Are you experiencing persistent fatigue, trouble sleeping, or low libido? 

These symptoms may indicate male menopause or late-onset hypogonadism (LOH). Why not consult us and check for possible underlying causes?

At our clinic, we offer specialized consultations for male menopause (Late-Onset Hypogonadism, LOH syndrome)

What is Late-onset hypogonadism (LOH)?

If you suspect male menopause, also known as late-onset hypogonadism (LOH), as the cause of your recent fatigue and low libido, it’s important to understand the condition and seek appropriate medical evaluation. LOH occurs due to a gradual decline in testosterone levels as men age

Unlike female menopause, male menopause (Late-Onset Hypogonadism) does not occur at a specific age. When hormone levels decline, symptoms can persist throughout life if left untreated

Diagnostic and Treatment Process

① Counseling by the physician

If you are experiencing symptoms suggestive of male menopause (LOH syndrome) or wish to undergo testing, our physicion will offer detailed diagnostic evaluations.

Additionally, we provide consultations for concerns such as AGA (androgenetic alopecia), ED (erectile dysfunction), and sexually transmitted infections (STIs).

② Testing

Through blood test, we check testosterone levels as well as liver and kidney function. Additionally, we screen for lifestyle-related diseases.

Rest assured, we comprehensively evaluate the test results alongside any symptoms you may be experiencing to determine the best course of treatment.

③ Treatment

For male menopause (andropause), short-term testosterone replacement therapy (injections) is commonly used. However, for busy individuals, regular visits may be difficult, and inconsistent follow-ups can lead to fluctuations in blood testosterone levels after injections, increasing the risk of side effects.

At our clinic, we offer long-acting testosterone injections (commonly known as Nebido) or oral medications (typically 1–2 tablets per day). This provides more convenient and stable treatment options tailored to your needs.

④ Regular checkups & consultation on AGA・ED・Premature ejaculation

Male hormonal replacement therapy can be continued while regularly checking the testosterone level and checking with your doctor for any changes in symptoms associated with treatment. We also provide consultation and treatment for AGA (androgenetic alopecia) and treatment with ED drugs for erectile dysfunction as well as premature ejaculation.

→AGAについて

→ED・早漏について

Testing & Treatment Fee

Tests（At First visit）

First Blood test set（Including hormone test） 10,000 yen　　

Frist STI test set (Gonorrhea・Chlamydia pooled sample、HIV、Syphilis、Hepatitis B）　10,000 yen（Normally 20,000 yen）

Hormones alone（Testosterone、Free Testosterone）　3,000 yen

PSA test（For those who wish to test prostate cancer）2,000 yen

Tests（After beginning hormonal treatment）

Hormones（Testosterone、Free Testosterone）　3,000 yen

Lifestyle related diseases（For those who wish）5,000 yen

D dimer（To evaluate Coagulation、to those who wish）1,500 yen

Treatment（Hormones）