{"id":9772,"date":"2026-08-01T16:49:30","date_gmt":"2026-08-01T07:49:30","guid":{"rendered":"https:\/\/kojihifu.com\/english\/?p=9772"},"modified":"2026-08-01T16:49:31","modified_gmt":"2026-08-01T07:49:31","slug":"erectile-dysfunction-treatment-tokyo-english","status":"publish","type":"post","link":"https:\/\/kojihifu.com\/english\/erectile-dysfunction-treatment-tokyo-english\/","title":{"rendered":"ED Treatment Tokyo English-Speaking Clinic Guide"},"content":{"rendered":"<p><script type=\"application\/ld+json\">{\"@context\": \"https:\/\/schema.org\", \"@type\": \"FAQPage\", \"mainEntity\": [{\"@type\": \"Question\", \"name\": \"Can a foreign national be prescribed ED medication at a private clinic in Japan?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Yes. Private clinics in Japan can prescribe ED medications (sildenafil, tadalafil) to non-Japanese patients provided a standard medical evaluation confirms it is safe to do so. National health insurance coverage does not apply, so the cost is paid out of pocket, but the prescribing process is straightforward at a private clinic with English-speaking staff.\"}}, {\"@type\": \"Question\", \"name\": \"Is it possible to get a same-day prescription?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"In many cases, yes. If the consultation is completed and no further investigations are required, a prescription can typically be issued on the same day. Patients with complex medical histories or those on multiple medications may need a brief additional evaluation first.\"}}, {\"@type\": \"Question\", \"name\": \"Is ICI (injection) therapy painful?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Most patients describe the sensation as mild and much less uncomfortable than they anticipated. The needles used are very fine \u2014 comparable to those used for insulin injection \u2014 and the injection site is carefully selected to minimise discomfort. With proper training and technique, the procedure becomes straightforward for the majority of patients.\"}}, {\"@type\": \"Question\", \"name\": \"Will my consultation at BIOTOPE CLINIC be kept confidential?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Yes. All medical consultations in Japan are subject to strict confidentiality obligations under Japanese law. Medical information is not shared with employers, immigration authorities, or third parties without patient consent. The clinic's English-speaking team handles enquiries with full discretion.\"}}, {\"@type\": \"Question\", \"name\": \"Are there any non-medication treatments for ED available at the clinic?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"The men's health menu at BIOTOPE CLINIC currently focuses on pharmacological treatment: oral PDE5 inhibitors and ICI therapy. The clinic also offers preventive and general wellness services \u2014 including nutritional (orthomolecular) therapy and IV drip protocols \u2014 that may support overall vascular and hormonal health. These are available to discuss during a consultation with Dr. Karibe.\"}}]}<\/script><\/p>\n<h2>Erectile Dysfunction Treatment in Tokyo: A Complete Guide for English-Speaking Patients<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Erectile dysfunction treatment Tokyo English speak \u2014 Erectile Dysfunction Treatment in Tokyo: A Complete Guide fo\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_6285383_1785509490.webp\" alt=\"Erectile dysfunction treatment Tokyo English speak \u2014 Erectile Dysfunction Treatment in Tokyo: A Complete Guide fo\" \/><\/figure>\n<p><strong>Erectile dysfunction (ED)<\/strong> is one of the most common men&#8217;s health concerns worldwide, yet many expatriates and international visitors in Tokyo hesitate to seek help simply because they are unsure where to find a doctor who speaks English, or feel uncertain about how Japanese clinics handle this topic. This guide explains the treatment options available, what to expect from a consultation in Tokyo, realistic costs, and how to access care in English.<\/p>\n<p><strong>What you&#8217;ll learn in this article:<\/strong><\/p>\n<ul>\n<li>What erectile dysfunction is and what causes it<\/li>\n<li>The main treatment options available at an English-speaking clinic in Tokyo<\/li>\n<li>Expected results and realistic outcomes<\/li>\n<li>Cost of ED treatment in Tokyo<\/li>\n<li>How to book an English-language consultation with a licensed Japanese physician<\/li>\n<\/ul>\n<div class=\"kjmc-en-booking-inline\" style=\"background: #f7fbf7; border: 1px solid #d5e6d8; border-radius: 10px; padding: 16px 20px; margin: 26px 0; text-align: center;\">\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 0.95em; line-height: 1.65;\"><strong>Have a question about this treatment?<\/strong><br \/>\nMessage us on LINE or WhatsApp \u2014 our English-speaking team usually replies the same day.<\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; gap: 8px; background: #06C755; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><br \/>\n<a style=\"display: inline-flex; align-items: center; gap: 8px; background: #25D366; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>What Is Erectile Dysfunction?<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Erectile dysfunction treatment Tokyo English speak \u2014 What Is Erectile Dysfunction\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_13060576_1785509491.webp\" alt=\"Erectile dysfunction treatment Tokyo English speak \u2014 What Is Erectile Dysfunction\" \/><\/figure>\n<p><strong>Erectile dysfunction<\/strong> is defined as the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual intercourse. It is not simply an occasional difficulty \u2014 which is entirely normal \u2014 but a recurring pattern that affects quality of life and, often, emotional wellbeing.<\/p>\n<p>ED is far more common than many men realise. The Massachusetts Male Aging Study, one of the most widely cited epidemiological reports in men&#8217;s health, found that <strong>approximately 52% of men<\/strong> between the ages of 40 and 70 experience some degree of erectile dysfunction, ranging from minimal to complete. Studies suggest that prevalence increases with age, but ED can and does affect men in their 20s and 30s as well.<\/p>\n<p>Causes are typically classified as physical (vascular disease, diabetes, hormonal imbalance, neurological conditions, medication side effects), psychological (stress, anxiety, depression, relationship issues), or \u2014 most commonly \u2014 a combination of both.<\/p>\n<h2>Treatment Options for ED: How They Work<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Erectile dysfunction treatment Tokyo English speak \u2014 Treatment Options for ED: How They Work\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_8313425_1785509492.webp\" alt=\"Erectile dysfunction treatment Tokyo English speak \u2014 Treatment Options for ED: How They Work\" \/><\/figure>\n<p>Modern ED treatment is highly effective for the majority of patients. The appropriate option depends on the underlying cause, overall health, medication tolerance, and personal preference. A thorough consultation with a physician is essential before starting any treatment.<\/p>\n<h3>Oral PDE5 Inhibitors (Sildenafil \/ Tadalafil)<\/h3>\n<p><strong>PDE5 inhibitors<\/strong> \u2014 the drug class that includes sildenafil (the active ingredient in Viagra) and tadalafil (the active ingredient in Cialis) \u2014 are the recognised first-line treatment for ED in most international clinical guidelines. They work by relaxing smooth muscle tissue in the penis, increasing blood flow in response to sexual stimulation.<\/p>\n<p>Sildenafil is typically taken 30\u201360 minutes before sexual activity and is effective for approximately 4\u20136 hours. Tadalafil has a longer duration of action (up to 36 hours) and is also available in a low daily-dose formulation for men who prefer not to plan around a pill. Clinical evidence consistently reports response rates of 70\u201385% in men with mild to moderate ED, though outcomes vary based on the underlying cause.<\/p>\n<p>Common side effects include mild headache, facial flushing, and nasal congestion. PDE5 inhibitors are contraindicated in patients taking nitrate medications (commonly used for angina\/chest pain), and a medical history review is mandatory before prescribing.<\/p>\n<h3>Intracavernosal Injection (ICI) Therapy \u2014 Trimix \/ Bimix<\/h3>\n<p>For patients who do not respond adequately to oral medication \u2014 including those with more severe vascular ED, post-prostatectomy ED, or certain neurological conditions \u2014 intracavernosal injection (ICI) therapy is a well-established second-line option. This involves injecting a small amount of vasoactive medication directly into the erectile tissue of the penis (the corpus cavernosum), producing an erection typically within 5\u201315 minutes.<\/p>\n<p>The most commonly used formulation is <strong>Trimix<\/strong>, a combination of three agents: alprostadil, papaverine, and phentolamine. <strong>Bimix<\/strong> (alprostadil and papaverine, without phentolamine) is a common alternative. Studies indicate that ICI therapy achieves satisfactory erections in 80\u201390% of patients who have not responded to oral PDE5 inhibitors.<\/p>\n<p>Under physician guidance, patients are trained to self-administer the injection at home. The needles used are very fine (similar to insulin needles), and most patients report only minimal discomfort after the initial training sessions. ICI therapy requires careful dose calibration and ongoing medical supervision.<\/p>\n<blockquote style=\"border-left: 4px solid #5a8a5a; padding: .75em 1.1em; margin: 1.8em 0; background: #f7fbf7; border-radius: 0 6px 6px 0; font-size: .93em;\">\n<p style=\"margin: 0 0 .45em; font-weight: bold; color: #3a6e3a;\">Dr. Karibe&#8217;s Note<\/p>\n<p style=\"margin: 0; color: #333; line-height: 1.7;\">Many of our international patients are surprised to find that ED can be discussed openly and addressed practically in a Japanese clinic setting.<\/p>\n<p style=\"margin: 0; color: #333; line-height: 1.7;\">A common question I receive is whether Japanese doctors will prescribe<strong><em> sildenafil or tadalafil<\/em><\/strong> to foreign nationals \u2014 the answer is yes, provided a standard medical evaluation confirms it is safe to do so.<\/p>\n<p style=\"margin: 0; color: #333; line-height: 1.7;\">For patients who have already tried oral medication elsewhere without satisfactory results, <strong>ICI therapy<\/strong> with Trimix or Bimix is an option we can discuss in detail during a consultation at BIOTOPE CLINIC.<\/p>\n<\/blockquote>\n<h2>Comparing ED Treatment Options<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Erectile dysfunction treatment Tokyo English speak \u2014 Comparing ED Treatment Options\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_4021794_1785509494.webp\" alt=\"Erectile dysfunction treatment Tokyo English speak \u2014 Comparing ED Treatment Options\" \/><\/figure>\n<table style=\"border-collapse: collapse; width: 100%; margin: 20px 0; font-size: 0.95em; border: 1px solid #ccc;\">\n<thead>\n<tr>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Treatment<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">How It Is Taken<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Onset<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Duration<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Typical Candidate<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Key Considerations<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Sildenafil (PDE5 inhibitor)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Oral tablet<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">30\u201360 min<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">4\u20136 hours<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Mild\u2013moderate ED; first-line treatment<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Contraindicated with nitrates; requires sexual stimulation<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Tadalafil (PDE5 inhibitor)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Oral tablet (on-demand or daily)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">30\u201360 min<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Up to 36 hours<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Mild\u2013moderate ED; men preferring flexibility<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Daily dose option available; same nitrate contraindication<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">ICI Therapy (Trimix \/ Bimix)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Self-injection into penile tissue<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">5\u201315 min<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">30\u201360 min (dose-dependent)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Moderate\u2013severe ED; non-responders to oral therapy<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Requires physician training; risk of priapism if overdosed<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Cost of ED Treatment in Tokyo<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Erectile dysfunction treatment Tokyo English speak \u2014 Cost of ED Treatment in Tokyo\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_8312811_1785509494.webp\" alt=\"Erectile dysfunction treatment Tokyo English speak \u2014 Cost of ED Treatment in Tokyo\" \/><\/figure>\n<p>At BIOTOPE CLINIC in Shirokanedai, the initial consultation fee is <strong>\u00a53,300<\/strong>. A consultation with Dr. Karibe specifically is <strong>\u00a52,200<\/strong>. These fees are separate from medication costs.<\/p>\n<p>Oral ED medications (sildenafil and tadalafil) prescribed at cosmetic\/private clinics in Japan are not covered by national health insurance and are priced per tablet. Costs at private clinics in Tokyo typically range from approximately <strong>\u00a5500\u2013\u00a52,500 per tablet<\/strong> depending on dosage and formulation, though pricing varies between institutions and should be confirmed at the time of consultation.<\/p>\n<p>ICI therapy involves both the cost of the medication itself (compounded Trimix or Bimix preparations) and an initial training session with the physician to ensure safe self-administration technique. Patients should budget for follow-up consultations to adjust dosing. The total cost of starting ICI therapy \u2014 including the consultation, initial medication supply, and training \u2014 typically falls in the range of <strong>\u00a515,000\u2013\u00a540,000<\/strong> for the first visit cycle, with ongoing costs for medication refills thereafter. These figures are indicative; exact pricing depends on dosage requirements and consultation frequency.<\/p>\n<p>For an accurate quote, we recommend booking a consultation.<\/p>\n<div class=\"kjmc-en-booking-inline\" style=\"background: #f7fbf7; border: 1px solid #d5e6d8; border-radius: 10px; padding: 16px 20px; margin: 26px 0; text-align: center;\">\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 0.95em; line-height: 1.65;\"><strong>Have a question about this treatment?<\/strong><br \/>\nMessage us on LINE or WhatsApp \u2014 our English-speaking team usually replies the same day.<\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; gap: 8px; background: #06C755; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><br \/>\n<a style=\"display: inline-flex; align-items: center; gap: 8px; background: #25D366; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>What to Expect: Before, During, and After a Consultation<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Erectile dysfunction treatment Tokyo English speak \u2014 What to Expect: Before, During, and After a Consultation\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_5593720_1785509495.webp\" alt=\"Erectile dysfunction treatment Tokyo English speak \u2014 What to Expect: Before, During, and After a Consultation\" \/><\/figure>\n<h3>Before Your Appointment<\/h3>\n<p>Patients are asked to complete a medical history form prior to or at the time of their consultation. It is helpful to note the duration and pattern of ED symptoms, any relevant existing conditions (cardiovascular disease, diabetes, hypertension), and a current medication list \u2014 particularly if taking nitrates, alpha-blockers, or antihypertensives, as these interact with ED medications.<\/p>\n<h3>During the Consultation<\/h3>\n<p>The consultation at BIOTOPE CLINIC is conducted in English with Dr. Karibe. The discussion covers symptom history, medical background, lifestyle factors, and treatment goals. A brief physical assessment may be recommended. The physician will explain which treatment option is most appropriate, outline any contraindications, and answer all questions before anything is prescribed.<\/p>\n<p>At BIOTOPE CLINIC in Shirokanedai, the team regularly sees international patients \u2014 expatriates, business travellers, and medical tourists \u2014 who appreciate the ability to discuss a sensitive health matter clearly in their own language without the communication barriers that can arise at general hospitals.<\/p>\n<h3>After Prescribing<\/h3>\n<p>For oral medications, the patient receives a prescription and typically a supply of tablets. Follow-up is recommended after 4\u20136 weeks to assess response and adjust dosage if needed. For ICI therapy, a supervised in-clinic training session is conducted before the patient begins self-injection at home, and follow-up visits are scheduled to review technique and dosing.<\/p>\n<h2>Who Is a Good Candidate \u2014 and Who Should Seek Further Assessment First<\/h2>\n<p>Most adult men experiencing persistent ED are candidates for an initial evaluation and, in the majority of cases, for oral PDE5 inhibitor therapy. There are no significant age restrictions for treatment.<\/p>\n<p>Patients who should seek cardiology or general internal medicine clearance <em>before<\/em> starting ED treatment include those with unstable angina, a recent heart attack (within the past 6 months), severe heart failure, or uncontrolled hypertension. This is because sexual activity itself places demands on the cardiovascular system, and the interaction between PDE5 inhibitors and nitrate medications can cause a dangerous drop in blood pressure.<\/p>\n<p>Patients with diabetes or neurological conditions that have caused more severe ED may find oral medications less effective and are good candidates for a discussion about ICI therapy as an alternative.<\/p>\n<h2>Common Misconceptions About ED Treatment<\/h2>\n<p><strong>Misconception 1: &#8220;ED medication will cause an erection on its own.&#8221;<\/strong> This is a widely held misunderstanding. PDE5 inhibitors such as sildenafil and tadalafil enhance the body&#8217;s natural response to sexual stimulation \u2014 they do not cause an erection independently. Sexual arousal is still required for the medication to work. ICI therapy does produce a pharmacological erection regardless of arousal, which is part of why careful dosing and physician oversight are important.<\/p>\n<p><strong>Misconception 2: &#8220;Needing ED treatment means something is seriously wrong with your heart.&#8221;<\/strong><\/p>\n<p>While ED can sometimes be an early indicator of underlying cardiovascular issues (since both involve blood vessel function), the presence of ED does not automatically mean a patient has heart disease. A thorough consultation will help determine whether further investigation is warranted. For many men, ED has predominantly psychological or lifestyle-related causes that respond well to treatment without any cardiac implications.<\/p>\n<h2>Where to Get ED Treatment in Tokyo (English-Speaking Clinic)<\/h2>\n<p>Within our clinic group, English-speaking consultations are handled at <strong>BIOTOPE CLINIC<\/strong> in Shirokanedai (Minato-ku, Tokyo) by Dr. Jun Karibe. Men&#8217;s health services \u2014 including oral ED medication (sildenafil\/tadalafil) and ICI therapy (Trimix\/Bimix) under physician guidance \u2014 are available exclusively at this location. Our sister clinic, <strong>Kojimachi Dermatology &amp; Plastic Surgery Clinic<\/strong> in Ichigaya (Chiyoda-ku, Tokyo), handles Japanese-language insurance-covered dermatology and is the group&#8217;s main office; it does not currently offer English-speaking doctor consultations. Bookings and enquiries in English: LINE or WhatsApp.<\/p>\n<h2>Frequently Asked Questions<\/h2>\n<dl class=\"kj-faq\">\n<dt>Q. Can a foreign national be prescribed ED medication at a private clinic in Japan?<\/dt>\n<dd>Yes. Private clinics in Japan can prescribe ED medications (sildenafil, tadalafil) to non-Japanese patients provided a standard medical evaluation confirms it is safe to do so. National health insurance coverage does not apply, so the cost is paid out of pocket, but the prescribing process is straightforward at a private clinic with English-speaking staff.<\/dd>\n<dd><\/dd>\n<dt>Q. Is it possible to get a same-day prescription?<\/dt>\n<dd>In many cases, yes. If the consultation is completed and no further investigations are required, a prescription can typically be issued on the same day. Patients with complex medical histories or those on multiple medications may need a brief additional evaluation first.<\/dd>\n<dd><\/dd>\n<dt>Q. Is ICI (injection) therapy painful?<\/dt>\n<dd>Most patients describe the sensation as mild and much less uncomfortable than they anticipated. The needles used are very fine \u2014 comparable to those used for insulin injection \u2014 and the injection site is carefully selected to minimise discomfort. With proper training and technique, the procedure becomes straightforward for the majority of patients.<\/dd>\n<dd><\/dd>\n<dt>Q. Will my consultation at BIOTOPE CLINIC be kept confidential?<\/dt>\n<dd>Yes. All medical consultations in Japan are subject to strict confidentiality obligations under Japanese law. Medical information is not shared with employers, immigration authorities, or third parties without patient consent. The clinic&#8217;s English-speaking team handles enquiries with full discretion.<\/dd>\n<dd><\/dd>\n<dt>Q. Are there any non-medication treatments for ED available at the clinic?<\/dt>\n<dd>The men&#8217;s health menu at BIOTOPE CLINIC currently focuses on pharmacological treatment: oral PDE5 inhibitors and ICI therapy. The clinic also offers preventive and general wellness services \u2014 including nutritional (orthomolecular) therapy and IV drip protocols \u2014 that may support overall vascular and hormonal health. These are available to discuss during a consultation with Dr. Karibe.<\/dd>\n<\/dl>\n<div class=\"kjmc-en-booking-inline\" style=\"background: #f7fbf7; border: 1px solid #d5e6d8; border-radius: 10px; padding: 16px 20px; margin: 26px 0; text-align: center;\">\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 0.95em; line-height: 1.65;\"><strong>Have a question about this treatment?<\/strong><br \/>\nMessage us on LINE or WhatsApp \u2014 our English-speaking team usually replies the same day.<\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; gap: 8px; background: #06C755; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><br \/>\n<a style=\"display: inline-flex; align-items: center; gap: 8px; background: #25D366; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>Summary<\/h2>\n<p><strong>Erectile dysfunction<\/strong> is a common and highly treatable condition. For the majority of men, oral PDE5 inhibitors such as sildenafil or tadalafil provide effective relief with a well-established safety profile. For those who do not respond sufficiently to oral therapy, ICI treatment with Trimix or Bimix offers a reliable second-line option under physician guidance. Both are available at <strong>BIOTOPE CLINIC<\/strong> in Shirokanedai.<\/p>\n<p>Accessing treatment as a non-Japanese speaker in Tokyo is straightforward when you choose a clinic with dedicated English-language support. The consultation process at<strong> BIOTOPE CLINIC<\/strong> is thorough, confidential, and conducted entirely in English, so patients can discuss their concerns clearly and make well-informed decisions about their care.<\/p>\n<p>If you have questions about erectile dysfunction treatment in Tokyo, English-speaking consultations are handled at <strong>BIOTOPE CLINIC<\/strong> in Shirokanedai (Minato-ku, Tokyo) by Dr. Karibe. Our sister clinic <strong>Kojimachi Dermatology &amp; Plastic Surgery Clinic<\/strong> in Ichigaya (Chiyoda-ku) handles Japanese-language insurance dermatology. English enquiries: LINE or WhatsApp.<\/p>\n<div class=\"kjmc-en-booking-box\" style=\"background: linear-gradient(135deg,#f1faf3 0%,#e6f3ea 100%); border-radius: 14px; padding: 32px 24px; margin: 36px 0 24px; border: 1px solid #c5dccd; text-align: center;\">\n<h3 style=\"margin: 0 0 8px; color: #3a6e3a; border: none; padding: 0; font-size: 1.3em;\">24\/7 Consultation &amp; Booking<\/h3>\n<div style=\"width: 48px; height: 2px; background: #3a6e3a; margin: 0 auto 22px;\"><\/div>\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 1.1em; font-weight: bold;\">Book a Consultation or Treatment<\/p>\n<p style=\"margin: 0 0 24px; color: #2c4a35; line-height: 1.75;\">Our English-speaking team responds via LINE or WhatsApp \u2014 usually the same day.<\/p>\n<p style=\"margin: 0 0 10px; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; justify-content: center; gap: 10px; background: #06C755; color: #fff; padding: 14px 32px; border-radius: 10px; text-decoration: none; font-weight: bold; font-size: 1.02em; box-shadow: 0 2px 8px rgba(6,199,85,0.25); min-width: 240px; white-space: nowrap;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; justify-content: center; gap: 10px; background: #25D366; color: #fff; padding: 14px 32px; border-radius: 10px; text-decoration: none; font-weight: bold; font-size: 1.02em; box-shadow: 0 2px 8px rgba(37,211,102,0.25); min-width: 240px; white-space: nowrap;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>References<\/h2>\n<ol>\n<li>Feldman HA, Goldstein I, Hatzichristou DG, Krane RJ, McKinlay JB. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. Journal of Urology. 1994.<\/li>\n<li>Hatzimouratidis K, Amar E, Eardley I, et al. Guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation. European Urology. 2010.<\/li>\n<li>Montague DK, Jarow JP, Broderick GA, et al. Chapter 1: The management of erectile dysfunction: an AUA update. Journal of Urology. 2005.<\/li>\n<li>Lue TF. Erectile dysfunction. New England Journal of Medicine. 2000.<\/li>\n<li>Burnett AL, Nehra A, Breau RH, et al. Erectile dysfunction: AUA guideline. Journal of Urology. 2018.<\/li>\n<\/ol>\n<h2>Related Articles<\/h2>\n<p>You may also find these articles useful.<\/p>\n<ul>\n<li><a href=\"https:\/\/kojihifu.com\/english\/english-speaking-dermatologist-tokyo-guide-3\/\" target=\"_blank\" rel=\"noopener\">English Speaking Dermatologist Tokyo: Complete Guide<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/english-speaking-dermatologist-tokyo-guide-2\/\" target=\"_blank\" rel=\"noopener\">English Speaking Dermatologist Tokyo: First Visit Guide<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/english-speaking-plastic-surgeon-tokyo-3\/\" target=\"_blank\" rel=\"noopener\">English Speaking Plastic Surgeon Tokyo: Complete Guide<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/medical-weight-loss-tokyo-guide\/\" target=\"_blank\" rel=\"noopener\">Medical Weight Loss Tokyo: Options, Cost &amp; Clinic Guide<\/a><\/li>\n<\/ul>\n<div style=\"margin: 2.5em 0 1em; padding: 1.5em; border: 1px solid #d5d5d5; border-radius: 10px; background: #fafafa; font-size: .9em;\">\n<p style=\"font-size: .72em; font-weight: bold; color: #888; margin: 0 0 1.2em; letter-spacing: .08em;\">SUPERVISED BY<\/p>\n<div style=\"display: flex; align-items: flex-start; gap: 1.2em; flex-wrap: wrap;\">\n<div style=\"flex-shrink: 0; text-align: center; min-width: 110px;\"><img decoding=\"async\" style=\"width: 100px; height: 100px; border-radius: 50%; object-fit: cover; object-position: top center; display: block; margin: 0 auto; border: 3px solid #e0e0e0;\" src=\"https:\/\/kojihifu.com\/hon\/wp-content\/uploads\/2022\/01\/photo-karibejun-400-3_re-300x300.jpg\" alt=\"Dr. Jun Karibe MD \u2014 Board-certified Plastic Surgeon, Director of Kojimachi Dermatology &amp; Plastic Surgery Clinic\" \/><\/p>\n<p style=\"margin: .6em 0 .1em; font-weight: bold; font-size: .95em; color: #222;\">Dr. Jun Karibe<\/p>\n<p style=\"margin: 0 0 .1em; font-size: .75em; color: #999;\">MD<\/p>\n<p style=\"margin: 0; font-size: .75em; color: #555; font-weight: bold;\">Director<\/p>\n<\/div>\n<div style=\"flex: 1; min-width: 200px;\">\n<div style=\"margin-bottom: .75em; background: #fff; border: 1px solid #ebebeb; border-radius: 6px; padding: .7em 1em;\">\n<p style=\"margin: 0 0 .35em; font-size: .78em; font-weight: bold; color: #666; border-bottom: 1px solid #f2f2f2; padding-bottom: .3em;\">Education &amp; Career<\/p>\n<div style=\"font-size: .82em; color: #444; line-height: 1.75;\">\n<div>Juntendo University School of Medicine<\/div>\n<div>Department of Plastic Surgery, University of Tokyo Hospital<\/div>\n<div>Assistant Professor, Plastic &amp; Cosmetic Surgery, Saitama Medical University<\/div>\n<div>Assistant Professor &amp; Chief Resident, Yamanashi University Hospital<\/div>\n<div>2019: Founded Kojimachi Dermatology &amp; Plastic Surgery Clinic (Ichigaya, Tokyo)<\/div>\n<div>2021: Founded BIOTOPE CLINIC Shirokanedai (Minato-ku, Tokyo)<\/div>\n<\/div>\n<\/div>\n<div style=\"margin-bottom: .75em; background: #fff; border: 1px solid #ebebeb; border-radius: 6px; padding: .7em 1em;\">\n<p style=\"margin: 0 0 .35em; font-size: .78em; font-weight: bold; color: #666; border-bottom: 1px solid #f2f2f2; padding-bottom: .3em;\">Certifications<\/p>\n<div style=\"font-size: .82em; color: #444; line-height: 1.75;\">\n<div>Board-certified Plastic Surgeon \u2014 Japan Society of Plastic and Reconstructive Surgery<\/div>\n<div>Specialist \u2014 Japan Society of Anti-Aging Medicine<\/div>\n<div>Certified Industrial Physician \u2014 Japan Medical Association<\/div>\n<div>Allergan VST-certified Injector (Botox &amp; Hyaluronic Acid)<\/div>\n<\/div>\n<\/div>\n<div style=\"background: #fff; border: 1px solid #ebebeb; border-radius: 6px; padding: .7em 1em;\">\n<p style=\"margin: 0 0 .35em; font-size: .78em; font-weight: bold; color: #666; border-bottom: 1px solid #f2f2f2; padding-bottom: .3em;\">Awards<\/p>\n<div style=\"font-size: .82em; color: #444; line-height: 1.75;\">\n<div>Best Presentation Award \u2014 Dept. of Plastic Surgery, University of Tokyo (2016)<\/div>\n<div>Excellence Award \u2014 Japan Society of Plastic and Reconstructive Surgery (2018)<\/div>\n<div>Featured Presentation \u2014 ASPS Annual Scientific Meeting, USA (2018)<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div style=\"margin-top: 1em; padding-top: .75em; border-top: 1px solid #e8e8e8; display: flex; flex-wrap: wrap; align-items: center; gap: .5em;\"><a style=\"display: inline-block; background: #e1306c; color: #fff; padding: .4em .9em; border-radius: 4px; text-decoration: none; font-size: .8em; font-weight: bold;\" href=\"https:\/\/www.instagram.com\/dr.jun_\/\" target=\"_blank\" rel=\"noopener noreferrer\">Instagram<\/a><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"Complete guide to erectile dysfunction treatment at English-speaking Tokyo clinics. Explore options, costs, consultation process, and realistic outcomes for expat patients.","protected":false},"author":4,"featured_media":9771,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21,23],"tags":[579,580,581,582,304,35],"class_list":["post-9772","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-skin-dermatology","category-guide-for-foreigners-in-tokyo","tag-erectile-dysfunction","tag-ed-treatment","tag-mens-health-tokyo","tag-tokyo-urology","tag-expatriate-healthcare","tag-english-speaking-clinic"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/9772","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/comments?post=9772"}],"version-history":[{"count":1,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/9772\/revisions"}],"predecessor-version":[{"id":9885,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/9772\/revisions\/9885"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media\/9771"}],"wp:attachment":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media?parent=9772"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/categories?post=9772"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/tags?post=9772"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}