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Men’s Care Clinic treats men only. Our Shimbashi clinic is a one-minute walk from JR Shimbashi Station and prescribes ED medication on the day of your visit. Men come to us with concerns like these.
An ED consultation here is based on questions, not on examination. You will not be asked to undress, and neither palpation nor genital examination is normally carried out. The doctor asks about your symptoms, when they began, your general health and any medication you take, and then decides which medicine and what dose are suitable.
The medication is dispensed inside the clinic once it has been prescribed, so there is no need to go on to a pharmacy. You may buy the quantity you want, and a repeat prescription can be arranged if you intend to continue. From the second visit onwards you can switch to an online consultation and have the medication posted to you instead.
Erection depends on blood flowing into the corpora cavernosa of the penis, and a substance called cGMP has an important part in this. An enzyme called PDE5 breaks cGMP down. Where erectile dysfunction is present, PDE5 can predominate despite sexual stimulation. The medicines used here inhibit PDE5, which makes an erection easier to obtain and to keep.
These medicines assist an erection in response to direct sexual stimulation. They do not arouse desire and they do not work on their own.
| Medicine | Price (tax incl.) | Notes |
|---|---|---|
| Sildenafil ODT 50mg “Towa” (generic Viagra®) | ¥880 per tablet | Approved in Japan |
| Sildenafil 50mg “Gentle” (Gentle-V) | ¥830 per tablet | Unapproved in Japan — see below |
| Tadalafil 20mg CI “Kyorin” (generic Cialis®) | ¥1,580 per tablet | Approved in Japan |
| Tadalafil 22mg “Gentle” (Gentle-C Super) | ¥980 per tablet | Unapproved in Japan — see below |
| Vardenafil 20mg “Sawai” (generic Levitra®) | ¥1,530 per tablet | Approved in Japan |
| Vardenafil 22mg “Gentle” (Gentle-L Super) | ¥1,040 per tablet | Unapproved in Japan — see below |
| Consultation fee | ¥0 | Where ten or more tablets are prescribed |
| Consultation fee | ¥3,000 | Where fewer than ten tablets are prescribed |
You may be prescribed as few tablets as you wish; the ¥3,000 consultation fee applies only where fewer than ten are dispensed. Prices include tax.
| Medicine | Active ingredient | Onset | Duration | Food |
|---|---|---|---|---|
| Sildenafil ODT 50mg “Towa” | Sildenafil (the Viagra® group) | 30 minutes to 1 hour | About 4–6 hours | Readily affected by food |
| Tadalafil 20mg CI “Kyorin” | Tadalafil (the Cialis® group) | 1 to 3 hours | Up to about 36 hours | Little affected by food |
| Vardenafil 20mg “Sawai” | Vardenafil (the Levitra® group) | About 30 minutes | About 5–8 hours | Best taken on an empty stomach |
These figures are general guidance and the effect varies from person to person. Other preparations may be offered. The medicine cannot be used by everyone — for example by anyone taking a nitrate. Please tell the doctor about any condition you have and any medicine you take.
| Step | What happens |
|---|---|
| Step 1 — Reception | Book by LINE or through the website and come to the clinic. You will be asked to fill in a questionnaire. |
| Step 2 — The doctor’s consultation | The doctor asks about your symptoms, your daily habits, any condition you have and any medicine you take, then decides which medicine and what dose can be used. Please ask about anything that is unclear. |
| Step 3 — Dispensing and payment | The medication is handed to you there and then, so there is no need to visit an outside pharmacy. Payment is by cash or card. |
Allow roughly 15 to 20 minutes from arrival to leaving with the prescription. From the second visit onwards you may switch to an online consultation and receive the medication at home.
The three preparations below are made abroad and have not been approved as medicines in Japan. The following is disclosed for each.
| Item | Detail |
|---|---|
| That the medicine is unapproved | Gentle-V is manufactured overseas and has not been approved as a medicine in Japan. |
| Whether an approved equivalent exists in Japan | Medicines containing the same ingredient, sildenafil — Viagra® and its generics — are approved in Japan for the treatment of erectile dysfunction. |
| Safety information from other countries | The same ingredient was approved by the United States Food and Drug Administration as a medicine for erectile dysfunction in March 1998. No official information confirming the approval status of this particular preparation in other countries has been identified. |
| Main side effects | Flushing, headache, nasal congestion, palpitations, dizziness and a fall in blood pressure are known. |
| Adverse Drug Reaction Relief System | Because this is treatment using an unapproved medicine, the Adverse Drug Reaction Relief System does not apply, even if a serious side effect occurs. |
| Item | Detail |
|---|---|
| That the medicine is unapproved | Gentle-C Super is manufactured overseas and has not been approved as a medicine in Japan. The 22mg strength is not approved in Japan. |
| Whether an approved equivalent exists in Japan | Medicines containing the same ingredient, tadalafil — Cialis® and its generics — are approved in Japan for the treatment of erectile dysfunction, but the strengths approved in Japan are 5mg, 10mg and 20mg. |
| Safety information from other countries | The same ingredient was approved by the United States Food and Drug Administration as a medicine for erectile dysfunction in November 2003. No official information confirming the approval status of this particular preparation in other countries has been identified. |
| Main side effects | Flushing, headache, indigestion, back pain and muscle pain are known. |
| Adverse Drug Reaction Relief System | Because this is treatment using an unapproved medicine, the Adverse Drug Reaction Relief System does not apply, even if a serious side effect occurs. |
| Item | Detail |
|---|---|
| That the medicine is unapproved | Gentle-L Super is manufactured overseas and has not been approved as a medicine in Japan. The 22mg strength is not approved in Japan. |
| Whether an approved equivalent exists in Japan | Medicines containing the same ingredient, vardenafil — Levitra® and its generics — are approved in Japan for the treatment of erectile dysfunction, but the strengths approved in Japan are 5mg, 10mg and 20mg. |
| Safety information from other countries | The same ingredient was approved by the United States Food and Drug Administration as a medicine for erectile dysfunction in August 2003. No official information confirming the approval status of this particular preparation in other countries has been identified. |
| Main side effects | Flushing, headache, nasal congestion, palpitations and dizziness are known. |
| Adverse Drug Reaction Relief System | Because this is treatment using an unapproved medicine, the Adverse Drug Reaction Relief System does not apply, even if a serious side effect occurs. |
The Ministry of Health, Labour and Welfare has issued warnings about the risks and harm that can follow from using medicines obtained by personal import. Please obtain medication only after a consultation with a doctor. Whether a medicine can be prescribed, and at what dose, is decided by the doctor at the consultation.
| Item | Detail |
|---|---|
| Address | Maruchu Building 7F-B, 1-8-4 Shimbashi, Minato-ku, Tokyo 105-0004 |
| Nearest station | One minute on foot from the Ginza exit of JR Shimbashi Station, or exit 1 of Shimbashi Station on the Tokyo Metro Ginza line |
| Opening hours | Weekdays 14:00–21:00 / Saturdays, Sundays and public holidays 10:00–18:00 |
| Reception | First visits are received until 30 minutes before closing, follow-up visits until 10 minutes before. |
| Telephone | 03-5962-8738 |
| Booking | By LINE or through the website. Same-day appointments are possible when a slot is free |
| Insurance card | Not required. All treatment here is self-pay |
| Payment | Cash, VISA, JCB, Mastercard, American Express, Diners Club, and debit cards |
Because the clinic is open until 21:00 on weekdays, men working in Shimbashi, Shiodome, Ginza and Toranomon can call in on the way home. If you would like to check what language support is available, please ask when you book.
The clinic is a one-minute walk from JR Shimbashi Station. From the Ginza exit, cross to the pavement on the side of the Big Echo karaoke building, keep Big Echo on your left and walk straight ahead. Cross at the pedestrian crossing, continue past the udon restaurant, follow the curve in the road, go up the short flight of steps and take the lift to the seventh floor of the Maruchu Building.
From exit 1 of Shimbashi Station on the Tokyo Metro Ginza line, come up to street level and walk straight ahead, crossing at the pedestrian crossing, then follow the same route.
Shimbashi Station is served by five lines. The Toei Asakusa line and the Yurikamome both stop at Shimbashi and are within walking distance, so the clinic is straightforward to reach from most parts of Tokyo.
The Shiodome office district is within walking distance. Ginza, Toranomon and Kasumigaseki are one or two stops from Shimbashi. If you are coming from the Karasumori side, head for Shimbashi Station and follow the directions above.
The clinic is open until 21:00 on weekdays. First visits are received until 30 minutes before closing, follow-up visits until 10 minutes before. It is also open from 10:00 to 18:00 at weekends and on public holidays, which helps if weekday appointments are difficult.
An ED consultation is based on questions. Palpation and genital examination are not normally carried out and you will not be asked to undress.
No insurance card is used, because the treatment is self-pay. As health insurance is not involved, no notice of medical expenses is sent to your home or your workplace. The clinic treats men only.
The questionnaire, the consultation and dispensing are all done in a single visit, in about 15 to 20 minutes.
You do not have to choose. The doctor asks about the situations that concern you, your daily routine and any medication you take, and then suggests the options.
Occasional difficulty, or losing firmness partway, is included. Attending does not commit you to taking medication; you are welcome to come simply to discuss it.
Sildenafil 50mg, the generic form of Viagra®, starts at ¥880 per tablet. Tadalafil and vardenafil are also available. The full list is in the price table above.
There is no consultation fee where ten or more tablets are prescribed. Where fewer than ten are prescribed, the fee is ¥3,000.
Yes. You may have the quantity you want, though the ¥3,000 consultation fee applies for fewer than ten tablets.
Yes. The clinic is open until 21:00 on weekdays. First visits are received until 20:30 and follow-up visits until 20:50. It is one minute from Shimbashi Station.
Book by LINE or through the website. Same-day appointments are possible when a slot is free. First visits are received until 30 minutes before closing and follow-up visits until 10 minutes before.
No. An ED consultation is based on questions; palpation and genital examination are not normally carried out.
No. All ED treatment here is self-pay, public health insurance does not apply, and no insurance card is needed.
The active ingredient is the same and the price differs. Sildenafil, tadalafil and vardenafil are all available here. Which preparation is used is decided by the doctor at the consultation.
Possibly not — for example if you take a nitrate. Please tell the doctor about any condition you have and any medicine you take. Whether treatment can be prescribed is the doctor’s decision.
No. It does not arouse desire or increase libido, and sexual imagination or visual stimulation alone may not be enough. It assists an erection in response to direct sexual stimulation.
Taking it on an empty stomach is recommended. Taken with a meal, it may take longer to work.
Water or tea. Drinks containing fat, such as milk, may hinder absorption. Grapefruit juice should be avoided, as it can increase the effect unpredictably and bring on side effects.
Yes, by online consultation. You complete the web questionnaire, the doctor holds the consultation, and once payment is confirmed the medication is posted to you. Delivery held at a post office can also be arranged.
The dose or the preparation may be reviewed. As the effect varies between individuals, please describe what happened at your next consultation.
No. We are bound by a duty of confidentiality and, as a rule, no one other than the patient can see what has been prescribed.
One minute from the Ginza exit of JR Shimbashi Station, or from exit 1 of Shimbashi Station on the Tokyo Metro Ginza line. The address is Maruchu Building 7F-B, 1-8-4 Shimbashi, Minato-ku, Tokyo.
14:00 to 21:00 on weekdays and 10:00 to 18:00 at weekends and on public holidays.
By cash, or by VISA, JCB, Mastercard, American Express or Diners Club credit card, or by debit card.
For an explanation of the treatment itself, see ED treatment at Men’s Care Clinic. If you would rather not attend in person, see online ED treatment in Japan. For everything else offered at this clinic, see our Shimbashi clinic.
AGA
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