{"id":9780,"date":"2026-08-01T16:52:05","date_gmt":"2026-08-01T07:52:05","guid":{"rendered":"https:\/\/kojihifu.com\/english\/?p=9780"},"modified":"2026-08-01T16:52:06","modified_gmt":"2026-08-01T07:52:06","slug":"ed-clinic-tokyo-expats-guide","status":"publish","type":"post","link":"https:\/\/kojihifu.com\/english\/ed-clinic-tokyo-expats-guide\/","title":{"rendered":"ED Clinic Tokyo for Expats: Consultation &#038; Booking"},"content":{"rendered":"<p><script type=\"application\/ld+json\">{\"@context\": \"https:\/\/schema.org\", \"@type\": \"FAQPage\", \"mainEntity\": [{\"@type\": \"Question\", \"name\": \"Do I need a referral from another doctor to book an ED consultation at BIOTOPE CLINIC?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"No referral is necessary. BIOTOPE CLINIC accepts direct bookings from patients, including first-time visitors and those who have never consulted a doctor in Japan before. Simply contact the clinic via LINE or WhatsApp to arrange an appointment.\"}}, {\"@type\": \"Question\", \"name\": \"Will I be able to communicate in English throughout the entire appointment?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Yes. BIOTOPE CLINIC in Shirokanedai has an English-speaking doctor and a dedicated English-support team. Consultation, prescription explanation, and follow-up communication can all be conducted in English.\"}}, {\"@type\": \"Question\", \"name\": \"Can I use Japanese national health insurance for ED treatment?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"ED treatment \u2014 including PDE5 inhibitor prescriptions \u2014 is not covered by Japan's national health insurance when prescribed for sexual dysfunction. Costs are paid out of pocket. The clinic will provide a full cost breakdown before treatment proceeds.\"}}, {\"@type\": \"Question\", \"name\": \"Is it safe to bring ED medication from my home country into Japan?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Japan has strict regulations governing the importation of pharmaceuticals. Many medications that are freely available in other countries require a prior declaration (Yakkan Shoumei) to import legally. The simplest and most reliable approach for patients already in Japan is to obtain a local prescription through a licensed clinic.\"}}, {\"@type\": \"Question\", \"name\": \"What if oral medication does not work for me?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Approximately 20\u201330% of men do not achieve a satisfactory response to oral PDE5 inhibitors alone. In these cases, ICI therapy with Trimix or Bimix is a well-established next step and is available at BIOTOPE CLINIC under physician guidance. Your doctor will discuss all options with you at the follow-up appointment if the initial prescription has not achieved the desired result.\"}}]}<\/script><\/p>\n<h2>ED Clinic in Tokyo for Expats: A Practical Consultation and Booking Guide<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"ED clinic Tokyo for expats: consultation and booki \u2014 ED Clinic in Tokyo for Expats: A Practical Consultation and \" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_13060576_1785509628.webp\" alt=\"ED clinic Tokyo for expats: consultation and booki \u2014 ED Clinic in Tokyo for Expats: A Practical Consultation and \" \/><\/figure>\n<p><strong>Erectile dysfunction (ED)<\/strong> is a common and treatable medical condition, yet many men \u2014 particularly those living abroad \u2014 quietly put off addressing it because they are unsure where to find a doctor who speaks their language and takes the concern seriously.<\/p>\n<p>This guide explains what options are available in Tokyo, how consultations work, what treatments are typically used, and how English-speaking patients can book an appointment without unnecessary barriers.<\/p>\n<p><strong>What you&#8217;ll learn in this article:<\/strong><\/p>\n<ul>\n<li>What ED is and how it is diagnosed in a clinical setting<\/li>\n<li>Which oral and injection-based treatments are available in Tokyo<\/li>\n<li>Realistic cost ranges for ED medication and therapy at a Tokyo clinic<\/li>\n<li>What to expect at an English-language ED consultation<\/li>\n<li>How to book a consultation as an English-speaking expat or visitor<\/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>Understanding Erectile Dysfunction: A Medical Overview<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"ED clinic Tokyo for expats: consultation and booki \u2014 Understanding Erectile Dysfunction: A Medical Overview\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_8460084_1785509629.webp\" alt=\"ED clinic Tokyo for expats: consultation and booki \u2014 Understanding Erectile Dysfunction: A Medical Overview\" \/><\/figure>\n<p><strong>Erectile dysfunction<\/strong> is defined as the consistent or recurrent inability to achieve or maintain an erection sufficient for satisfactory sexual performance.<\/p>\n<p>It is not simply an occasional difficulty \u2014 most clinical guidelines require symptoms to be present for at least three months before a formal diagnosis is made.<\/p>\n<p>ED is considerably more common than many men realise. Studies published in peer-reviewed urology journals suggest that approximately 52% of men between the ages of 40 and 70 experience some degree of erectile dysfunction, ranging from mild to complete. Prevalence increases with age, though ED is not an inevitable consequence of ageing and is frequently reversible with appropriate treatment.<\/p>\n<p>The condition may be caused by vascular (blood flow) issues, hormonal imbalance, neurological factors, certain medications, psychological contributors such as anxiety or depression, or a combination of several of these. Because causes differ between individuals, a proper consultation and assessment are essential before any treatment is started.<\/p>\n<h3>Why Expats and Visitors Often Delay Treatment<\/h3>\n<p>Language barriers are the single most commonly cited reason English-speaking men in Japan delay seeking help for ED. Many are unsure whether a clinic will be able to communicate in English, whether prescriptions will be usable, or whether the consultation process will be unnecessarily complex. These concerns are understandable, and this guide aims to address each of them directly.<\/p>\n<p>A secondary concern is discretion. Most men prefer to discuss this subject privately, with a doctor who listens carefully rather than rushing through a checklist. Finding that environment in a foreign city adds an additional layer of difficulty \u2014 which is exactly why clinics offering structured English-language men&#8217;s health consultations serve a genuine need.<\/p>\n<h2>ED Treatments Available 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=\"ED clinic Tokyo for expats: consultation and booki \u2014 ED Treatments Available in Tokyo\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_8460125_1785509630.webp\" alt=\"ED clinic Tokyo for expats: consultation and booki \u2014 ED Treatments Available in Tokyo\" \/><\/figure>\n<p>The primary treatments for ED used in Japan align with international clinical standards. The following are the options most commonly offered at a Tokyo clinic with a men&#8217;s health programme.<\/p>\n<h3>PDE5 Inhibitors (Oral Medication)<\/h3>\n<p>Phosphodiesterase type 5 inhibitors \u2014 most commonly known by the active ingredients sildenafil (the molecule in Viagra) and tadalafil (the molecule in Cialis) \u2014 are the first-line treatment for ED in most clinical guidelines worldwide. They work by relaxing the smooth muscle in blood vessel walls within the penis, allowing increased blood flow when sexual stimulation occurs. They do not produce an erection independently; stimulation is still required.<\/p>\n<p>Sildenafil is typically taken approximately one hour before sexual activity and remains active for four to six hours. Tadalafil has a considerably longer half-life of up to 36 hours and is also available in a lower daily-dose formulation. A doctor will recommend one over the other based on frequency of intended use, any medications the patient is already taking, and cardiovascular health status.<\/p>\n<p>Clinical reports indicate that PDE5 inhibitors are effective in approximately 70\u201380% of men with organic (physically based) ED when used at the correct dose. Results may be lower in men with severe vascular disease or significant comorbidities.<\/p>\n<h3>Intracavernosal Injection (ICI) Therapy<\/h3>\n<p>For patients who do not respond adequately to oral medication \u2014 or for whom PDE5 inhibitors are contraindicated due to cardiac medication interactions \u2014 Intracavernosal Injection (ICI) therapy offers a well-established alternative. In this approach, a small volume of vasoactive medication is injected directly into the erectile tissue (corpus cavernosum) of the penis using a very fine needle, typically producing an erection within 5 to 15 minutes.<\/p>\n<p>The most widely used formulations are Trimix (a combination of alprostadil, papaverine, and phentolamine) and Bimix (papaverine and phentolamine). These compounded preparations are not available over the counter and must be prescribed and initially administered under physician supervision. Importantly, the goal of ICI therapy is not lifetime dependence on injections; in many cases, patients are trained to self-administer at home after a supervised session at the clinic.<\/p>\n<p>Studies suggest that ICI therapy achieves satisfactory erections in over 85% of patients who have not responded to oral therapy, including those with severe vascular ED or post-prostatectomy dysfunction.<\/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 a thorough ED consultation takes less than 30 minutes and does not require an uncomfortable physical examination at the first visit.<\/p>\n<p style=\"margin: 0; color: #333; line-height: 1.7;\">The initial appointment is primarily a structured conversation about medical history, lifestyle factors, and treatment goals.<\/p>\n<p style=\"margin: 0; color: #333; line-height: 1.7;\">From there, the appropriate pathway \u2014 whether oral medication, injection therapy, or a combination approach \u2014 becomes clear. There is genuinely no reason to delay this conversation.<\/p>\n<\/blockquote>\n<h3>Comparison of First-Line ED Treatments<\/h3>\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;\">Feature<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">PDE5 Inhibitors (Oral)<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">ICI Therapy (Injection)<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Administration<\/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;\">Self-injection into erectile tissue<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Onset time<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">30\u201360 minutes<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">5\u201315 minutes<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Duration<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">4\u201336 hours depending on drug<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">30\u201360 minutes typically<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Sexual stimulation required?<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Yes<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Not always required<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Suitable if oral therapy fails?<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">No (this is the first-line option)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Yes \u2014 specifically indicated<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Key contraindications<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Nitrate medications, severe cardiac disease<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Anticoagulant therapy, certain anatomical concerns<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Available at BIOTOPE CLINIC<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Yes<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Yes (under physician guidance)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>What People Often Get Wrong About ED Treatment in Japan<\/h2>\n<p><strong>Misconception 1: &#8220;ED medication is not legally available in Japan.&#8221;<\/strong> This is incorrect. Sildenafil and tadalafil are both licensed and prescribed in Japan. They are dispensed through licensed clinics and pharmacies following a physician consultation. They cannot be purchased over the counter, which is precisely why a clinic consultation is the correct and safe starting point.<\/p>\n<p><strong>Misconception 2: &#8220;A clinic visit for ED will be embarrassing or involve unnecessary procedures.&#8221;<\/strong> In a professionally run men&#8217;s health clinic, ED is treated as the medical condition it is \u2014 no differently from hypertension or diabetes. At BIOTOPE CLINIC in Shirokanedai, Dr. Karibe frequently sees patients who initially approached the consultation with significant apprehension, only to report afterwards that it was a far more straightforward and comfortable experience than they had anticipated.<\/p>\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=\"ED clinic Tokyo for expats: consultation and booki \u2014 Cost of ED Treatment in Tokyo\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_7789616_1785509631.webp\" alt=\"ED clinic Tokyo for expats: consultation and booki \u2014 Cost of ED Treatment in Tokyo\" \/><\/figure>\n<p>Cost varies depending on which treatment pathway is recommended and the dose required. The figures below reflect the pricing structure at <strong>BIOTOPE CLINIC.<\/strong><\/p>\n<p>An initial consultation is <strong>\u00a53,300<\/strong>. If a specific surgical or procedural consultation with Dr. Karibe is required (for example, to discuss ICI training), the consultation fee is <strong>\u00a52,200<\/strong> for Dr. Karibe&#8217;s surgical\/procedural appointment.<\/p>\n<p>Oral PDE5 inhibitors (sildenafil or tadalafil) are prescribed based on dose and quantity. Pricing for medication will be confirmed at the time of consultation, as appropriate dosing varies by individual. Some patients require only a small supply initially while the correct dose is established; others may request a larger prescription once a response has been confirmed.<\/p>\n<p>ICI therapy involves an initial supervised training session at the clinic followed by take-home medication. Compounded formulations such as Trimix are priced per preparation; full cost details are provided at consultation. As with all prescriptions at a Japanese clinic, pricing is transparent and provided in writing before any treatment proceeds.<\/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 Your Consultation<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"ED clinic Tokyo for expats: consultation and booki \u2014 What to Expect: Before, During, and After Your Consultation\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_4021794_1785509631.webp\" alt=\"ED clinic Tokyo for expats: consultation and booki \u2014 What to Expect: Before, During, and After Your Consultation\" \/><\/figure>\n<h3>Before the Appointment<\/h3>\n<p>No special preparation is required for an ED consultation. It is helpful to make a note of any current medications, including supplements and over-the-counter products, as several common drugs interact with PDE5 inhibitors. Patients with a history of cardiovascular disease, diabetes, or hypertension should mention this at the start of the appointment.<\/p>\n<h3>During the Consultation<\/h3>\n<p>The consultation will cover medical and lifestyle history, the nature and duration of symptoms, and any previous attempts at treatment. The doctor will assess whether any underlying conditions \u2014 hormonal, vascular, or psychological \u2014 may be contributing. In some cases, a blood test may be recommended to check testosterone levels or metabolic markers; at<strong> BIOTOPE CLINIC<\/strong>, pre-consultation blood panels can be arranged at the same visit where clinically appropriate.<\/p>\n<h3>After the Consultation<\/h3>\n<p>If oral medication is prescribed, patients typically receive a prescription on the day and can collect medication from a pharmacy near the clinic. Response to treatment is reviewed at a follow-up appointment. For patients beginning ICI therapy, the first injection is performed at the clinic under supervision, with a self-injection training session scheduled once the appropriate dose has been confirmed.<\/p>\n<h3>Preventive and Integrative Approaches<\/h3>\n<p>Some patients ask whether lifestyle or nutritional interventions can support ED treatment. BIOTOPE CLINIC does offer a preventive medicine programme that includes IV drip therapy (vitamin C, glutathione), nutritional assessment, and NMN supplementation as part of a broader men&#8217;s health and wellness approach. These are not replacements for pharmacological treatment where it is indicated, but may be discussed during consultation as part of an overall health strategy. This is a service available at BIOTOPE CLINIC \u2014 feel free to raise it during a consultation with Dr. Karibe.<\/p>\n<h2>Where to Get ED Treatment in Tokyo as an English Speaker<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"ED clinic Tokyo for expats: consultation and booki \u2014 Where to Get ED Treatment in Tokyo as an English Speaker\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_5593720_1785509632.webp\" alt=\"ED clinic Tokyo for expats: consultation and booki \u2014 Where to Get ED Treatment in Tokyo as an English Speaker\" \/><\/figure>\n<p>Within our clinic group, English-speaking consultations are handled at <strong>BIOTOPE CLINIC in Shirokanedai (Minato-ku, Tokyo)<\/strong> by Dr. Jun Karibe, a board-certified plastic and reconstructive surgeon who also oversees the clinic&#8217;s men&#8217;s health programme. Dr. Karibe is certified by the Japan Society of Plastic and Reconstructive Surgery, and the clinic operates a dedicated English-language team to assist with bookings, paperwork, and aftercare communication.<\/p>\n<p>Our sister clinic, <strong>Kojimachi Dermatology &amp; Plastic Surgery Clinic<\/strong> in Ichigaya (Chiyoda-ku), is the group&#8217;s main office and specialises in insurance-covered dermatology conducted in Japanese. It does not currently offer English-language consultations. English-speaking patients should direct all enquiries to BIOTOPE CLINIC.<\/p>\n<p>Bookings and enquiries in English are accepted via LINE or WhatsApp.<\/p>\n<h2>Frequently Asked Questions<\/h2>\n<dl class=\"kj-faq\">\n<dt>Q. Do I need a referral from another doctor to book an ED consultation at BIOTOPE CLINIC?<\/dt>\n<dd>No referral is necessary. BIOTOPE CLINIC accepts direct bookings from patients, including first-time visitors and those who have never consulted a doctor in Japan before. Simply contact the clinic via LINE or WhatsApp to arrange an appointment.<\/dd>\n<dd><\/dd>\n<dt>Q. Will I be able to communicate in English throughout the entire appointment?<\/dt>\n<dd>Yes. BIOTOPE CLINIC in Shirokanedai has an English-speaking doctor and a dedicated English-support team. Consultation, prescription explanation, and follow-up communication can all be conducted in English.<\/dd>\n<dd><\/dd>\n<dt>Q. Can I use Japanese national health insurance for ED treatment?<\/dt>\n<dd>ED treatment \u2014 including PDE5 inhibitor prescriptions \u2014 is not covered by Japan&#8217;s national health insurance when prescribed for sexual dysfunction. Costs are paid out of pocket. The clinic will provide a full cost breakdown before treatment proceeds.<\/dd>\n<dd><\/dd>\n<dt>Q. Is it safe to bring ED medication from my home country into Japan?<\/dt>\n<dd>Japan has strict regulations governing the importation of pharmaceuticals. Many medications that are freely available in other countries require a prior declaration (Yakkan Shoumei) to import legally. The simplest and most reliable approach for patients already in Japan is to obtain a local prescription through a licensed clinic.<\/dd>\n<dd><\/dd>\n<dt>Q. What if oral medication does not work for me?<\/dt>\n<dd>Approximately 20\u201330% of men do not achieve a satisfactory response to oral PDE5 inhibitors alone. In these cases, ICI therapy with Trimix or Bimix is a well-established next step and is available at <strong>BIOTOPE CLINIC<\/strong> under physician guidance. Your doctor will discuss all options with you at the follow-up appointment if the initial prescription has not achieved the desired result.<\/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>Erectile dysfunction is a common, well-understood medical condition for which effective treatments exist and are fully accessible in Tokyo. English-speaking expats and visitors do not need to manage this concern without proper medical support simply because of a language barrier.<\/p>\n<p>First-line treatment typically involves oral PDE5 inhibitors (sildenafil or tadalafil), which are effective in the majority of patients. For those who do not respond to oral therapy, Intracavernosal Injection therapy offers a reliable alternative with high success rates. Both pathways require a physician consultation before treatment begins \u2014 a process that is straightforward, private, and conducted entirely in English at BIOTOPE CLINIC.<\/p>\n<p>If you have questions about ED treatment in Tokyo, English-speaking consultations are handled at <strong>BIOTOPE CLINIC in Shirokanedai (Minato-ku, Tokyo)<\/strong> 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>Porst H, Burnett A, Brock G, et al. SOP conservative (medical and mechanical) treatment of erectile dysfunction. Journal of Sexual Medicine. 2013.<\/li>\n<li>Shabsigh R, Padma-Nathan H, Gittleman M, McMurray J, Kaufman J, Goldstein I. Intracavernous alprostadil alfadex is more efficacious, better tolerated, and preferred over intraurethral alprostadil plus optional actis: a comparative randomized crossover study. Urology. 2000.<\/li>\n<li>Wespes E, Amar E, Eardley I, et al. EAU guidelines on erectile dysfunction. European Urology. 2002.<\/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-2\/\" target=\"_blank\" rel=\"noopener\">English Speaking Dermatologist Tokyo: First Visit Guide<\/a><\/li>\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\/medical-weight-loss-tokyo-guide\/\" target=\"_blank\" rel=\"noopener\">Medical Weight Loss Tokyo: Options, Cost &amp; Clinic Guide<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/medical-weight-loss-tokyo-expats\/\" target=\"_blank\" rel=\"noopener\">Medical Weight Loss Tokyo for Expats: Consultation<\/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<\/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":"Find English-speaking ED clinics in Tokyo. Learn about treatments, costs, consultations &#038; booking options for expats. Expert guide to erectile dysfunction care.","protected":false},"author":4,"featured_media":9779,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21,23],"tags":[579,580,539,411,162,121,26],"class_list":["post-9780","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","tag-consultation","tag-english-speaking-doctor","tag-expat-healthcare","tag-tokyo-clinic"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/9780","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=9780"}],"version-history":[{"count":1,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/9780\/revisions"}],"predecessor-version":[{"id":9886,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/9780\/revisions\/9886"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media\/9779"}],"wp:attachment":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media?parent=9780"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/categories?post=9780"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/tags?post=9780"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}