It is estimated that approximately 6 million men in Japan suffer from LOH syndrome, a condition that has been recognized globally since the early 2000s.

OTC availability may lead to improper use.
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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.

Dapoxetine is primarily prescribed for premature ejaculation.
Over-the-counter options for dapoxetine are rare and often illegal.
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Dapoxetine is available by prescription in many countries.
Some online sellers claim to sell dapoxetine OTC, but legality varies.
Potential side effects include dizziness and headaches.
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We offer a variety of treatment options, including long-acting oral and topical testosterone medications.

To receive a Doxy-PEP prescription, testing for syphilis, gonorrhea and chlamydia (all potentially exposed sites) is required. 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. This applies to test results from other clinics as well. If you are using our 3-test regular package, Doxy-PEP can be prescribed on the day of testing, as it includes syphilis, gonorrhea and chlamydia.

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If you are requesting Doxy-PEP as a medication-only option, please bring documentation of your test results. Always undergo proper testing when starting or continuing Doxy-PEP. Prescriptions from clinics that do not offer testing or imported medications without testing are risky and may lead to antimicrobial resistance. We also offer a discounted vaginal discharge test (for vaginal candida, trichomonas and bacterial vaginosis) for those prescribed Doxy-PEP. Vaginal discharge test (vaginal candida, trichomonas, bacterial vaginosis): 3,000 JPY (normally 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. [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.

Product	Dosage	Quantity + Bonus	Price
Priligy Generic Dapoxetine	60mg	180 + 10 Pills	494.76€ 471.20€
Priligy Generic Dapoxetine	60mg	20 + 4 Pills	77.31€ 73.63€
Levitra Professional	20mg	90 + 2 Pills	304.49€ 289.99€
Kamagra Oral Jelly	100 mg	63 + 7 Sachets	224.18€ 213.50€
Cialis Soft Tabs	20mg	10 Pills	39.03€ 37.17€
Priligy Generic Dapoxetine	60mg	120 + 10 Pills	341.26€ 325.01€
Priligy Generic Dapoxetine	60mg	90 + 10 Pills	265.64€ 252.99€
Priligy Generic Dapoxetine	60mg	10 Pills	47.63€ 45.36€
Priligy Generic Dapoxetine	60mg	60 + 8 Pills	183.06€ 174.34€
Viagra Generic	50mg	30 + 4 Pills	54.26€ 51.68€
Cialis Professional	40mg	90 + 2 Pills	348.59€ 331.99€
Levitra Professional	20mg	60 + 2 Pills	223.11€ 212.49€
Priligy Generic Dapoxetine	60mg	30 + 6 Pills	106.65€ 101.57€
Kamagra Polo	100 mg	12 Pills	60.21€ 57.34€

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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[Total Cost] = [Consultation Fee*] + [Testing Fee] + [Package Price] * First visit: 2,500 JPY, 2nd+ visit: 1,000 JPY Note that no consultation fee will be charged if it’s just for prescription purposes. *The number of days for test results is counted from the “start of testing.” For specimens collected in the evening, on Sundays, holidays or during the New Year holidays, the next business day will be considered the “start of testing.” For not covered by Japanese national insurance services, results are available by email. The price for hormone therapy is as follows: ** Dosage and amount may vary depending on each patient’s individual condition. Please consult your doctor during your visit. *** For 1UP Formula, a 2,200 JPY prescription fee is paid at our clinic, and the medication cost (approximately 12,100 JPY) is paid separately at a specialized pharmacy.

Does quality of reports of randomised trials affect estimates of intervention efficacy reported in meta-analyses?

For the first visit, an additional consultation fee will be charged (2,500 JPY for the initial consultation, 1,000 JPY for follow-up visits). From the second visit onwards, no consultation fee dapoxetine 60 mg buy online will be charged if you are only receiving a vaccination. We offer same-day vaccinations and prescriptions for all medications available at our clinic. [Total Price] = [Consultation Fee] + [Test Fee] + [Medication Fee] – Consultation Fee: 2,500 JPY for the initial consultation, 1,000 JPY for follow-up visits – If a doctor’s consultation is not required, no consultation fee will be charged. However, the first visit always requires a doctor’s consultation. Combining ED medications with hormone therapy is reported as effective.

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For vaccinations after the first visit, only the vaccination fee is required. No follow-up consultation fee will be charged. The following vaccines are available at our clinic: *If you have completed the primary series during childhood, only 1 dose is needed. Here is a list of medications available at our clinic. All medications can be prescribed and dispensed on the same day, so there is no need to visit a pharmacy.

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*Diamox, used to prevent high-altitude sickness, should be started one day before ascending and continued until two days after reaching the summit or upon descending. If you are interested in using Vibramycin, an unapproved medication in Japan, for malaria prevention, please consult with the doctor. We offer the following tests at our clinic. For non-same-day tests, the results will be sent via email. *The estimated result reporting time is calculated from the “start date of testing.” For samples collected after the afternoon, on Sundays, holidays, or at the end of the year, the next business day is considered the start date. ** Dosage and amount may vary depending on each patient’s individual condition.

Jurisdiction	Purchase Legality	Required Documentation	Age Restrictions	Additional Notes
United Kingdom	Prescription Only	Prescription required	18+	Illegal without prescription
India	Over the Counter	No prescription needed	18+	Widely sold in pharmacies
Germany	Prescription Only	Prescription required	18+	Not available OTC legally
Canada	Prescription Only	Prescription required	19+	Prescription mandatory

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.

Dapoxetine was developed in part for OTC marketing in some countries.
Its short half-life makes it suitable for on-demand use.
Some users prefer OTC purchase for privacy reasons.
Always verify the credibility of online sellers.
Pharmacist advice can help determine if dapoxetine is appropriate.
OTC access remains controversial and heavily regulated.
Avoid using expired or suspiciously cheap dapoxetine.
Be aware of legal risks when buying OTC.
Natural and behavioral therapies are also effective.
Pharmacological treatment should be supervised by a healthcare provider.

From the second vaccination onward, no consultation fee will be charged if it’s just for prescription purposes.

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Bacterial vaginosis occurs when the balance of bacteria in the vagina is disrupted. It can develop even in individuals without sexual experience, and many women may experience it at least once. While it usually does not cause severe symptoms, it may increase the risk of HIV infection and other STIs. It is known that treating partners together can help prevent bacterial vaginosis. A randomized controlled trial published in March 2025 reported that, in addition to standard treatment for women, providing male partners with 7 days of oral medication plus topical treatment reduced the 12-week recurrence rate from 63% to 35%, approximately a 50% reduction.

Types and Prices of FAGA Treatments

– Test items: vaginal candida, trichomonas and bacterial vaginosis – Results: Results for candida, trichomonas and bacterial vaginosis are available on the same day (approximately 30 minutes) The results will be explained by a doctor, and a consultation fee will be charged separately. For the patient: Vaginal suppositories: 4,500 JPY for 6 days – Use the vaginal suppository once daily at bedtime for 6 days. Symptoms often improve within 2-3 days, but it is important to complete the full 6-day course. For the partner: Oral medication plus topical medication: 6,000 JPY for 7 days – If you prefer only oral or only topical medication, it can be prescribed for 4,000 JPY. We offer generic Nebido, the long-acting male hormone injection, at nearly half the price of its original. Here is the brief list of vaccines available at our clinic.

Acne treatment and prevention

For non-insured medical tests, results can be checked online. **Tuberculosis testing is available only on Mondays, Tuesdays, Wednesdays, and Fridays, and requires an appointment. Please consult with the doctor for more details. If you need a medical certificate or referral letter, the following fees will apply: Have you been feeling extremely fatigued, unmotivated, experiencing a lack of sexual desire, or having trouble sleeping lately? These could be symptoms of late-onset hypogonadism (LOH syndrome). Please see the link above for more information about each of them.

Possible Side Effects

Vaginitis (vaginal candida and bacterial vaginosis) can be managed with an option focused on preventing recurrence. We also offer prevention of vaginitis through phone consultation and medication delivery. When it recurs four or more times per year, it is referred to as recurrent vaginal candida, and recurrence rates of approximately 60-70% within 6 months have been reported. Using preventive medication for vaginal candida taken once weekly for 6 months has been reported to reduce the recurrence rate to approximately 10-20%. Induction therapy (initial phase): Oral dosing on day 1, day 4 and day 7 (3 doses total) Maintenance therapy (maintenance phase): As a general rule, continue oral dosing once weekly for 6 months After completing 6 months of maintenance therapy, we will monitor progress and consider next steps as needed.

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If you experience side effects such as mild nausea or abdominal discomfort, or if you are planning pregnancy, the duration can be adjusted in consultation with a doctor. For first-time patients, the induction plus 6-month continuation package offers the best value. For ongoing therapy, you may choose a 1-month, 3-month or 6-month supply. Induction package (day 1, 4 and 7): 4,000 JPY Continuation 1 month (once weekly x 4): 5,000 JPY Continuation 3 months (once weekly x 12): 12,000 JPY Continuation 6 months (once weekly x 24): 20,000 JPY Induction plus continuation 6-month package: 22,000 JPY For patients starting or undergoing induction with preventive medication for vaginal candida, we offer vaginal discharge testing and contraceptive injections at special prices. Vaginal discharge test (vaginal candida, 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) for 3 doses Special pricing is available for those who purchase PrEP, doxy-PEP or preventive medication for vaginal candida from us. 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.

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.

Dapoxetine (International)

See also