STD testing and treatment
A panel of screening tests for sexually transmitted diseases, including HIV, gonorrhea, chlamydia, and syphilis are available for a fee of ¥12,000 (plus tax). Testing can be done anonymously and results can be reported in person, via telephone, e-mail, or regular mail. Results are typically available in 4 days.
Free, anonymous HIV testing is available through many local health departments. Some areas also offer other STD screenings.
For screening, HIV and syphilis tests are done on blood samples while gonorrhea and chlamydia tests are typically performed on urine samples. Gonorrhea and chlamydia testing of other sites (vaginal, anal, oral) may be recommended depending on risk factors. There will be additional fees for each site tested.
There can be a "window period" for HIV testing, where results can be negative despite infection. Most people will "convert" to positive results by 3 months after infection and often within 6 weeks. We usually recommend initial testing 2 or more weeks after any potential exposure and, if negative, repeat testing at three months.
In-house rapid combined testing for HIV-1 p24 antigen and HIV-1,2 antibodies is available (20 minutes), as well as testing at an outside laboratory. These tests can detect infection as early as 2 weeks, but, as noted above, repeat testing at three months is recommended even if the initial test is negative.
We also offer in-house rapid testing for syphilis, with results in 30 minutes. It may take more than three weeks after exposure to syphilis before infection can be detected with testing. If there is a prior history of syphilis, a laboratory test is recommended instead of the rapid test.
Testing for mycoplasma and ureaplasma via urine or swab samples is also available.
Treatment and referral, if necessary, are also available. For syphilis, gonorrhea or chlamydia, treatment with the appropriate antibiotic is recommended. For HIV, if the screening test is positive, a confirmatory test is recommended. If positive, referral to a specialist can be made for further evaluation and treatment. We also offer HIV nPEP (non-occupational post-exposure prophylaxis). We do not prescribe medications for PrEP (pre-exposure prophylaxis).
Evaluation and treatment of other STDs such as genital herpes and warts is also available. Please note that there are no reliable screening tests for these two conditions, so evaluation is usually only possible if you have symptoms (i.e., skin lesions).
Please note that National Health Insurance does not cover any of the fees related to STI screening. Our fees for STD testing can be found on our forms/downloads page.
If you are making an appointment online, please choose a 15-minute slot for a routine STI screening visit. For most other STI related visits (diagnosis/treatment) a 15-minute slot is usually appropriate, but if you feel you need more time or are unsure of the services you may need, please call the clinic (03-5432-7177).