5-6-8 Minami-Azabu,Minato-ku,
Tokyo 106-8580 Japan


Text size



For International Customers

International Unit

We provide a wide range of obstetric and gynecologic services.

Pregnancy Care and Birthing Options

internatrional unit

You may already be thinking about how you want to be cared for during your pregnancy and where you would like to have your baby.
Your choices may be limited by where you live and the options available in your community. Alternatively, there may be too many options, making it difficult to make a decision. The various arrangements necessary for prenatal care can be quite complex. For example, while it is sometimes possible to have a private obstetrician in a hospital, most hospitals do not allow you to choose a specific obstetrician to attend your labor. It can also be difficult to understand the costs of various care options. We assist you so that you can understand all your choices and options as well as the costs associated with them.

Total Private Care with a Multi-lingual Obstetrician

At the International Unit, you can choose your obstetrician. If you choose to be a private patient with one of our doctors, that obstetrician will be responsible for your pre and postnatal care and childbirth. You will visit him/her for regular prenatal checkups here, and he/she will attend your childbirth at one of our affiliated hospitals.

Advantages of using a private obstetrician include:

  • The doctor of your choice will provide your care throughout pregnancy, labor and the postnatal period.
  • You know your doctor well, and your doctor will know you well too.

Other Birthing Options

If you plan to have your baby outside Japan, you may stay with us for routine prenatal care until the day of your departure. We will prepare all your medical records in English for your convenience.
If you choose not to have a private obstetrician, we recommend that you register for shared maternity care. You will see the same obstetrician at the International Unit for your pregnancy care up to 35th week or so. You will have to register with a hospital in advance. Together, the hospital and your doctor will provide your prenatal care.

Postnatal Care Home Visit

We have midwives to help you at home after birth. They will check your baby’s weight gain, nutritional conditions, jaundice, etc. and discuss with you any questions you have about newborn care and parenting.
Midwives can do your baby’s heel-pick test and vitamin K2 administration, if you must leave the hospital early and miss these important routines. Otoacoustic emission (OAE) hearing screening test is also available upon request.
The midwife will also be able to check your body at every visit and discuss any concerns you may have. If necessary, she can set up an immediate appointment with doctor.
There is a 10,000 yen/hour/visit charge plus additional fees depending on the services you receive.


Regular Checkups

Cervical cancer screening, which can include the Pap test and testing for human papillomavirus (HPV), is recommended for all women starting at 21 years of age with initiation of sexual activity.

The latest routine cervical cancer screening guidelines are as follows:

  • Cervical cancer screening should start at age 21.
  • Women aged 21–29 years should have a Pap test regularly.
  • Women aged 30–65 years should have a Pap test and an HPV test (co-testing) regularly. It is acceptable to have a Pap test alone on a regular basis.

We will recommend when and what test you should have for routine screening based on the latest guidelines.
Although an annual Pap test is no longer recommended to all women, an annual gynecologic checkup is still one of the most important steps you can take in preventing disorders of the pelvic organs.

Gynecologic Surgeries

Complex gynecologic surgeries that once required large incisions and long recovery times are now being replaced by simple minimally invasive procedures such as laparoscopy. These advances allow surgeons to perform their procedures through tiny incisions, using a camera and small instruments. Up-to-date technology makes procedures like hysterectomies and myomectomies safer and shorter, and reduces recovery time tremendously.
Our doctors may perform surgeries for you or refer you to an appropriate specialist depending on your needs.

PMS/PMDD (Premenstrual Syndrome and Premenstrual Dysphoric Disorder)

PMS is a common condition related to menstrual periods and can include bloating, cramping, fatigue, moodiness, sleep irregularity and depression. PMDD is a severe form of PMS. Many women experience PMS in their lifetime, but symptoms can and should be treated professionally. There is no laboratory diagnosis of these conditions, but if they are interfering with your everyday life, they can be considered a serious health condition.


Choosing an appropriate method of contraception is an important decision that will impact a woman’s daily life. Talking with your doctor about your options is essential to successful protection for you and your partner. We will provide information about the different types of contraceptives and their respective advantages and disadvantages.
Birth control methods have many different variables including frequency, convenience, permanence and effectiveness. It is important to take into consideration your lifestyle, age, health and previous experiences. The decision is ultimately yours, but our knowledge and experience can help you make the right choice.
We can also prescribe emergency contraception (known as the morning-after pill) at the clinic. If you had unprotected intercourse or failed with your regular method (missed pills, broken condom, etc.), emergency contraception can help prevent unplanned pregnancies.


Infertility is defined as the inability to conceive after one year of timed, unprotected intercourse. Fertility issues can be caused by a variety of factors including hormonal issues, ovarian issues, uterine or tubal problems, and semen abnormalities.
If you are concerned about possible infertility issues, the first step is to schedule an appointment. A detailed medical history will be taken, and we will start a work-up with you.
Treatment of infertility depends on the cause. Medication for ovulation induction, intrauterine insemination, uterine surgery for polyps/fibroids or a combination of these therapies may be used. Sometimes, more advanced therapies such as assisted reproductive technologies (ART) are necessary.
After the initial work-up at our office, you will be referred to reproductive specialists if your doctor feels that this would be the best course of action for you and your partner.


Human papillomavirus (HPV) is a type of virus that causes genital warts. There are more than 100 different kinds of HPV, and some of them may increase the risk for cancer. While some types can cause genital warts, others will show no symptoms but can eventually lead to cancers of the cervix, vulva, vagina and anus. It is important to identify whether or not you have the cancer-causing, high-risk type of HPV.
While there is no cure for HPV, treatment for the symptoms caused by HPV, such as genital warts, cervical changes and cervical cancer, is available.
We offer HPV DNA typing test and vaccination.


Most sexually transmitted diseases (STDs) have no symptoms, so it is hard to know if you have been infected. Periodic testing is recommended for anyone with multiple sexual partners, even if you are having protected sex using condoms.
We offer safe and confidential STD testing and treatment.

Postmenopausal Care

Many women going through menopause suffer from a wide range of symptoms including irregular bleeding, hot flashes, insomnia, night sweats, fatigue, depression and more. There are several treatment options available to help relieve these symptoms, and our doctors can help you decide which option is best for you.
Prescription medication with estrogen and progesterone, known as hormone replacement therapy, is a classic treatment for women to treat symptoms of menopause and reduce the risk of osteoporosis. Patients can also seek alternative treatments for their individual symptoms and should be able to maintain an active and healthy life.

Advanced Ultrasound Examinations

Transabdominal and transvaginal ultrasound exams are available at our clinic. Our latest medical ultrasound equipment with Doppler ultrasound, three-dimensional and four-dimensional (3D and 4D) capability enables us to have better and more informative images that help diagnose and monitor gynecologic problems such as a pelvic mass, abnormal bleeding, pelvic pain and infertility.