help gauge the overall severity of your symptoms.<\/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
Symptom<\/th>\r\n None<\/th>\r\n Mild<\/th>\r\n Moderate<\/th>\r\n Severe<\/th>\r\n Very
Severe<\/th>\r\n
Feeling unwell
both physically
and mentally<\/td>\r\n 		1<\/td>\r\n 2<\/td>\r\n 3<\/td>\r\n 4<\/td>\r\n 5<\/td>\r\n <\/tr>\r\n
Joint or muscle pain
(e.g., back pain, joint pain)<\/td>\r\n 		1<\/td>\r\n 2<\/td>\r\n 3<\/td>\r\n 4<\/td>\r\n 5<\/td>\r\n <\/tr>\r\n
Sweating or hot flashes<\/td>\r\n 1<\/td>\r\n 2<\/td>\r\n 3<\/td>\r\n 4<\/td>\r\n 5<\/td>\r\n <\/tr>\r\n
Difficulty sleeping
or shallow sleep<\/td>\r\n 		1<\/td>\r\n 2<\/td>\r\n 3<\/td>\r\n 4<\/td>\r\n 5<\/td>\r\n <\/tr>\r\n
Frequently feeling tired
Often feeling fatigued<\/td>\r\n 		1<\/td>\r\n 2<\/td>\r\n 3<\/td>\r\n 4<\/td>\r\n 5<\/td>\r\n <\/tr>\r\n
Feeling irritable
or moody<\/td>\r\n 		1<\/td>\r\n 2<\/td>\r\n 3<\/td>\r\n 4<\/td>\r\n 5<\/td>\r\n <\/tr>\r\n
Feeling more nervous<\/td>\r\n 1<\/td>\r\n 2<\/td>\r\n 3<\/td>\r\n 4<\/td>\r\n 5<\/td>\r\n <\/tr>\r\n
Feeling more anxious<\/td>\r\n 1<\/td>\r\n 2<\/td>\r\n 3<\/td>\r\n 4<\/td>\r\n 5<\/td>\r\n <\/tr>\r\n
Lack of motivation
or energy
Persistent fatigue<\/td>\r\n 		1<\/td>\r\n 2<\/td>\r\n 3<\/td>\r\n 4<\/td>\r\n 5<\/td>\r\n <\/tr>\r\n
Feeling weaker<\/td>\r\n 1<\/td>\r\n 2<\/td>\r\n 3<\/td>\r\n 4<\/td>\r\n 5<\/td>\r\n <\/tr>\r\n
Feeling depressed
or powerless<\/td>\r\n 		1<\/td>\r\n 2<\/td>\r\n 3<\/td>\r\n 4<\/td>\r\n 5<\/td>\r\n <\/tr>\r\n
Feeling like
your best days are
behind you<\/td>\r\n 		1<\/td>\r\n 2<\/td>\r\n 3<\/td>\r\n 4<\/td>\r\n 5<\/td>\r\n <\/tr>\r\n
Feeling burnt out
Feeling at rock bottom<\/td>\r\n 		1<\/td>\r\n 2<\/td>\r\n 3<\/td>\r\n 4<\/td>\r\n 5<\/td>\r\n <\/tr>\r\n
Slower beard growth<\/td>\r\n 1<\/td>\r\n 2<\/td>\r\n 3<\/td>\r\n 4<\/td>\r\n 5<\/td>\r\n <\/tr>\r\n
Feeling a decline
in sexual ability<\/td>\r\n 		1<\/td>\r\n 2<\/td>\r\n 3<\/td>\r\n 4<\/td>\r\n 5<\/td>\r\n <\/tr>\r\n
Fewer morning
erections<\/td>\r\n 		1<\/td>\r\n 2<\/td>\r\n 3<\/td>\r\n 4<\/td>\r\n 5<\/td>\r\n <\/tr>\r\n
Feeling a decrease
in sexual desire<\/td>\r\n 		1<\/td>\r\n 2<\/td>\r\n 3<\/td>\r\n 4<\/td>\r\n 5<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n <\/table>\r\n<\/div>\r\n

Source: Japan Urological Association \/ Japan Men’s Health Medicine Association “LOH Syndrome Clinical Guidelines,” and the Working Committee’s “Guidelines for Clinical Practice of Late-Onset Hypogonadism.”<\/p>\r\n\r\n

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Severity Assessment<\/div>\r\n
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17-26 points: No issues<\/p>\r\n

27-36 points: Mild<\/p>\r\n

37-49 points: Moderate<\/p>\r\n

>50 points: Severe<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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If your score falls in the mild range or higher and you are experiencing concerning symptoms, please feel free to visit us for consultation.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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

Unlike female menopause, LOH does not have a defined onset period. Once male hormone levels decline, symptoms can persist for the rest of your life.<\/strong><\/p>\r\n

Therefore, if you are experiencing any symptoms that concern you, we recommend undergoing a thorough examination.<\/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
<\/caption>\r\n
Category<\/th>\r\n Men<\/th>\r\n Women<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
Cause<\/td>\r\n Decrease in
male hormones\r\n 		Decrease in
female hormones<\/td>\r\n <\/tr>\r\n
Onset
Period<\/td>\r\n 		No specific period
(can occur anytime
after age 40)<\/td>\r\n 		5 years before
and after menopause
(around age 50)<\/td>\r\n <\/tr>\r\n
Duration<\/td>\r\n Indefinite<\/td>\r\n Symptoms generall
y subside within 5 years
after menopause<\/td>\r\n <\/table>\r\n<\/div>\r\n\r\n
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Diagnosis and Treatment Process<\/h2>\r\n

Our LOH Clinic offers treatment tailored to each patient’s condition through the following three steps:<\/p>\r\n\r\n

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Counseling and Testing<\/h3>\r\n\r\n
<\/div>\r\n\r\n

If you suspect you have symptoms of LOH or wish to be tested, you can undergo a detailed examination following a consultation with one of our doctors.<\/p>\r\n

During the LOH testing, STI screening is also available at a special rate.<\/p>\r\n

We also offer consultations for those who are already undergoing treatment but are concerned about their future treatment options.<\/p>\r\n\r\n

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Diagnosis and Treatment<\/h3>\r\n\r\n
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Based on the test results, we will diagnose LOH. According to current guidelines, treatment eligibility is determined not only by blood test values but also by considering the severity of the patient’s symptoms.<\/p>\r\n

In the past, short-acting testosterone preparations were commonly used to treat LOH. However, due to the extremely unstable supply of short-acting testosterone preparations and the significant fluctuations in hormone levels after administration, which\r\n often lead to side effects, this approach has posed challenges.<\/p>\r\n\r\n

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We offer long-acting testosterone medication (Nebido generic)<\/strong>, which allows for safe, affordable, and less burdensome treatment<\/strong>.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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\r\n It is very dangerous to undergo hormone therapy without proper medical guidance. Always ensure that treatment is conducted under the supervision of a doctor.\r\n <\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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Regular Tests and ED Treatment Associated with Hormone Therapy<\/h3>\r\n\r\n
<\/div>\r\n\r\n

After starting hormone replacement therapy, we regularly check testosterone levels and monitor changes in symptoms to ensure that treatment continues safely.<\/p>\r\n

ED medications are also considered effective in treating LOH, as they can help improve erectile dysfunction and sexual function and may also contribute to increasing testosterone levels.<\/p>\r\n

We offer consultations and treatment for ED for those who are interested.<\/p>\r\n\r\n

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

Testing for LOH<\/h2>\r\n

Diagnosis of LOH involves checking whether the levels of “free testosterone” and “testosterone” meet the standard values and whether other conditions, particularly lifestyle diseases, might be contributing to the decline in male hormones.<\/p>\r\n

We offer a comprehensive range of tests necessary for diagnosing LOH, starting at 10,000 JPY for the initial visit.<\/p>\r\n

Additionally, PSA testing, a tumor marker for prostate cancer, is recommended when undergoing hormone therapy. This is because beginning male hormone therapy in individuals who already have prostate cancer can accelerate the progression of the disease.\r\n (There is no evidence that male hormones cause prostate cancer, but it is dangerous for those who already have it to start hormone therapy.)<\/p>\r\n

We recommend PSA testing for individuals concerned about prostate cancer or those of an appropriate age. The additional cost is only 2,000 JPY.<\/p>\r\n

We also offer STI screening at a special price of 10,000 JPY (otherwise 24,000 JPY) during the LOH testing, so please take advantage of this opportunity.<\/p>\r\n\r\n

<\/div>\r\n\r\n
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LOH is closely related to lifestyle diseases such as diabetes. If any abnormalities are found in the blood test set, we can begin treatment simultaneously.<\/p>\r\n

At our clinic, a certified testosterone treatment doctor will recommend the most appropriate tests and treatments based on your symptoms.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
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Initial Blood Test Set<\/div>\r\n
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Test Components:<\/strong> Complete blood count, liver function, kidney function, electrolytes, uric acid, CK, TG, LDL, HDL, blood glucose, HbA1c, magnesium, thyroid function tests, testosterone, free testosterone (10,000\r\n JPY)<\/p>\r\n

Optional:<\/strong> PSA (2,000 JPY)<\/p>\r\n

STI Screening (Optional):<\/strong> HIV, Hepatitis B, Syphilis, Gonorrhea, Chlamydia (testing of genital, throat, and anal areas) (10,000 JPY) [Usually 24,000 JPY]<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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Treatment for Male Menopause (Late-Onset Hypogonadism)<\/h2>\r\n

Treatment for male menopause generally falls into three main categories: lifestyle modifications, testosterone therapy and ED medications.<\/p>\r\n\r\n

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Lifestyle Improvements<\/h3>\r\n\r\n
<\/div>\r\n\r\n

Lifestyle improvements include changes in diet, exercise habits, workplace environment, and personal relationships. However, some of these may be difficult to improve immediately.<\/p>\r\n

Many individuals with LOH feel a decline in physical strength or lack the motivation to make lifestyle changes (which is itself a symptom of the syndrome). In such cases, considering the initiation of testosterone therapy may be beneficial.<\/p>\r\n\r\n

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Testosterone Therapy<\/h3>\r\n\r\n
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There are three methods of testosterone supplementation: injections, oral medications, and topical applications. Our clinic offers all of these options.<\/p>\r\n\r\n

<\/div>\r\n\r\n
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Testosterone Therapy<\/div>\r\n
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Available Options:<\/strong><\/p>\r\n

Injections: Short-acting testosterone (Testviron), Long-acting testosterone (Nebido generic)<\/p>\r\n

Topical Applications: Glomin, 1UP Formula<\/p>\r\n

Oral Medications: Long-acting testosterone (Nebido generic capsule)<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
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Among these, we particularly recommend the oral medication Nebido generic capsule.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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

The Nebido generic oral medication allows for effective and safe testosterone supplementation with just one tablet per day. It is convenient, affordable, and easy to continue.<\/p>\r\n

Additionally, the dosage can be gradually adjusted according to the patient’s symptoms, allowing for a smooth and manageable treatment process by monitoring hormone levels and making necessary adjustments.<\/p>\r\n\r\n

<\/div>\r\n\r\n
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\r\n What is “Nebido”?\r\n <\/div>\r\n
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Nebido is a medication manufactured by Schering AG in Germany. It is used in hormone replacement therapy for treating conditions such as LOH and gender dysphoria (GD) caused by testosterone deficiency.<\/p>\r\n

Although Nebido is not approved in Japan, it is already authorized and used in Europe and the United States, where it is regarded as a safe medication.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
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The Nebido generic oral medication (testosterone undecanoate) is approved by the U.S. Food and Drug Administration (FDA). According to scientific reports, it is effective in improving and maintaining testosterone levels without a significant\r\n increase in the risk of severe side effects (see the original FDA page here<\/a>, and the relevant scientific report here<\/a>).<\/p>\r\n <\/div>\r\n<\/div>\r\n

<\/div>\r\n\r\n
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Cernos Injection<\/div>\r\n
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Description:<\/strong> A long-acting injectable testosterone formulation. The frequency of administration varies depending on individual conditions. This is recommended for those with more severe symptoms or those seeking noticeable\r\n treatment effects. Once stabilized, treatment every 3-4 months is possible.<\/p>\r\n

Price:<\/strong> 18,000 JPY (includes testosterone level testing)<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
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Cernos Gel<\/div>\r\n
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Description:<\/strong> A long-acting topical testosterone formulation. Dosage and prescription volume may vary depending on the individual’s condition. It offers an affordable treatment option and allows for flexible adjustment of treatment\r\n intensity.<\/p>\r\n

Please consult with your doctor during your visit for details.<\/p>\r\n

Price:<\/strong> 4,000-9,000 JPY\/month<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
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Cernos Capsules<\/div>\r\n
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Description:<\/strong> A long-acting oral testosterone formulation. Initially, 1 to 2 capsules per day is generally recommended. Dosage may be adjusted based on symptoms.<\/p>\r\n

1 box: 5,000 JPY \/ 30 capsules<\/p>\r\n

3 boxes: 14,000 JPY \/ 90 capsules<\/p>\r\n

6 boxes: 27,000 JPY \/ 180 capsules<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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

Testosterone therapy is a generally safe treatment, but some side effects have been reported.<\/p>\r\n

At our clinic, we not only monitor for these side effects, but we also optimize hormone dosage based on hormone levels to minimize the risk of side effects and provide the safest possible treatment.<\/p>\r\n\r\n

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Side Effects of Hormone Therapy<\/p>\r\n <\/div>\r\n

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– Liver dysfunction<\/p>\r\n

– Polycythemia<\/p>\r\n

– Increased body hair and acne<\/p>\r\n

– Decreased testicular function, among others<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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

At our clinic, we perform regular blood tests every three months (3,000 JPY) to evaluate the effectiveness of hormone therapy and to adjust the treatment based on hormone levels.<\/p>\r\n

For those who wish, we can also conduct tests for lifestyle-related diseases during these check-ups.<\/p>\r\n\r\n

<\/div>\r\n\r\n
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Regular Blood Test Set<\/div>\r\n
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Hormone Level Measurement:<\/strong> Testosterone, Free Testosterone (3,000 JPY)<\/p>\r\n

Lifestyle Disease Screening (Optional):<\/strong> Complete blood count, liver function, kidney function, electrolytes, uric acid, CK, TG, LDL, HDL, blood glucose, HbA1c (3,000 JPY)<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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ED Medications<\/h3>\r\n\r\n
<\/div>\r\n\r\n

ED medications have been shown to be highly effective for men with LOH who experience erectile dysfunction.<\/p>\r\n

Recent research has also shown that taking ED medications can not only improve ED but also increase blood testosterone levels<\/strong>, making them suitable even for men with LOH who do not have erectile dysfunction.<\/p>\r\n

We have been offering a variety of ED medications tailored to our patients’ needs, so please feel free to consult with us.<\/p>\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

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
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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
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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 is considered comparable to that\r\n 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
<\/caption>\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
<\/div>\r\n\r\n\r\n

Price<\/h2>\r\n

The fees for non-insurance treatments are calculated based on the following pricing system.<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n
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The LOH (LOH) Clinic operates primarily on a non-insurance basis.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
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Cost Calculation<\/div>\r\n\r\n
\r\n

[Price] = [Consultation Fee] + [Test Fees] + [Medication Fees]<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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

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

Consultation fees vary depending on whether it is your first visit or a follow-up.<\/p>\r\n

If you have visited our clinic before, regardless of whether it was for insurance or non-insurance treatment, follow-up fees will apply.<\/p>\r\n\r\n

<\/div>\r\n\r\n
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\r\n First Visit and Follow-up Fees\r\n <\/div>\r\n
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First Visit: 2,500 JPY<\/p>\r\n

Follow-up: 1,000 JPY<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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

Test Fees<\/h3>\r\n\r\n
<\/div>\r\n\r\n

The test fees are as follows:<\/p>\r\n\r\n

[Initial Consultation]<\/p>\r\n

\r\n\r\n \r\n \r\n \r\n \r\n \r\n \r\n
Test Type<\/th>\r\n Price (JPY)<\/th>\r\n Test
Results*<\/th>\r\n <\/tr>\r\n
Initial Blood
Test Package
(Including
Hormone Test)<\/td>\r\n 		10,000<\/td>\r\n In 2-3 days<\/td>\r\n <\/tr>\r\n
Initial STI
Test Package
(Optional)<\/td>\r\n 		10,000
(24,000)<\/s><\/td>\r\n 		In 4-5 days<\/td>\r\n <\/tr>\r\n
Hormone
Test Only
[Testosterone +
Free Testosterone]
(Optional)<\/td>\r\n 		3,000<\/td>\r\n In 4-5 days<\/td>\r\n <\/tr>\r\n
PSA Test
(Optional)<\/td>\r\n 		2,000<\/td>\r\n In 2-3 days<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n<\/table>\r\n<\/div>\r\n\r\n
<\/div>\r\n\r\n

[2nd+ Treatment]<\/p>\r\n

\r\n\r\n \r\n \r\n \r\n \r\n \r\n
Test Type<\/th>\r\n Price (JPY)<\/th>\r\n Test Results*<\/th>\r\n <\/tr>\r\n
Hormone Test
[Testosterone +
Free Testosterone]<\/td>\r\n 		3,000<\/td>\r\n In 4-5 days<\/td> \r\n <\/tr>\r\n
Lifestyle Disease
Screening
(Optional)<\/td>\r\n 		3,000<\/td>\r\n In 2-3 days<\/td> \r\n <\/tr>\r\n
D-Dimer Test
[Thrombosis
Evaluation]
(Optional)<\/td>\r\n 		1,5000<\/td>\r\n In 2-3 days<\/td> \r\n <\/tr>\r\n <\/tbody>\r\n<\/table>\r\n<\/div>\r\n

\r\n*The reporting time for test results is based on the “test start date.” Specimens collected in the late afternoon, or on Sundays, holidays, or during the New Year period, will have the next business day as the “test start date.” For self-funded medical\r\ncare, results can be confirmed via email.\r\n<\/p>\r\n\r\n

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

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

The prices for hormone therapy are as follows:<\/p>\r\n\r\n

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

Our clinic offers various treatment options, including long-acting oral and topical testosterone preparations.<\/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
Type<\/th>\r\n Formulation<\/th>\r\n Units<\/th>\r\n Price
(JPY)<\/th>\r\n <\/tr>\r\n
Short-
Acting
Male
Hormone<\/td>\r\n 		Testviron
100mg<\/td>\r\n 		ea<\/td>\r\n 2,500<\/td>\r\n <\/tr>\r\n
Testviron
250mg<\/td>\r\n 		ea<\/td>\r\n 3,500<\/td>\r\n<\/tr>\r\n
Long-
Acting
Male
Hormone<\/td>\r\n 		Nebido Generic<\/strong>
(Cernos injection)<\/td>\r\n 		ea<\/td>\r\n 18,000*<\/td>\r\n <\/tr>\r\n
Nebido Generic<\/strong>
(Cernos capsule)<\/td>\r\n 		30 doses<\/td>\r\n 5,000<\/td>\r\n <\/tr>\r\n
90 doses<\/td>\r\n 14,000<\/td>\r\n <\/tr>\r\n
180 doses<\/td>\r\n 27,000<\/td>\r\n <\/tr>\r\n
Male
Hormone
Cream<\/td>\r\n 		Cernos Gel
(1% Testosterone
Undecanoate
Topical)<\/td>\r\n 		1 month**<\/td>\r\n 4,000-9,000<\/td>\r\n <\/tr>\r\n
Gromin<\/td>\r\n ea<\/td>\r\n 4,100<\/td>\r\n <\/tr>\r\n
1UP Formula
(5% Testosterone
Topical Agent)<\/td>\r\n 		ea<\/td>\r\n 2,200***<\/td>\r\n <\/tr>\r\n <\/tbody>\r\n<\/table>\r\n<\/div>\r\n

* Includes the price for hormone measurement.<\/p>\r\n

** Dosage and amount may vary depending on each patient’s individual condition. Please consult your doctor during your visit.<\/p>\r\n

*** For 1UP Formula, a 2,200 JPY prescription fee is paid at our clinic, and the medication cost (approximately 12,100 JPY) is paid separately at a specialized pharmacy.<\/p>\r\n\r\n

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

We also offer prescriptions for ED medications. The prices are as follows:<\/p>\r\n\r\n

<\/div>\r\n\r\n
\r\n \r\n \r\n \r\n \r\n \r\n \r\n <\/colgroup>\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 \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 Specification<\/th>\r\n # of
tablets<\/th>\r\n 		Price
(JPY, tax included)<\/th>\r\n <\/tr>\r\n <\/thead>\r\n
(Brand-name) Viagra

(Generic) Sildenafil<\/td>\r\n 		Viagra 50 mg<\/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
30<\/td>\r\n 40,000<\/td>\r\n <\/tr>\r\n
Viagra OD
Film 50 mg<\/td>\r\n 		1<\/td>\r\n 1,100<\/td>\r\n <\/tr>\r\n
10<\/td>\r\n 10,000<\/td>\r\n <\/tr>\r\n
30<\/td>\r\n 27,000<\/td>\r\n <\/tr>\r\n
Sildenafil
50 mg<\/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
30<\/td>\r\n 22,500<\/td>\r\n <\/tr>\r\n\r\n \r\n
(Brand-name) Levitra

(Generic) Vardenafil<\/td>\r\n 		* We do not offer Levitra.<\/td>\r\n \u2014<\/td>\r\n \u2014<\/td>\r\n <\/tr>\r\n
Vardenafil
10 mg<\/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
30<\/td>\r\n 33,500<\/td>\r\n <\/tr>\r\n
Vardenafil
20 mg<\/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
30<\/td>\r\n 39,500<\/td>\r\n <\/tr>\r\n\r\n \r\n
(Brand-name) Cialis

(Generic) Tadalafil<\/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 16,000<\/td>\r\n <\/tr>\r\n
30<\/td>\r\n 45,000<\/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
30<\/td>\r\n 49,000<\/td>\r\n <\/tr>\r\n
Tadalafil 2.5 mg
(Daily regimen)<\/td>\r\n 		1<\/td>\r\n 300<\/td>\r\n <\/tr>\r\n
10<\/td>\r\n 2,500<\/td>\r\n <\/tr>\r\n
30<\/td>\r\n 4,000<\/td>\r\n <\/tr>\r\n
90<\/td>\r\n 10,000<\/td>\r\n <\/tr>\r\n
180<\/td>\r\n 19,000<\/td>\r\n <\/tr>\r\n
360<\/td>\r\n 35,000<\/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 3,500<\/td>\r\n <\/tr>\r\n
30<\/td>\r\n 8,000<\/td>\r\n <\/tr>\r\n
90<\/td>\r\n 20,000<\/td>\r\n <\/tr>\r\n
180<\/td>\r\n 38,000<\/td>\r\n <\/tr>\r\n
360<\/td>\r\n 69,000<\/td>\r\n <\/tr>\r\n
Tadalafil OD 10 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
30<\/td>\r\n 31,500<\/td>\r\n <\/tr>\r\n
Tadalafil OD 20 mg<\/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
30<\/td>\r\n 37,500<\/td>\r\n <\/tr>\r\n\r\n \r\n
(Brand-name) Stendra

(Generic) Avanafil<\/td>\r\n 		* Stendra is not available.<\/td>\r\n \u2014<\/td>\r\n \u2014<\/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
30<\/td>\r\n 24,000<\/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
30<\/td>\r\n 27,000<\/td>\r\n <\/tr>\r\n\r\n \r\n
(Brand-name) Zydena

(Generic) Udenafil<\/td>\r\n 		* Zydena is not available.<\/td>\r\n \u2014<\/td>\r\n \u2014<\/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
30<\/td>\r\n 24,000<\/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
30<\/td>\r\n 27,000<\/td>\r\n <\/tr>\r\n\r\n \r\n
Trial
package
(Small)<\/td>\r\n 		\r\n Sildenafil 50 mg +
\r\n Vardenafil 10 mg +
\r\n Tadalafil OD 10 mg
\r\n (3 types)\r\n <\/td>\r\n 		1 set<\/td>\r\n 3,400<\/td>\r\n <\/tr>\r\n
\r\n Sildenafil 50 mg +
\r\n Vardenafil 10 mg +
\r\n Tadalafil OD 10 mg +
\r\n Avanafil 100 mg
\r\n (4 types)\r\n <\/td>\r\n 		1 set<\/td>\r\n 4,000<\/td>\r\n <\/tr>\r\n
\r\n Sildenafil 50 mg +
\r\n Vardenafil 10 mg +
\r\n Tadalafil OD 10 mg +
\r\n Avanafil 100 mg +
\r\n Udenafil 100 mg
\r\n (5 types)\r\n <\/td>\r\n 		1 set<\/td>\r\n 4,500<\/td>\r\n <\/tr>\r\n\r\n \r\n
Trial
package+
(Large)<\/td>\r\n 		\r\n Sildenafil 50 mg +
\r\n Vardenafil 20 mg +
\r\n Tadalafil OD 20 mg
\r\n (3 types)\r\n <\/td>\r\n 		1 set<\/td>\r\n 3,800<\/td>\r\n <\/tr>\r\n
\r\n Sildenafil 50 mg +
\r\n Vardenafil 20 mg +
\r\n Tadalafil OD 20 mg +
\r\n Avanafil 200 mg
\r\n (4 types)\r\n <\/td>\r\n 		1 set<\/td>\r\n 4,600<\/td>\r\n <\/tr>\r\n
\r\n Sildenafil 50 mg +
\r\n Vardenafil 20 mg +
\r\n Tadalafil OD 20 mg +
\r\n Avanafil 200 mg +
\r\n Udenafil 200 mg
\r\n (5 types)\r\n <\/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\r\n\r\n
<\/div>\r\n\r\n\r\n\r\n
\r\n
\r\n

Daily tadalafil is a low-dose treatment taken continuously as one tablet once daily.<\/p>\r\n

It is not a product intended to be taken as multiple tablets at one time as an alternative to Tadalafil 10 mg \/ 20 mg. Please follow our physician\u2019s instructions regarding dosage and whether it may be used with other medications.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n\r\n\r\n

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

Flow of Consultation<\/h2>\r\n

Consultations for LOH (male menopause) are prioritized by appointment at our clinic.<\/p>\r\n

Walk-ins may experience longer wait times, so we encourage you to make an appointment and fill out the questionnaire in advance.<\/p>\r\n\r\n

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

Make an Appointment<\/p>\r\n

\r\n

Please make an appointment through the “In-Person Consultation” section on our official website.<\/p>\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

After completing your appointment, click the link provided in the official LINE or appointment confirmation email to fill out the questionnaire.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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

Visit on the Appointment Day<\/p>\r\n

\r\n

Please visit our clinic at your appointment time. You will be given a number at reception, and we will call you by this number for tests, payments, and other services.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

\r\n
Step 4<\/div>\r\n

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

\r\n

Based on your questionnaire, we will provide appropriate advice, tests, and treatment as needed.<\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

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

\r\n ▶Japan Endocrine Society Website<\/a>\r\n <\/p>\r\n

\r\n ▶FDA Approves New Oral Testosterone Capsule for Treatment of Men with Certain Forms of Hypogonadism<\/a>\r\n <\/p>\r\n

\r\n ▶Oral Testosterone Therapy: Past, Present, and Future<\/a>\r\n <\/p>\r\n <\/div>\r\n<\/div>\r\n\r\n

<\/div>\r\n\r\n
\r\n
This article is supervised by:<\/div>\r\n
\r\n
\r\n

Dr. Daisuke SHIOJIRI<\/strong><\/p>\r\n

\r\n Director of Personal Health Clinic, Doctor of Medicine.
\r\n Providing medically accurate knowledge and compassionate care at National Center for Global Health and Medicine (Shinjuku, Tokyo) and Personal Health Clinic, focusing on STIs such as HIV and PrEP.
\r\n Born in Japan and raised in Kenya, Africa, he is also licensed to practice in Kenya, where he participates in medical and educational support activities.
\r\n He also serves as a visiting doctor at our clinic.\r\n <\/p>\r\n

\"\"\r\n <\/figure>\r\n <\/div>\r\n
\r\n Learn More [JP]<\/sup><\/a>\r\n <\/div>\r\n <\/div>\r\n<\/div>","protected":false},"excerpt":{"rendered":"

Have you been experiencing extremely tired, unmotivated, lacking sexual desire, or unable to sleep lately? These could be symptoms of LOH (Late-Onset Hypogonadism) syndrome. Despite the growing global attention to LOH syndrome, the availability of treatment in Japan has been limited due to lack of recognition. We are highly specialized in diagnosing and treating LOH\u2026<\/p>\n","protected":false},"author":79,"featured_media":0,"parent":0,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"class_list":["post-3660","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/idaten.clinic\/en\/wp-json\/wp\/v2\/pages\/3660","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\/79"}],"replies":[{"embeddable":true,"href":"https:\/\/idaten.clinic\/en\/wp-json\/wp\/v2\/comments?post=3660"}],"version-history":[{"count":19,"href":"https:\/\/idaten.clinic\/en\/wp-json\/wp\/v2\/pages\/3660\/revisions"}],"predecessor-version":[{"id":4349,"href":"https:\/\/idaten.clinic\/en\/wp-json\/wp\/v2\/pages\/3660\/revisions\/4349"}],"wp:attachment":[{"href":"https:\/\/idaten.clinic\/en\/wp-json\/wp\/v2\/media?parent=3660"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}