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Affordable men’s sexual healthcare you can trust.
Acne treatment and prevention
How Dr. B treats ED
Future Directions and Upcoming Conferences
ED Treatment Medication
Medically reviewed

LOH syndrome is associated with a variety of symptoms beyond just reduced sexual function, including erectile dysfunction, cognitive decline, mood disturbances, and sleep disorders.

Affordable men’s sexual healthcare you can trust.

From the second visit onward, no consultation fee will be charged if you are receiving a prescription only. Effects: Normalizes the hair cycle and promotes the growth of thicker, longer hair. Side effects: Initial hair loss, decreased libido, erectile dysfunction (ED) 3-month: 10,500 JPY (3,500 JPY/month) 6-month: 18,000 JPY (3,000 JPY/month) Effects: Said to be three times as effective at promoting hair growth and inhibiting 5-alpha-reductase type II compared to Finasteride. Side effects: Initial hair loss, decreased libido, erectile dysfunction (ED) 3-month: 13,500 JPY (4,500 JPY/month) 6-month: 24,000 JPY (4,000 JPY/month) Effects: Stimulates the division of hair-producing cells and increases blood flow to the scalp, thereby facilitating hair growth. Side effects: Initial hair loss, scalp rash, skin reactions (redness, itching, rash), hypertrichosis, low blood pressure Dosage: Half to one tablet per use 3-month: 10,500 JPY (3,500 JPY/month) 6-month: 18,000 JPY (3,000 JPY/month) Product: Topical Minoxidil Solution 5% (Fuji Chemical Industries, Over-the-counter Drug) Effects: Stimulates the division of hair-producing cells and increases blood flow to the scalp, thereby facilitating hair growth.

Parisa Syed, Healthline editor

Side effects: Initial hair loss, scalp rash, skin reactions (redness, itching, rash) Dosage: Apply 1ml twice a day to areas of thinning hair 3-month: 13,500 JPY (4,500 JPY/month) 6-month: 24,000 JPY (4,000 JPY/month) Overview: In addition to treating hair thinning in women, it is also used to treat acne and excessive hair growth. Treatment can be started with a low dose and gradually increased. Its anti-androgenic action prevents DHT, the main cause of AGA and FAGA, from binding to androgen receptors in the scalp. Side Effects: Electrolyte imbalance (especially hyperkalemia), impaired kidney function, low blood pressure, frequent urination, irregular menstruation, breakthrough bleeding and breast tenderness Dosage: Depends on the severity of FAGA (typically starts around 50 mg) We perform regular blood tests to monitor for electrolyte imbalances and kidney function issues to ensure safe use of spironolactone. Effect: Promotes the division of hair matrix cells and enhances blood circulation in the scalp, delivering nutrients to these cells and supporting hair growth. We provide comprehensive care for LOH syndrome, from testing to treatment. We offer a variety of treatment options, including long-acting oral and topical testosterone medications. [Total Price] = [Consultation Fee] + [Shipping Fee] + [Package Price] – Consultation Fee: First visit 2,500 JPY, Follow-up visits 1,000 JPY *The reporting time for test results is based on the “test start date.” Specimens collected in the late afternoon, or on Sundays, holidays, or during the New Year period, will have the next business day as the “test start date.” For self-funded medical care, results can be confirmed via email. The costs for hormone therapy are as follows: We offer a variety of treatment options, including long-acting oral and topical testosterone medications. Combining ED medications with hormone therapy is reported as effective. ** Dosage and amount may vary depending on each patient’s individual condition. Only for the first time, a consultation fee (2,500 JPY for the first visit / 1,000 JPY for a revisit) will be charged separately. From the second vaccination onward, no consultation fee will be charged if it’s just for prescription purposes. Here is the brief list of vaccines available at our clinic. Please see the link above for more information about each of them.

Buying Cialis OTC may risk counterfeit products.
Online pharmacies sometimes offer Cialis without prescription.
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Cialis is used to treat both ED and benign prostatic hyperplasia.
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Schedule: Initial, 1 month later, 6 months later Schedule: Initial, 1 month later, 6 months later Schedule: Initial, 1 month later, 6 months later It is believed that using Doxy PEP in combination with the gonorrhea vaccine can provide a higher preventive effect against gonorrhea. Number of doses: 3 times (or 2 times) Schedule: Initial, 2 months later, 6 months later (or initial, 6 months later) Contents: Combined vaccine for measles, mumps and rubella Number of doses: 1 time or 2 times Precautions:– Individuals who have previously experienced an allergic reaction to vaccinations should consult with a doctor before receiving this vaccine.– This vaccine cannot be administered to individuals who are pregnant or may be pregnant.– Individuals who are HIV positive must consult with a doctor before receiving this vaccine. From the second prescription onward, no consultation fee will be charged if it’s just for prescription purposes.

Product	Dosage	Quantity + Bonus	Price
Cialis Black	80mg	270 + 10 Pills	502.88€ 478.93€
Cialis Original	20mg	8 Pills	61.70€ 58.76€
Cialis Original	20mg	64 + 4 Pills	274.18€ 261.12€
Cialis Generic	20mg	30 + 4 Pills	68.05€ 64.81€
Cialis Generic	10mg	180 + 8 Pills	236.88€ 225.60€
Cialis Professional	40mg	60 + 2 Pills	262.32€ 249.83€
Cialis Soft Tabs	20mg	20 + 2 Pills	66.98€ 63.79€
Cialis Generic	20mg	180 + 10 Pills	254.09€ 241.99€
Cialis Generic	10mg	20 Pills	48.23€ 45.93€
Cialis Professional	20mg	90 + 2 Pills	241.49€ 229.99€
Cialis Original	20mg	22 + 2 Pills	129.20€ 123.05€
Cialis Generic	2.5mg	30 + 4 Pills	51.95€ 49.48€
Cialis Professional	40mg	270 + 6 Pills	898.37€ 855.59€
Cialis Soft Tabs	20mg	90 + 6 Pills	216.71€ 206.39€

We offer a wide range of ED medications, including Viagra (sildenafil), vardenafil, Cialis (tadalafil), avanafil and udenafil, tailored to each patient’s needs.

Age Group	Percentage of Users	Common Usage Reasons	Notes
18-30	20%	Convenience, early-stage ED	Usually younger males
31-50	50%	Moderate ED, social reasons	Largest group
51-70	25%	Age-related ED	Often with health concerns
70+	5%	Severe ED, chronic conditions	Limited use, cautious use

For those wish to try different ED medications to find the one that suits them best, we also offer affordable trial packages. An initial consultation fee will be charged separately (2,500 JPY for first visits, 1,000 JPY for follow-ups). While AGA (Androgenetic Alopecia) is widely known to affect cialis canada without prescription men, many women also suffer from hair loss. In particular, Female Androgenetic Alopecia (FAGA) can be treated or prevented with topical or oral medications. We also welcome consultations regarding hair loss in individuals using hormone therapy, especially transgender men. From the second visit onward, no consultation fee will be charged if you are receiving a prescription only. Effects: Normalizes the hair cycle and promotes the growth of thicker, longer hair. Side effects: Initial hair loss, decreased libido, erectile dysfunction (ED) 3-month: 10,500 JPY (3,500 JPY/month) 6-month: 18,000 JPY (3,000 JPY/month) Effects: Said to be three times as effective at promoting hair growth and inhibiting 5-alpha-reductase type II compared to Finasteride. Side effects: Initial hair loss, decreased libido, erectile dysfunction (ED) 3-month: 13,500 JPY (4,500 JPY/month) 6-month: 24,000 JPY (4,000 JPY/month) Effects: Stimulates the division of hair-producing cells and increases blood flow to the scalp, thereby facilitating hair growth. Side effects: Initial hair loss, scalp rash, skin reactions (redness, itching, rash), hypertrichosis, low blood pressure Dosage: Half to one tablet per use 3-month: 10,500 JPY (3,500 JPY/month) 6-month: 18,000 JPY (3,000 JPY/month) Product: Topical Minoxidil Solution 5% (Fuji Chemical Industries, Over-the-counter Drug) Effects: Stimulates the division of hair-producing cells and increases blood flow to the scalp, thereby facilitating hair growth. Side effects: Initial hair loss, scalp rash, skin reactions (redness, itching, rash) Dosage: Apply 1ml twice a day to areas of thinning hair 3-month: 13,500 JPY (4,500 JPY/month) 6-month: 24,000 JPY (4,000 JPY/month) Overview: In addition to treating hair thinning in women, it is also used to treat acne and excessive hair growth. Treatment can be started with a low dose and gradually increased. Its anti-androgenic action prevents DHT, the main cause of AGA and FAGA, from binding to androgen receptors in the scalp. Side Effects: Electrolyte imbalance (especially hyperkalemia), impaired kidney function, low blood pressure, frequent urination, irregular menstruation, breakthrough bleeding and breast tenderness Dosage: Depends on the severity of FAGA (typically starts around 50 mg) We perform regular blood tests to monitor for electrolyte imbalances and kidney function issues to ensure safe use of spironolactone. Effect: Promotes the division of hair matrix cells and enhances blood circulation in the scalp, delivering nutrients to these cells and supporting hair growth. Side Effects: Initial hair shedding, scalp rash, skin reactions (redness, itching, irritation), excessive hair growth and low blood pressure Dosage: 0.5 to 1 tablet per dose 3-month: 10,500 JPY (3,500 JPY/month) 6-month: 18,000 JPY (3,000 JPY/month) Product: Topical Minoxidil Solution 1% (Fuji Chemical Industries, Over-the-counter Drug) Features: Effective for preventing hair loss and promoting hair growth in women, influenced by factors such as age, stress, and lifestyle.

Acne treatment and prevention

Please see the link above for more information about each of them. Schedule: Initial, 1 month later, 6 months later Schedule: Initial, 1 month later, 6 months later Schedule: Initial, 1 month later, 6 months later It is believed that using Doxy PEP in combination with the gonorrhea vaccine can provide a higher preventive effect against gonorrhea. Number of doses: 3 times (or 2 times) Schedule: Initial, 2 months later, 6 months later (or initial, 6 months later) Contents: Combined vaccine for measles, mumps and rubella Number of doses: 1 time or 2 times Precautions:– Individuals who have previously experienced an allergic reaction to vaccinations should consult with a doctor before receiving this vaccine.– This vaccine cannot be administered to individuals who are pregnant or may be pregnant.– Individuals who are HIV positive must consult with a doctor before receiving this vaccine. From the second prescription onward, no consultation fee will be charged if it’s just for prescription purposes. We offer a wide range of ED medications, including Viagra (sildenafil), vardenafil, Cialis (tadalafil), avanafil and udenafil, tailored to each patient’s needs.

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How Dr. B treats ED

LOH syndrome is associated with a variety of symptoms beyond just reduced sexual function, including erectile dysfunction, cognitive decline, mood disturbances, and sleep disorders. We provide comprehensive care for LOH syndrome, from testing to treatment. We offer a variety of treatment options, including long-acting oral and topical testosterone medications. [Total Price] = [Consultation Fee] + [Shipping Fee] + [Package Price] – Consultation Fee: First visit 2,500 JPY, Follow-up visits 1,000 JPY *The reporting time for test results is based on the “test start date.” Specimens collected in the late afternoon, or on Sundays, holidays, or during the New Year period, will have the next business day as the “test start date.” For self-funded medical care, results can be confirmed via email. The costs for hormone therapy are as follows: We offer a variety of treatment options, including long-acting oral and topical testosterone medications.

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Combining ED medications with hormone therapy is reported as effective. ** Dosage and amount may vary depending on each patient’s individual condition. Only for the first time, a consultation fee (2,500 JPY for the first visit / 1,000 JPY for a revisit) will be charged separately. From the second vaccination onward, no consultation fee will be charged if it’s just for prescription purposes. Here is the brief list of vaccines available at our clinic. Recommended for: Those concerned about AGA or who want to start prevention, those troubled by hair loss or hair quality, etc.

Future Directions and Upcoming Conferences

The prices for acne treatment and prevention medications and pigmentation care are listed in the table below. All services are not covered by Japanese national insurance. We provide acne treatment and prevention for people of all genders. Oral medications for whitening and hyperpigmentation are not used for acne treatment or prevention. For acne treatment and prevention, please refer to the sections on topical medications, oral medications and skincare under [Acne treatment and prevention].

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ED Treatment Medication

A consultation with a doctor is necessary (a consultation cialis buy cheap fee applies). When using the contraceptive injection (Depo-Provera), individuals who are considered high-risk according to our criteria are required to have a consultation at least once a year. * Discount is applied if you purchase PrEP, doxy-PEP or medication for the prevention of vaginal candida from us. We offer Slinda, a new formulation of the mini pill.For first-time users, Slinda is available at 2,500 JPY per sheet, and you may purchase as many sheets as needed. A consultation fee (2,500 JPY for the first visit / 1,000 JPY for a revisit) will be charged separately.

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Price: 7,000 JPY (1 tablet / dose) Dosing time: Take one tablet within 120 hours (5 days) after intercourse for 98.9% contraceptive effectiveness. Note: Ella is an FDA-approved emergency contraceptive, widely used internationally. It remains effective for up to 5 days after intercourse and has minimal side effects such as nausea. Its active ingredient, ulipristal acetate (a progestin), is also used in the treatment of uterine fibroids. Price: 7,000 JPY (1 tablet / dose) Dosing time: 1 tablet / dose within 72 hours (3 days) after intercourse for contraceptive effect BMI*: Only for those with less than 30 A consultation fee will be added separately (initial visit 2,500 JPY, follow-up visit 1,000 JPY). This set offers more potent AGA treatment compared to Finasteride alone. Recommended for: Those who want to start serious AGA treatment, not just prevention, or those who have found single-drug treatments insufficient. 1-month:8,000 JPY (You can save 1,000 JPY) 3-month: 21,000 JPY (7,000 JPY/month) (You can save 3,000 JPY) 6-month: 36,000 JPY (6,000 JPY/month) (You can save 6,000 JPY) 1-month:9,000 JPY (You can save 1,000 JPY) 3-month: 25,500 JPY (8,500 JPY/month) (You can save 1,500 JPY) 6-month: 46,000 JPY (7,667 JPY/month) (You can save 2,000 JPY) 1-month:12,000 JPY (You can save 2,000 JPY) 3-month: 33,000 JPY (11,000 JPY/month) (You can save 4,500 JPY) 6-month: 58,000 JPY (9,667 JPY/month) (You can save 8,000 JPY) Only for the first time, a consultation fee (2,500 JPY for the first visit / 1,000 JPY for a revisit) will be charged separately. If you visit us more than 15 weeks after your previous contraceptive injection, additional contraception such as condoms or emergency contraception is required.

Cialis OTC could lead to inconsistent drug effectiveness.
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Proper OTC Cialis should include batch and expiry information.
Cialis and other PDE5 inhibitors require renal function monitoring.
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Medically reviewed

Side Effects: Initial hair shedding, scalp rash, skin reactions (redness, itching, irritation), excessive hair growth and low blood pressure Dosage: 0.5 to 1 tablet per dose 3-month: 10,500 JPY (3,500 JPY/month) 6-month: 18,000 JPY (3,000 JPY/month) Product: Topical Minoxidil Solution 1% (Fuji Chemical Industries, Over-the-counter Drug) Features: Effective for preventing hair loss and promoting hair growth in women, influenced by factors such as age, stress, and lifestyle. Suitable for treatment of female pattern hair loss. Effects: Stimulates the division of hair-producing cells and increases blood flow to the scalp, thereby facilitating hair growth. Side effects: Initial hair loss, scalp rash, skin reactions (redness, itching, rash) Dosage: Apply 1ml twice a day to areas of thinning hair 3-month: 12,000 JPY (4,000 JPY/month) 6-month: 22,000 JPY (3,667 JPY/month) Content: By prescribing a combination of Finasteride (oral) and Minoxidil (topical/oral), we provide an economical way to promote hair loss prevention and hair growth. Recommended for: Those concerned about AGA or who want to start prevention, those troubled by hair loss or hair quality, etc.

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1-month: 7,000 JPY (You can save 1,000 JPY) 3-month: 18,000 JPY (6,000 JPY/month) (You can save 3,000 JPY) 6-month: 30,000 JPY (5,000 JPY/month) (You can save 6,000 JPY) 1-month: 8,000 JPY (You can save 1,000 JPY) 3-month: 22,500 JPY (7,500 JPY/month) (You can save 1,500 JPY) 6-month: 40,000 JPY (6,667 JPY/month) (You can save 2,000 JPY) 1-month: 11,000 JPY (You can save 2,000 JPY) 3-month: 30,000 JPY (10,000 JPY/month) (You can save 4,500 JPY) 6-month: 52,000 JPY (8,667 JPY/month) (You can save 8,000 JPY) Content: By prescribing a combination of Dutasteride (oral) and Minoxidil (oral/topical), we provide an economical way to promote hair loss prevention and hair growth. This set offers more potent AGA treatment compared to Finasteride alone. Recommended for: Those who want to start serious AGA treatment, not just prevention, or those who have found single-drug treatments insufficient. 1-month:8,000 JPY (You can save 1,000 JPY) 3-month: 21,000 JPY (7,000 JPY/month) (You can save 3,000 JPY) 6-month: 36,000 JPY (6,000 JPY/month) (You can save 6,000 JPY) 1-month:9,000 JPY (You can save 1,000 JPY) 3-month: 25,500 JPY (8,500 JPY/month) (You can save 1,500 JPY) 6-month: 46,000 JPY (7,667 JPY/month) (You can save 2,000 JPY) 1-month:12,000 JPY (You can save 2,000 JPY) 3-month: 33,000 JPY (11,000 JPY/month) (You can save 4,500 JPY) 6-month: 58,000 JPY (9,667 JPY/month) (You can save 8,000 JPY) Only for the first time, a consultation fee (2,500 JPY for the first visit / 1,000 JPY for a revisit) will be charged separately. If you visit us more than 15 weeks after your previous contraceptive injection, additional contraception such as condoms or emergency contraception is required. We offer Slinda, a new formulation of the mini pill.For first-time users, Slinda is available at 2,500 JPY per sheet, and you may purchase as many sheets as needed. A consultation fee (2,500 JPY for the first visit / 1,000 JPY for a revisit) will be charged separately.

OTC Cialis may be marketed as herbal or natural supplements.
These supplements often lack scientific efficacy proof.
Legitimate Cialis requires verification of authenticity.
Pharmacy consultation helps prevent adverse effects.
Price differences between OTC and prescription Cialis exist.
Cialis can cause muscle aches and back pain.
Alcohol consumption can impact Cialis effectiveness.
Cialis is not suitable for everyone with ED.
Always read the leaflet and warnings before use.

Price: 7,000 JPY (1 tablet / dose) Dosing time: Take one tablet within 120 hours (5 days) after intercourse for 98.9% contraceptive effectiveness.

Cialis is a medication for erectile dysfunction (ED).
It requires a prescription in many countries.
Over the counter (OTC) availability varies by region.
Some countries allow OTC sale of generic tadalafil.
Be cautious of OTC sources in unregulated markets.
Counterfeit Cialis products are common online.
Consult a healthcare provider before use.
Cialis effects can last up to 36 hours.
Dosage varies; common doses are 5, 10, or 20 mg.

Note: Ella is an FDA-approved emergency contraceptive, widely used internationally. It remains effective for up to 5 days after intercourse and has minimal side effects such as nausea. Its active ingredient, ulipristal acetate (a progestin), is also used in the treatment of uterine fibroids. Price: 7,000 JPY (1 tablet / dose) Dosing time: 1 tablet / dose within 72 hours (3 days) after intercourse for contraceptive effect BMI*: Only for those with less than 30 A consultation fee will be added separately (initial visit 2,500 JPY, follow-up visit 1,000 JPY).

Advice	Explanation	Recommendation Level
Consult a doctor first	To check for contraindications	Strong
Avoid self-medicating	To prevent misuse or adverse effects	Strong
Follow dosage instructions	To ensure safety and effectiveness	Very strong
Monitor side effects	Seek medical attention if adverse reactions occur	Strong
Use only legitimate sources	To avoid counterfeit products	Very strong