ED TREATMENT
ED Treatment for Men in Tokyo | English Support at Shimbashi
Prescription treatment for erectile dysfunction at a men-only clinic one minute from Shimbashi Station, with online consultation also available. Self-pay, so no insurance card is needed.
Before you read: what people ask us most
Q Do you speak English?
A Consultations are conducted in Japanese, and we use translation tools to support English-speaking patients. If you would feel more comfortable with an interpreter or a Japanese-speaking companion, you are welcome to bring one.
Q Can I use Japanese health insurance?
A No. Every treatment on this page is self-pay (jiyu-shinryo). Japanese National Health Insurance and public subsidy programmes do not apply, so you pay the full amount shown.
Q Do I need to bring my insurance card or residence card?
A An insurance card is not required, precisely because these treatments are self-pay. Please bring photo ID. If you are unsure what to bring for your situation, tell us in the booking form and we will confirm before your visit.
Q Will my employer or family find out?
A Because treatment is self-pay, no insurance claim is filed, so no statement of medical expenses is sent to your home or your employer. This is a men-only clinic.
Q How do I pay?
A We accept VISA, JCB, Mastercard, American Express and Diners Club, as well as debit cards and cash.
Is this you?
Many men put off asking about this for years. If any of the following sounds familiar, it is worth a conversation with a physician.
- You have noticed a change in firmness, or erections do not last as long as they used to.
- It works some times and not others, depending on the situation or the partner.
- You are taking medication for blood pressure, diabetes or depression.
- You want to talk to a doctor, but not at a clinic where you might be recognised.
What ED is, briefly
Erectile dysfunction (ED) means that an erection sufficient for satisfactory intercourse cannot be achieved or maintained. It is common, and it is not a matter of willpower.
How an erection works
Sexual stimulation triggers the release of a signalling molecule called cGMP, which relaxes the smooth muscle of the blood vessels in the penis so that blood can flow in. An enzyme called PDE5 breaks cGMP down again. When that balance tips too far towards breakdown, an erection is harder to achieve or to keep. PDE5 inhibitors — the class of medication used to treat ED — slow that breakdown.
Common contributing factors
- Psychogenic — stress, anxiety about performance, fatigue, relationship factors.
- Vascular and metabolic — diabetes, high blood pressure, high cholesterol, which affect the blood vessels.
- Lifestyle — smoking, heavy drinking, lack of sleep.
- Medication — some prescriptions, including certain antidepressants and blood pressure medications.
What we offer
Consultation
A physician reviews your medical history, current medication and lifestyle to understand what is contributing in your case.
Oral medication
PDE5 inhibitors — sildenafil, tadalafil and vardenafil — prescribed after consultation. Generic versions are available.
Lifestyle guidance
Advice on sleep, alcohol, smoking and stress, which often matter as much as the medication itself.
Pricing
Consultation fee: ¥0 when a prescription of 10 or more tablets is issued. If fewer than 10 tablets are prescribed, the consultation fee is ¥3,000.
| Medication | Price per tablet |
|---|---|
| Sildenafil (generic Viagra) | |
| Sildenafil orally disintegrating tablets 50 mg | ¥880 |
| Sildenafil tablets 50 mg (VI DK) | ¥880 |
| Sildenafil tablets 50 mg (Gentle-V) | ¥830 |
| Tadalafil (generic Cialis) | |
| Tadalafil tablets 20 mg | ¥1,580 |
| Tadalafil tablets 22 mg | ¥980 |
| Vardenafil (generic Levitra) | |
| Vardenafil tablets 20 mg | ¥1,530 |
| Vardenafil tablets 22 mg | ¥1,040 |
Payment by VISA, JCB, Mastercard, American Express or Diners Club, by debit card, or in cash. These treatments are self-pay and are not covered by Japanese National Health Insurance. For an online consultation, medication is delivered to your address and a delivery charge of ¥550 applies.
About the medications we dispense
All ED treatment at this clinic is self-pay. Japanese National Health Insurance does not apply and you pay the full amount. Among the medications we dispense, sildenafil orally disintegrating tablets 50 mg (Towa), tadalafil tablets 20 mg CI (Kyorin) and vardenafil tablets 20 mg (Sawai) are prescription medicines approved in Japan.
The three products below are not approved in Japan. Treatment with medicines that are not approved in Japan falls outside the scope of the national Relief System for Sufferers from Adverse Drug Reactions.
Gentle-V (sildenafil 50 mg)
| Not approved in Japan | Gentle-V (sildenafil 50 mg) is manufactured overseas and has not received approval as a medicine in Japan. |
|---|---|
| Whether an approved equivalent exists in Japan | Medicines containing the same active ingredient, sildenafil (Viagra and its generics), are approved in Japan for the treatment of erectile dysfunction. |
| Safety information in other countries, and side effects | The same active ingredient was approved by the United States Food and Drug Administration (FDA) as a medicine for erectile dysfunction in March 1998. We have not been able to confirm public information on the approval status of this particular product in other countries. Known side effects include flushing, headache, nasal congestion, palpitations, dizziness and a drop in blood pressure. |
| Relief System for Sufferers from Adverse Drug Reactions | Because this is treatment with a medicine that is not approved in Japan, the Relief System for Sufferers from Adverse Drug Reactions does not apply even if a serious adverse reaction occurs. |
Gentle-C Super (tadalafil 22 mg)
| Not approved in Japan | Gentle-C Super (tadalafil 22 mg) is manufactured overseas and has not received approval as a medicine in Japan. |
|---|---|
| Whether an approved equivalent exists in Japan | Medicines containing the same active ingredient, tadalafil (Cialis and its generics), are approved in Japan for the treatment of erectile dysfunction. However, the strengths approved in Japan are 5 mg, 10 mg and 20 mg. |
| Safety information in other countries, and side effects | The same active ingredient was approved by the United States Food and Drug Administration (FDA) as a medicine for erectile dysfunction in November 2003. We have not been able to confirm public information on the approval status of this particular product in other countries. Known side effects include flushing, headache, indigestion, back pain and muscle pain. |
| Relief System for Sufferers from Adverse Drug Reactions | Because this is treatment with a medicine that is not approved in Japan, the Relief System for Sufferers from Adverse Drug Reactions does not apply even if a serious adverse reaction occurs. |
Gentle-L Super (vardenafil 22 mg)
| Not approved in Japan | Gentle-L Super (vardenafil 22 mg) is manufactured overseas and has not received approval as a medicine in Japan. |
|---|---|
| Whether an approved equivalent exists in Japan | Medicines containing the same active ingredient, vardenafil (Levitra and its generics), are approved in Japan for the treatment of erectile dysfunction. However, the strengths approved in Japan are 5 mg, 10 mg and 20 mg. |
| Safety information in other countries, and side effects | The same active ingredient was approved by the United States Food and Drug Administration (FDA) as a medicine for erectile dysfunction in August 2003. We have not been able to confirm public information on the approval status of this particular product in other countries. Known side effects include flushing, headache, nasal congestion, palpitations and dizziness. |
| Relief System for Sufferers from Adverse Drug Reactions | Because this is treatment with a medicine that is not approved in Japan, the Relief System for Sufferers from Adverse Drug Reactions does not apply even if a serious adverse reaction occurs. |
The Ministry of Health, Labour and Welfare has issued warnings about the risks and health damage associated with medicines obtained through personal import. Please receive medication only after a consultation with a physician. Whether a medication is appropriate for you, and at what dose, is decided by a physician after examination. Effects and side effects differ from person to person.
Risks and side effects
Reported side effects of PDE5 inhibitors include flushing and palpitations. Depending on your health status and medical history, a physician may determine that these medications cannot be prescribed for you — in particular, they must not be combined with nitrate medication.
Please do not buy these medications from unlicensed online sellers. Counterfeit products are a documented problem, and you cannot know what is in them.
How to take the medication
- Take on an empty stomach. Taking it after a meal may delay the onset of the effect.
- Take with water or tea. Milk and other drinks high in fat can interfere with absorption.
- Do not take with grapefruit juice, which may strengthen the effect and the risk of side effects.
- These medications do not increase sexual desire. Direct sexual stimulation is still needed for them to work.
Questions about ED Treatment
Q What ED medications do you prescribe?
A We prescribe sildenafil (generic Viagra), tadalafil (generic Cialis) and vardenafil (generic Levitra). All are domestically approved products dispensed at the clinic or, for online consultations, sent to your address.
Q How do sildenafil, tadalafil and vardenafil differ?
A They differ mainly in how quickly they take effect and how long they last. Tadalafil is less affected by food than the other two. Which one suits you is decided by a physician after consultation, taking your medical history and current medication into account.
Q Is a generic as effective as the original drug?
A Generics contain the same active ingredient at the same dose as the original product. The way individuals respond can differ, so tell the physician if you have used an ED medication before and how it went.
Q How long before it starts to work?
A This differs by medication and by individual. The physician will explain the timing for the medication you are prescribed, together with how to take it.
Q Can I take it on a day when I have been drinking?
A A large amount of alcohol can make the medication harder to tolerate. Please tell the physician about your drinking habits at the consultation.
Q What are the side effects?
A Headache, facial flushing, nasal congestion, palpitations and similar symptoms may occur. If anything concerns you, contact us rather than deciding for yourself how to handle it.
Q How much does ED treatment cost in total?
A Medication starts at ¥830 per tablet. The consultation fee is ¥0 when 10 or more tablets are prescribed; if fewer than 10 tablets are prescribed, the consultation fee is ¥3,000. All treatment is self-pay and is not covered by Japanese National Health Insurance.
Q Do you offer repeat prescriptions?
A Yes. Once treatment has started, medication can be sent to you without visiting each time. The physician will explain the arrangement at your consultation.
Q Should I come to the clinic or use an online consultation?
A Both are available. An in-person visit lets the physician examine you directly; an online consultation is by video call and the medication is delivered, with a delivery charge of ¥550. Choose whichever fits your circumstances.
Have a question about the treatment or the price?
Book an appointmentConsultations are conducted in Japanese with translation support. You are welcome to write your question in English in the booking form.
Your first visit, step by step
Visiting the clinic
- Book through the online booking form.
- Come to the clinic in Shimbashi (1 minute from the station).
- Fill in the medical questionnaire at reception.
- Consult with a physician.
- Receive testing or treatment, where appropriate.
- Pay at reception by card or cash.
Online consultation
- Book through the online booking form.
- Complete the online questionnaire in advance. Consultation cannot proceed without it.
- Speak with a physician by phone or video call.
- An invoice is sent to you by email.
- Once payment is complete, medication is posted to you.
Medication is shipped within Japan only. We cannot ship overseas.
Practical information for international patients
Language
Consultations are in Japanese, supported by translation tools. Bringing a Japanese-speaking companion or your own interpreter is welcome.
Cost
Self-pay. Japanese National Health Insurance does not apply. Prices on this page are what you pay.
Payment
VISA, JCB, Mastercard, American Express, Diners Club, debit cards and cash.
Privacy
No insurance claim is filed, so nothing is sent to your home or employer. This is a men-only clinic.
Location
One clinic, in Shimbashi, Tokyo, plus online consultation. We do not have other branches.
Before you travel
If you are visiting Japan short-term, or you need an English-language receipt, or you plan to carry medication out of Japan, please tell us in the booking form so we can confirm what is possible before you come.
Access and opening hours
Men's Care Clinic — Shimbashi
Marucho Building 7F-B, 1-8-4 Shimbashi, Minato-ku, Tokyo 105-0004
1 minute walk from Shimbashi Station (Tokyo Metro)
Tel: +81 3-5962-8738
Weekdays 14:00–21:00
Weekends and public holidays 10:00–18:00
Last reception: 30 minutes before closing for a first visit, 10 minutes before closing for a follow-up.
How to book
- Open the booking form using the button below.
- Choose the treatment you would like and a date and time that suit you.
- Enter your contact details and submit. We will confirm your appointment.
The booking form is in Japanese. If that is difficult, you can still complete it using your browser's translation, and you are welcome to write your enquiry in English in the free-text field.
Ready to book, or want to ask a question first?
Book an appointmentSubmitting the form is not a diagnosis. Whether a treatment or medication is appropriate for you is decided by a physician after consultation.
Learn more
- What Is ED? Causes, Symptoms & Treatment Options Explained [Physician-Supervised]
- Which ED Medication Is Best? Viagra vs Cialis vs Levitra – Doctor-Reviewed Comparison
- ED Treatment Flow: Complete Guide to Diagnosis, Examination, and Prescription
- Online ED Treatment in Japan | Video Consultation and Delivery | Men’s Care Clinic
- Who Should Not Take Viagra? Contraindications, Drug Interactions, and Alternatives
- Are Online Sales of ED Medications Dangerous? Counterfeit Risks and Safe Alternatives
Important information
- All treatments described on this page are self-pay (jiyu-shinryo). They are not covered by Japan's National Health Insurance, and public medical expense subsidy programmes do not apply.
- All prices are shown in Japanese yen.
- Effects and side effects vary from person to person. The same treatment does not produce the same result for everyone, and no outcome is guaranteed.
- Whether a treatment or medication is appropriate for you is determined by a physician after consultation, based on your medical history and current condition. A physician may decide that a treatment cannot be provided.
- This page provides general medical information. It is not a diagnosis, and it is not a recommendation of any specific treatment for any individual reader.
- Men's Care Clinic operates one clinic, in Shimbashi, Minato-ku, Tokyo, together with an online consultation service. Affiliated hospital: Showa University Toyosu Hospital.
- Prices and treatment details are those published at the time of writing. Please confirm at the time of your consultation.
Medical supervision: physicians of Men's Care Clinic
Last updated: 18 August 2026
Japanese version of this page: https://mens-care-clinic.com/ed/