Mens Health Checkup and Hormone Testing in Tokyo

Men’s Health Checkup & Hormone Testing in Tokyo

When was the last time you had a thorough health checkup? For many men — especially busy professionals and expats living in Tokyo — the answer is “too long ago” or “never, specifically for men’s health.” General health checkups (ningen dock) in Japan are comprehensive but rarely include hormone testing or screening for conditions specific to men’s aging and vitality.

Last updated: March 2026. Content supervised by medical professionals at Tokyo Hub Clinic.

At Tokyo Hub Clinic, we offer targeted men’s health checkups that go beyond standard screenings. Dr. Ichiro Kamoshita, M.D., Ph.D., evaluates your hormonal health, prostate markers, metabolic risk factors, and lifestyle disease indicators — all with consultations conducted entirely in English. Our clinic is located inside Hotel New Otani Garden Court, 2F (Chiyoda-ku, Kioicho 4-1).

Why Men Over 40 Should Get a Hormone Check

Testosterone levels begin declining from around age 30 at a rate of approximately 1–2% per year. By the time a man reaches his 40s or 50s, this cumulative decline can produce noticeable symptoms — yet most men attribute them to stress, aging, or overwork rather than a measurable hormonal change.

A simple blood test can reveal whether your testosterone levels are in the normal range or have dropped to a point where treatment may be beneficial. Early detection means early intervention — before symptoms significantly impact your work performance, relationships, and overall well-being.

If you are over 40, we recommend a baseline men’s health check at least once. If you are experiencing any of the symptoms below, testing is especially important regardless of your age.

Symptoms That Suggest You Need a Checkup

Unexplained fatigue that persists despite rest
Decreased libido or sexual interest
Erectile difficulties
Mood changes — irritability, anxiety, or low motivation
Difficulty concentrating or brain fog
Weight gain — especially abdominal fat
Loss of muscle mass or strength
Sleep problems — insomnia or poor-quality sleep
Frequent urination — especially at night (potential prostate concern)
Family history of prostate disease, heart disease, or diabetes

Even without symptoms, routine screening provides a valuable baseline for future comparison and can catch emerging issues before they become serious.

What Our Men’s Health Checkup Includes

Our men’s health checkup is designed to provide a comprehensive picture of your current health status, with special attention to areas that standard Japanese health checkups often miss. Dr. Kamoshita tailors the testing panel to your individual risk factors and concerns.

Hormone Panel

Total Testosterone: The primary measure of your testosterone status. Levels are measured via morning blood draw when testosterone is at its daily peak.
Free Testosterone: The biologically active form of testosterone. This is often a more sensitive indicator than total testosterone, as it reflects the amount actually available to your tissues.
SHBG (Sex Hormone-Binding Globulin): A protein that binds testosterone. High SHBG can cause low free testosterone even when total testosterone appears normal.
LH (Luteinizing Hormone) and FSH (Follicle-Stimulating Hormone): Help determine whether low testosterone originates from the testes (primary) or the pituitary gland (secondary).
Prolactin: Elevated levels can suppress testosterone and indicate pituitary issues.
Estradiol (E2): Relevant for men on or being considered for testosterone therapy, as testosterone can convert to estrogen.

Prostate Screening

PSA (Prostate-Specific Antigen): A blood marker used to screen for prostate enlargement and prostate cancer risk. Recommended for all men over 50 (or over 40 with family history of prostate cancer). Essential before starting testosterone therapy.

Metabolic and Cardiovascular Markers

Fasting Blood Glucose and HbA1c: Screen for diabetes and pre-diabetes, which are closely linked to both ED and low testosterone.
Lipid Profile: Total cholesterol, LDL, HDL, and triglycerides — evaluating cardiovascular risk.
Blood Pressure: Measured during your visit.
Liver Function (AST, ALT, Gamma-GTP): Important for overall health and especially relevant for men who consume alcohol regularly.
Kidney Function (Creatinine, eGFR): Screening for early kidney disease.

Complete Blood Count and Additional Markers

CBC (Complete Blood Count): Detects anemia, infection, and blood disorders. Also important as a baseline before TRT, since testosterone therapy can increase red blood cell production.
Thyroid Function (TSH, Free T4): Thyroid disorders can mimic or worsen symptoms of low testosterone — fatigue, weight gain, mood changes.
Vitamin D: Deficiency is common in Tokyo (especially in office workers) and is linked to fatigue, mood disorders, and reduced testosterone.
Uric Acid: Screening for gout risk, which is common in men.

What to Expect at Your Visit

Step 1: Schedule Your Checkup

Call 03-6261-7070 or use our online booking. Request a men’s health checkup. Morning appointments are preferred as many blood tests require fasting and testosterone levels are highest in the early morning.

Step 2: Preparation

Please fast for 8–12 hours before your appointment (water is fine). Bring a list of any medications and supplements you take. If you have previous blood test results from another clinic or your home country, bring those as well for comparison.

Step 3: Consultation and Blood Draw

Dr. Kamoshita will begin with a conversation about your health history, current symptoms, lifestyle, and any specific concerns. Blood is then drawn for the testing panel. The entire process takes approximately 30–45 minutes.

Step 4: Results Review

Results are typically available within 3–5 business days. You will return for a follow-up appointment where Dr. Kamoshita explains every result in plain English — what the numbers mean, whether they fall within normal ranges, and what action (if any) is recommended.

Step 5: Action Plan

Based on your results, we develop a personalized plan. This may include lifestyle recommendations, targeted treatment for any identified conditions, referral to specialists if needed, or simply reassurance that your health is on track — with a recommended timeline for your next checkup.

Possible Next Steps After Your Checkup

Normal results: Peace of mind and a baseline for future comparison. Repeat checkup recommended annually or every 2 years.
Low testosterone detected: Further evaluation for andropause and potential TRT.
Elevated PSA: Referral for further prostate evaluation (ultrasound, urological assessment).
Metabolic abnormalities: Lifestyle counseling, medication if necessary, and follow-up testing.
Thyroid or vitamin deficiencies: Targeted supplementation or treatment.
Mood or stress concerns identified: Psychosomatic medicine consultation for stress or depression.

For Expats and International Residents

Japan’s standard health checkup system (ningen dock and employer-mandated kenshin) is thorough in many respects, but these checkups are conducted almost entirely in Japanese. Results are often delivered in Japanese-only reports that are difficult to interpret without help. More importantly, they typically do not include testosterone or detailed hormone testing.

At Tokyo Hub Clinic:

The entire process is in English — from booking to consultation to results explanation
Results are explained in detail — not just handed over as a printout
Hormone testing is included — giving you the complete picture that standard checkups miss
Reports can be provided in English — useful for sharing with doctors in your home country or for insurance documentation

Our location near Akasaka-mitsuke Station and Nagatacho Station makes us easily accessible from anywhere in central Tokyo.

Insurance & Pricing

The cost of your men’s health checkup depends on the specific tests ordered. Many diagnostic tests are covered by National Health Insurance (NHI) when ordered based on clinical indication (symptoms or risk factors).

First visit (consultation + standard blood panel): Approximately ¥10,000–¥15,000
Follow-up (results review + action planning): Approximately ¥5,000–¥8,000
Extended hormone panel: Additional costs may apply for comprehensive hormonal testing

Preventive screening without specific symptoms may be classified as self-pay. We always explain anticipated costs before proceeding. English-language receipts are available for international insurance claims. See our Pricing page for details.

Frequently Asked Questions

How is this different from a regular ningen dock?

A standard ningen dock covers a broad range of general health markers (cancer screening, organ imaging, basic blood work) but does not typically include testosterone testing, free testosterone, or detailed hormonal evaluation. Our men’s health checkup is specifically designed to evaluate hormonal health, prostate markers, and men’s health-specific concerns that standard checkups miss. Think of it as a targeted complement to your regular health screening.

Do I need to fast before the blood test?

Yes. We recommend fasting for 8–12 hours before your appointment for accurate blood glucose and lipid results. Water is fine. Testosterone levels are also highest in the morning, so morning appointments (before 10:00 AM) are ideal for the most accurate hormone assessment.

I feel fine. Should I still get tested?

Many conditions — including low testosterone, early diabetes, high cholesterol, and elevated PSA — develop without noticeable symptoms in their early stages. A baseline checkup when you feel healthy provides valuable reference values for the future and can catch emerging issues before they become serious. We particularly recommend this for men over 40.

Can I get a report in English for my home-country doctor?

Yes. We can provide your test results and a summary report in English. This is useful for maintaining continuity with your primary care physician in your home country or for insurance documentation. Please let us know at the time of your visit if you need an English report.

How often should I repeat this checkup?

For men with normal results and no symptoms, we recommend repeating the men’s health checkup every 1–2 years. If any abnormalities are found or if you begin treatment (such as TRT), more frequent monitoring will be scheduled as part of your treatment plan — typically every 3–6 months initially.

Schedule Your Men’s Health Checkup

Call 03-6261-7070 — Morning appointments recommended. Reservation required.