ONLINE ED TREATMENT
ED treatment online, delivered across Japan
ED medication prescribed by video consultation and posted anywhere in Japan, from 880 yen a tablet. No health insurance card or residence card 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.
Seeing a doctor for ED without going to a clinic
Men’s Care Clinic treats men only. With online consultation you can be seen by a doctor from your first appointment onwards without coming to the clinic. After the consultation and payment, the medication is posted to an address in Japan. This page is about the online service; if you would rather be seen in person, the clinic is a one-minute walk from JR Shimbashi Station.
- Online from the first appointment. You do not need to visit in person to be seen.
- Anywhere in Japan. Where you live does not matter, and the medication is delivered to you.
- A doctor sees you by video call. There is no waiting inside a clinic.
- Delivery to a post office. If you would rather not have it sent to your home, tell the doctor during the consultation.
- From ¥880 per tablet for a product approved in Japan. There is no consultation fee when ten or more tablets are prescribed. Postage is ¥550.
The three active ingredients, and how they differ
| Active ingredient | Time to take effect | How long it lasts | Food |
|---|---|---|---|
| Sildenafil the active ingredient in Viagra |
about 30 minutes to 1 hour | about 4 to 6 hours | said to be readily affected by food |
| Tadalafil the active ingredient in Cialis |
about 1 to 3 hours | up to about 36 hours | said to be less affected by food |
| Vardenafil the active ingredient in Levitra |
about 30 minutes | about 5 to 8 hours | taking it on an empty stomach is advised |
These are general guides and the effect varies from person to person. You do not need to decide which one you want. The doctor asks about your symptoms, any conditions you have, the medicines you are taking and when you want to use it, and then suggests a suitable option.
Price of medication approved in Japan
| Medication | 1 tablet | 10 tablets |
|---|---|---|
| Sildenafil OD tablets 50 mg generic of Viagra |
¥880 | ¥8,800 |
| Sildenafil tablets 50 mg | ¥880 | ¥8,800 |
| Tadalafil tablets 20 mg generic of Cialis |
¥1,580 | ¥15,800 |
| Vardenafil tablets 20 mg generic of Levitra |
¥1,530 | ¥15,300 |
Other medication we carry, not approved in Japan
| Medication, not approved in Japan | Active ingredient | Strength | 1 tablet |
|---|---|---|---|
| Gentle-V | sildenafil | 50 mg | ¥830 |
| Gentle-C Super | tadalafil | 22 mg | ¥980 |
| Gentle-L Super | vardenafil | 22 mg | ¥1,040 |
- These three are not approved as pharmaceuticals in Japan, and are used at the discretion of the doctor.
- There are products approved in Japan with the same active ingredients, listed in the table above. If you prefer one of those, that is what will be prescribed.
- No serious safety warning from a public authority overseas has been identified for them. They have not, however, been through the Japanese approval review, so they have not been assessed to the same standard.
- Should harm to your health occur, they are not covered by Japan’s Adverse Drug Reaction Relief System.
Consultation fee and postage
| Item | Amount, tax included | Note |
|---|---|---|
| Consultation, 10 or more tablets prescribed | ¥0 | |
| Consultation, fewer than 10 tablets prescribed | ¥3,000 | |
| Postage | ¥550 per delivery | charged when medication is posted to you |
| Health insurance | not accepted | ED treatment is self-pay, so the full cost is yours |
What ten tablets comes to in total
| Medication | 10 tablets | Consultation | Postage | Total |
|---|---|---|---|---|
| Sildenafil OD tablets 50 mg | ¥8,800 | ¥0 | ¥550 | ¥9,350 |
| Tadalafil tablets 20 mg | ¥15,800 | ¥0 | ¥550 | ¥16,350 |
| Vardenafil tablets 20 mg | ¥15,300 | ¥0 | ¥550 | ¥15,850 |
There is no consultation fee when ten or more tablets are prescribed. For fewer than ten, a consultation fee of ¥3,000 is added. ED treatment is self-pay, public health insurance does not apply, and the full cost is borne by the patient. Payment is made against the invoice sent to you after the consultation.
Which one tends to suit whom
If you want to keep the cost down
Sildenafil is the lowest priced per tablet of the medications carried here. It is said to take effect in about thirty minutes to an hour and to last about four to six hours, which makes the timing easy to plan. It is often chosen by men who want to try one option first and think again afterwards.
If you would rather not watch the clock
Tadalafil is said to last up to about thirty-six hours, so the timing of the dose does not have to be judged finely, and it is said to be less affected by food. It suits men who have plans across a weekend.
If you are not sure
You do not have to choose for yourself. Tell the doctor about your symptoms, any conditions you have and the medicines you take, and a suitable option will be suggested.
How the online consultation works
Step 1 — Booking
Book through LINE or the website. Bookings are accepted at any hour, and you can be seen online from your first appointment.
Step 2 — Video consultation
At the time you booked, a doctor sees you by video call. You are asked about your symptoms, any conditions you have, the medicines you take and when you want to use the treatment. There is no waiting inside a clinic.
Step 3 — Payment
Payment is made against the invoice sent to you after the consultation.
Step 4 — Delivery
The medication is posted to an address in Japan. If you would rather collect it somewhere other than your home, tell the doctor during the consultation and it can be held at a post office. Postage is ¥550 per delivery.
Why buying online without a doctor is a different thing
Ordering ED medication from an overseas website through personal import is not the same as an online consultation. With personal import there is no doctor checking whether the medication is appropriate for you, no check against the other medicines you take, and no way to confirm what the tablets actually contain. Counterfeit ED medication is a documented problem. With an online consultation, a doctor licensed in Japan decides what to prescribe, and the medication is dispensed by the clinic.
If you already take nitrate medication for your heart, or any other regular medication, this matters a great deal. Please tell the doctor about everything you take.
Important information about this treatment
- Self-pay treatment: ED treatment is not covered by public health insurance. The full cost is borne by the patient, and the prices are those in the tables above.
- Medication approved in Japan: the sildenafil, tadalafil and vardenafil tablets listed in the first price table are approved as pharmaceuticals in Japan.
- Medication not approved in Japan: Gentle-V, Gentle-C Super and Gentle-L Super are not approved as pharmaceuticals in Japan. Products approved in Japan with the same active ingredients are available, and will be prescribed if you prefer them.
- Adverse drug reaction relief system: where a product not approved in Japan is used, it is not covered by Japan’s Adverse Drug Reaction Relief System, even in the event of a serious side effect.
- Main risks and side effects: headache, facial flushing, a blocked nose, palpitations and indigestion are among the effects reported with this class of medication. These medicines must not be taken with nitrate medication. Whether they can be prescribed to you is decided by the doctor.
How the effect appears varies from person to person. Please ask the doctor about anything that is unclear.
If you would rather be seen in person
The clinic is a one-minute walk from the Ginza exit of JR Shimbashi Station, and a one-minute walk from Exit 1 of Shimbashi Station on the Tokyo Metro Ginza Line. The address is Marucho Building 7F-B, 1-8-4 Shimbashi, Minato-ku, Tokyo 105-0004. Opening hours are 14:00–21:00 on weekdays and 10:00–18:00 on weekends and public holidays. First-time patients are received until 30 minutes before closing, and returning patients until 10 minutes before. Telephone: 03-5962-8738.
Questions we are asked
Can I be seen online from the first appointment?
Yes. You do not need to come to the clinic first.
Where can the medication be sent?
To an address in Japan, wherever you live. If you would rather not have it sent to your home, it can be held at a post office for you to collect; tell the doctor during the consultation.
How much does it come to in total?
For ten tablets of sildenafil OD 50 mg the total is ¥9,350, including ¥550 postage and no consultation fee. Tadalafil 20 mg comes to ¥16,350 and vardenafil 20 mg to ¥15,850 on the same basis.
Is there a consultation fee?
Not when ten or more tablets are prescribed. For fewer than ten tablets the consultation fee is ¥3,000.
Which medication should I ask for?
You do not need to decide. The doctor asks about your symptoms, your medical history and the medicines you take, and suggests a suitable option.
Is health insurance accepted?
No. ED treatment is self-pay, so no insurance card is needed and the full cost is yours.
Do I need to speak Japanese?
Consultations are conducted in Japanese. If you are not confident in Japanese, please let us know when you book so that we can tell you what to expect.
Will my family or my employer find out?
No. Because the treatment is self-pay and no health insurance is used, no notice of medical expenses is sent to your home or your workplace. Delivery to a post office is also available.
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
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: 25 August 2026
Japanese version of this page: https://mens-care-clinic.com/online-ed/
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