ED Treatment in Gion-Shijo, Kyoto

The clinic lists the following generic medicines. The familiar brand names in brackets help identify the active ingredient; they do not mean that the branded product is being supplied. [1]

Prices include tax. The clinic provides this treatment as self-pay care, outside Japanese public health insurance. These are listed medication prices, rather than a guaranteed total for every visit. Additional charges may apply depending on the course of treatment. Ask about the total cost and prescribed quantity during your consultation. [1][2]

Erectile dysfunction, or ED, means difficulty getting or maintaining an erection sufficient for sex. It does not only mean being unable to get an erection at all. If the problem keeps happening, seek medical advice rather than assuming it is simply age or a lack of confidence. [4]

Stress, tiredness, alcohol, some medicines and health conditions can affect erections. Diabetes and cardiovascular problems are among the possible underlying factors. Several factors may be involved at once. Explaining when the difficulty started and whether it happens in different situations helps the doctor understand the concern. [4]

Sildenafil, tadalafil and vardenafil are different active ingredients. Choosing among them involves your health, other medicines and the instructions for the particular product—not simply choosing the largest strength.

These medicines support the erectile response; they are not medicines for increasing sexual desire. Sexual stimulation is still needed. Do not interpret a longer period of action as an erection that should continue throughout that time. [5][6]

Food can delay sildenafil's effect, while tadalafil is less affected by food. Discuss how meals and your plans may affect the instructions you receive. Follow the prescribed timing and dose; do not combine ED medicines or take extra tablets on your own if the first dose does not seem to work. [5][6][7]

Tell the doctor about all medicines you use, including medicines taken only occasionally, supplements and recreational substances. Bring a medication list or photographs of the packaging if that is easier.

Do not take ED medication together with nitrates or nitric-oxide donors, such as nitroglycerin or amyl nitrite (“poppers”): a dangerous drop in blood pressure can occur. Riociguat is another important contraindicated combination for sildenafil and tadalafil. These examples are not a complete list of interactions. [5][6]

Also explain any heart disease, previous heart attack or stroke, blood-pressure problems, liver or kidney disease, eye conditions, or previous medicine allergy. The doctor must consider both the medicine and whether sexual activity is medically appropriate. An appointment does not guarantee a prescription or a particular dose. [5][6]

Possible side effects include headache, flushing, dizziness, a blocked nose and indigestion. Some medicines can also affect vision or cause back or muscle pain. Side effects differ between medicines and people; a side effect is not proof that treatment is working well. Contact a doctor or pharmacist about troublesome symptoms. [6][7][8]

Seek urgent medical help for an erection lasting four hours or longer, sudden loss of vision or hearing, or signs of a serious allergic reaction. If you develop chest pain, tell the medical team which ED medicine you took and when. Do not take nitrate medicine to treat the pain yourself. For a life-threatening emergency in Japan, call 119 rather than waiting for a routine appointment. [5][6][7][8][9]

The clinic's ED service is appointment-based, with private consultation rooms. Use the official booking link or LINE to arrange a visit. Before attending, let the clinic know what language support you need and ask how the consultation and medication instructions can be communicated. [2]

It may help to write down:

• When the difficulty started and what you would like to discuss.
• Current medicines, relevant health conditions and previous reactions to medicines.
• Any ED medicine you have already tried, including its name, dose and effect.

The consultation is an opportunity to discuss treatment and its costs. Follow the doctor's instructions for taking any medicine prescribed.

Will a stronger tablet necessarily work better?

No. A larger dose can increase risks and may be unsuitable because of your health or other medicines. The doctor decides the dose. Do not increase it yourself. [5][6]

Does ED medication prevent sexually transmitted infections?

No. ED treatment and STI prevention or testing serve different purposes. If you have concerns about an infection or exposure, see the clinic's separate STI testing and treatment information. [5]

Is this covered by Japanese public health insurance?

The clinic lists this ED service as self-pay care. The medication prices include tax; the total depends on the care provided. [1]

Address: 3F, GARNET BLDG Gion Nawate, 99-5 Sueyoshicho, Higashiyama-ku, Kyoto 605-0085, Japan.

Regular hours: 16:00–23:00, with last reception at 22:00. Closed Sundays, public holidays and Mondays. Check the booking system for appointment availability. See the official access information for directions from Gion-Shijo Station. [3]

Book an ED consultation