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Gonorrhea & Chlamydia (Genital, Throat, Anal – 3 sites): 3,000 JPY (20,000 JPY) Vaginal Discharge Test (Vaginal Candida, Trichomonas, Bacterial Vaginosis): 3,000 JPY (4,500 JPY) These options are valid for one month after purchasing PEP. A follow-up test one month after completing PEP is available at a special discounted price. If you wish to use doxy-PEP in addition to PEP, adding the “Gonorrhea and chlamydia (genital, throat and rectum; 3 sites)” test (3,000 JPY) allows same-day doxy-PEP prescription. We offer gonorrhea, chlamydia and syphilis testing at a special price for everyone who starts or continues doxy-PEP. HIV, Hepatitis B & Kidney function: 3,000 JPY HIV, Hepatitis B, Kidney function & Syphilis: 5,000 JPY This method involves taking medication within 72 hours after sexual activity to prevent syphilis, gonorrhea, and chlamydia. The reported effectiveness of prevention is 87% for syphilis, 88% for chlamydia, and 55% for gonorrhea (International AIDS Society, July 2022).

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The set price will be charged at the time of the first test. No additional payment is required for the second and third tests. You can take the second and third tests at a time of your choice. Note that it is valid for a year. For those who purchase the three-session package, we also offer a special discount for PrEP.

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The price shown in parentheses is the price per dose for a set of three doses. *The results of the discharge test will be explained by the doctor, so a separate consultation fee will apply. Patients who purchase Screening Premium, Screening Premium Plus, Ladies Bridal, or Full Set can add an HPV test at the special prices below. – HPV Genotyping (Basic): 5,000 JPY (Regular price: 7,000 JPY) – HPV Genotyping (Full): 19,000 JPY (Regular price: 23,000 JPY) We also offer package menus without HIV tests. The prices for STI treatments provided at our clinic are as follows: Currently, the injectable syphilis treatment “Sterelyze® (potassium penicillin G for IV infusion)” is under recall by the manufacturer, Pfizer, due to a formulation issue, and its supply has been temporarily suspended.

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Oral medications and testing remain available as usual. Our clinic offers PrEP at package prices, which include all the necessary blood tests for the use and continuation of PrEP. * First visit: 2,500 JPY, 2nd+ visit: 1,000 JPY Note that PrEP prescription requires doctor’s consulation. Patients who purchase PrEP at our clinic can contact us 24/7 via LINE with any questions about PrEP interactions with other medications, how to take PrEP, and more. Please don’t hesitate to reach out. These STIs have a high transmission rate when having sexual contact with an infected person—around 30% for syphilis and 50% for chlamydia and gonorrhea—making this prevention method highly effective and globally recognized. We provide thorough explanations of the risks and benefits of preventive medications during a doctor’s consultation and determine eligibility for each patient.

Please consult with our doctor for more details.

Prescriptions can also be provided through telephone consultations.

Ethics declarations

Always ensure that you undergo appropriate tests when starting and/or continuing PrEP. Prescriptions from facilities that do not conduct various tests, or personal imports without testing, carry the significant risk of HIV resistance and worsening of hepatitis B. – 1 bottle of PrEP (30 tablets), Descovy – Syphilis test (results notified via e-mail) – Renal function test (results notified via e-mail) – 3 bottles of PrEP (90 tablets), Descovy – Syphilis test (results notified via e-mail) – Renal function test (results notified via e-mail) – 6 bottles of PrEP (180 tablets), Descovy – Syphilis test (results notified via e-mail) – Renal function test (results notified via e-mail) – Extra test kit to use 3 months after (HIV, hepatitis B, syphilis and renal function) If you underwent HIV and hepatitis B testing within the past week, we can prescribe PrEP at the prices below. Please bring documentation of your buy cheap dapoxetine test results. You must undergo appropriate testing before initiating or continuing PrEP.

Publisher’s Note

Obtaining PrEP from facilities that do not perform the required tests, or through personal imports without testing, carries serious risks including HIV resistance and worsening hepatitis B. Tests conducted outside our clinic also qualify. If you use our three-exam regular package, it already includes HIV and hepatitis B tests, so you may receive your prescription on the day of testing. Available only to those who bring HIV and hepatitis B test results from within the past week – Renal function test (email results): additional 500 JPY upon request Available only to those who bring HIV and hepatitis B test results from within the past week – Renal function test (email results): additional 500 JPY upon request For those who import PrEP on their own, we have a package of routine check-ups. for those importing PrEP on their own – Syphilis test (results notified via e-mail) – Renal function test (results notified via e-mail) Gonorrhea and Chlamydia (genitals, throat, anus): 3,000 JPY (20,000 JPY) Discharge test (vaginal candida, vaginal trichomonas and bacterial vaginosis): 3,000 JPY (4,500 JPY) Contraceptive injection (Depo-Provera): 8,000 JPY* (9,000 JPY) per dose or 22,000 JPY* (25,000 JPY) per 3-dose package *If you purchase PrEP, doxy-PEP or medication for the prevention of vaginal candida from us, we can offer special pricing.

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For patients using PrEP who wish to start Doxy-PEP, same-day prescription is available by adding the gonorrhea and chlamydia test (genital, throat and rectal). This option also offers a 2,000 JPY discount compared to the standard price. We offer a comprehensive package that includes mental support for those taking PEP all the way until HIV negativity is confirmed. Depending on the circumstances of the potential exposure, necessary additional tests are also provided within this package at no extra cost. For urgent PEP prescriptions, such as when more than 72 hours have passed since exposure which is beyond the usual consultation hours, please contact us via our official LINE account. In collaboration with the AIDS Clinical Center (ACC) and our partner clinic, Personal Health Clinic based in Tokyo, we prescribe Doxy-PEP to patients at high risk of contracting STIs.

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[2] The price is shown per each sample. [3] HPV types 16 and 18, which are high-risk types, are reported individually, and the result will be shown as “Positive (Type 16)” or “Positive (Type 18).” If any other high-risk type is detected (31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, or 68), the result will be reported as “Positive (high-risk type other than 16/18).” High-risk types other than 16 and 18 are not reported individually by type number. [4] This test identifies which clinically important HPV genotypes (high-risk and low-risk) are detected, and the result will be reported as either “Negative” or the detected genotype number(s). This is not a comprehensive test for all HPV types. Recommended for: Individuals who want to know their results at the day of testing or require a certificate of the test results promptly.

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Test Results: The doctor will explain the results to you within approximately 30 minutes after the test. Immediate treatment or in-hospital prescription is also available right after testing if needed. * With our microscope test, we can provide results for vaginal candida, trichomoniasis and bacterial vaginosis in approximately 30 minutes. Please note that the doctor will explain the results of the discharge test, so an additional consultation fee will be charged. ** Only those with symptoms can be tested.

Competing interests

If you do not have symptoms but are worried about infection, we recommend a herpes antibody test. ***Results of the drug reaction test will be explained by a doctor, hence a separate consultation fee applies. Recommended for: Individuals who undergo regular STI testing or seek multiple tests at a discounted price. Test Results: sent via e-mail on a later date. We offer a set menu of periodic tests at a very reasonable price for three sessions for everyone’s convenience. We are accumulating data to evaluate the effectiveness of Doxy-PEP in Japan and aim to develop new preventive healthcare models and contribute to society. [Price] = [Consultation Fee] + [Package Price] + [Optional Fees] – Consultation Fee: First visit 2,500 JPY, Follow-up 1,000 JPY – Doxy-PEP prescriptions require a mandatory consultation with a doctor. Before starting or continuing Doxy-PEP, proper testing is essential.

• Dapoxetine should not be used by men with significant heart or liver problems.
• Unregulated "OTC" sales circumvent these critical safety checks.
• Reputable medical journals publish studies on dapoxetine's efficacy and safety.
• The cost of prescribed dapoxetine varies by insurance and generic availability.
• Behavioral start-stop and squeeze techniques can be learned and practiced.
• Patience is required as treatments may take time to show full effect.

Receiving a prescription without testing or through personal imports without examination increases the risk of antimicrobial resistance and is dangerous.

To receive a Doxy-PEP prescription, testing for syphilis, gonorrhea and chlamydia (all potentially exposed sites) is required.

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[Price] = [Consultation Fee] + [Package Price] + [Optional Fees] – Consultation Fee: First visit 2,500 JPY, Follow-up 1,000 JPY – A doctor’s consultation is required for PrEP prescriptions. – 1 bottle of PEP (30 tablets of Taffic) * Take 1 tablet daily for 28 days. The remaining 2 tablets are for backup use. Special discounted testing for syphilis, gonorrhea, chlamydia, and other STIs is available at the start and after completing PEP. We offer the following discounted tests exclusively to those who purchase a PEP package, valid for one month from the date of purchase. We offer special discounted STI testing for everyone starting or continuing Doxy-PEP.

Syphilis, gonorrhea and chlamydia (genital, throat and rectum): 5,000 JPY (normally 20,000 JPY) If you prefer individual tests in combination with other services, we offer the following discounted prices: Syphilis (quantitative): 3,000 JPY (normally 5,000 JPY) Gonorrhea and chlamydia (genital, throat and rectum): 3,000 JPY (normally 20,000 JPY) If you have completed testing for syphilis, gonorrhea and chlamydia (all potentially exposed sites) within the past week, you can receive a prescription with only a consultation and medication fee.

• Only a licensed healthcare provider can determine the appropriate treatment.
• Illegally imported dapoxetine may have incorrect storage conditions, affecting potency.
• Some men may experience fainting (syncope) with dapoxetine, requiring caution.
• Official medication guides detail all potential side effects and instructions.
• Stress and anxiety can contribute to PE; addressing these may be beneficial.
• Support groups can provide shared experiences and coping strategies.