We recommend vaccination to all pregnant women the following four vaccines. RS virus, pertussis (whooping cough), covid-19 and influenza. We offer vaccinations other than covid-19. Vaccines during pregnancy There are two purposes of vaccination during pregnancy: ① to prevent the pregnant woman from becoming seriously ill herself, and ② to prevent infection to the baby. The following four types of vaccines are currently recommended. Prevention of serious illness in pregnant women themselves: Influenza and COVID-19 Prevention of infection to the baby: Pertussis and RS virus Our clinic offers pertussis, RS virus, and influenza vaccines. For details, please refer to the link . 先頭へ戻る

Five-minute walk from Kitasenju Station West Exit, Adachi-ku, Tokyo. Obstetrics and gynecology with a female doctor. Open until Saturday evening. We offer prenatal checkups, semi-open system, gynecological examinations, fertility consultations, pill prescriptions, after-pills, fetal echo, prenatal d くすの木レディースクリニック北千住です What's New Whooping cough has become an epidemic. We have started offering whooping cough vaccine (triple vaccine Trivic) for pregnant women and their families here at our clinic. Vaccination during the 27th to 36th week of pregnancy can send antibodies to the baby via the placenta. See more 新年度より東京都と埼玉県の妊婦健診助成金額が変更になりました。詳細は料金表をご覧ください。 もっと見る 2025年4月1日より、当院でもNIPTを受けていただくことができるようになりました。当院は日本医学会の出生前検査認証制度等運営委員会より、認証を受けています。 もっと見る March 2nd marks the 5th anniversary of our opening. We owe this to your warm support and trust. We are truly grateful. All of our staff will continue to work hard to provide medical care that is loved by the local community, so we hope for your continued support. Sunday, March 23rd is HPV Vaccine Day. Women born from April 1994 to April 2009, who have not yet received the first dose of vaccine, can have the deadline extended by one year if they start receiving vaccinations within March 2025. Regular and catch-up vaccinations for girls (Tokyo's 23 wards) and regular vaccinations for boys (Adachi ward) can also be administered with us. see more ABRYSVO (RS virus vaccine for pregnant women) is now available. The cost is 33,000 yen (tax included). Additional fees for the first visit and re-consultation will be charged separately. Please call us for more information. The page "At-home infusion for morning sickness" has been added. Patients with severe morning sickness who have difficulty going to the clinic or being hospitalized for infusion can have home nurses visit them to provide infusion at-home. see more The page "Abnormal Pap smear" was added. We do not perform biopsy under colposcopy.　 see more We accept nursing students from the Hakujikai School of Nursing, Kyoritsu Women's University School of Nursing, and Teikyo University of Science and Technology Department of Nursing as training facilities. Nursing students may be present during your consultation. If you do not desire to be present, please let us know at the reception desk. See more We only accept cash payments at our clinic. We do not support credit cards, electronic money, or other cashless payments. We apologize for the inconvenience, and thank you for your cooperation. 2020/5/19 We welcome you and your family or partner to visit us. 2020/6/21 We are treating partners of those diagnosed with a sexually transmitted disease in our clinic. Your partner is also welcome to come to the clinic by appointment. We will prescribe medication. See more 同伴来院 Visiting the clinic with your family or partner You and your family, partner (including your spouse), children and visitors are welcome to the clinic together. Please keep the following considerations in mind when you visit us together. 1. Please note that the waiting area in the clinic is limited. Please make sure that patients have priority to sit in the waiting area. 2. If the waiting area is so busy that there is concern about congestion, you may be asked to wait outside the clinic. 3. Please refrain from coming to the hospital if you or your family have a fever or flu symptoms. 4. No smoking in our clinic. Please refrain from coming to the hospital immediately after smoking. STD About partner's treatment of sexually transmitted diseases We can prescribe medication for partners of those diagnosed with sexually transmitted diseases. If you have been diagnosed with a sexually transmitted disease such as chlamydia or trichomoniasis, you and your partner should be treated at the same time. When I tell patients this, they say, "My partner is too busy with work" or "We have no idea where to go." Please make an appointment by phone or online and see us directly. We will prescribe medication after a medical interview and confirmation of your allergies. We encourage couples to visit our clinic. 1. Please bring your health insurance card with you and fill out a medical history form. 2. We will prescribe medication for chlamydia, trichomoniasis, and other diseases that require the treatment of your partner at the same time. 3. Bring the results of your partner's diagnosis of a sexually transmitted disease with you so that we can confirm the results. 4. In cases such as male-specific infections, we may refer the patient to a urology clinic because if we are unable to treat the patient. Our clinic was made based on the voices of many women who wish to have better OBGYN clinic than they visited before. Please get to know us first. What is a really good OBGYN? Click here for online reservation Hello, I'm the director. 初めまして私が院長です Satoko FUJITA, M.D., Ph.D. Board certified in Obstetrics and Gynecology Board certified in Clinical Genetics Graduated from Senju Honcho Elementary School (formerly Senju Dai-ichi Elementary School), Adachi Ward Graduated from the Gunma University School of Medicine Graduated from the Graduate School of Medicine, Osaka University I am a mother of two daughters. I grew up in Kita-senju where the clinic is located. My family have lived in Kita-Senju since my grandfather's generation. When I became a patient myself and visited OBGYN for the first time, I remember that I was very surprised at lacking "customer's point of view" compared to other service industries in the world. So when I decided to open my own clinic, I had to think seriously about what a good clinic is. So, I would like to draw my own conclusions as "Promises to Patients". Promises to patients 4つのお約束 1 Value communication with patients above all I think that there are many patients who feel this dilemma that they do not know how to convey the symptoms and troubles they are having now. Therefore, I thought that the most important thing for the clinic is "listen carefully to the patients' stories." I think that the role of the clinic is not only to cure illness, but also to eliminate worries and anxieties related to body and health before returning home. Therefore, it is very important that all the staff listen to the voices of the patients sincerely, not to mention me as a doctor. 2 We try to make the price system easy to understand and to clarify the price. When you shop, you always check the price in advance, but at many hospitals and clinics, you do not know until you pay. Certainly, it is difficult to set the price of medical services in advance like buying eggs and milk at supermarkets. However, I thought that information should be disclosed as much as possible so as not to make patients anxious. Therefore, we would like to open the budget of "how much it will cost". 3 We are open from Monday thru Saturday. More reservation slots became available by thanks to the part-time doctors. I think it is very difficult for working women to take a break from work on weekdays. Therefore, we are open on Saturdays until 5:30 in the evening. We hear from many people that our appointment slots are not so many , so we have have more doctors see you easily. Origin of the name At my alma mater, Senju Honcho Elementary School in Adachi Ward (formerly Senju Daiichi Elementary School), in the center of the schoolyard there was a large camphor (Kusunoki) tree that was more than 100 years old and the children were very proud of it. The tree was always close to the children, watching over them at all times. Our clinic aims to be a place where people can come together just like the tree. We want our clinic to be a place where everyone can come together and start anew. クリニック道順 Directions to the clinic Start from the ground floor at the west exit of Kita-Senju Station. Continue through the arcade with Denny's on your left. Continue through the arcade with Denny's on your left. Turn left at the corner between Resona Bank and Don Quijote (Don-ki). Continue through Senju Honcho Shopping Street. Continue walking with Yoshinoya on your right and you will be almost there. Go through the aisle on the left of the building and you will find an elevator. Inside the clinic

産婦人科は初めてで、何を診てもらったいいのかわからない、という場合には、レディースドックをご検討ください。様々なメニューを用意しています。 Removal of Contraceptive implant We provide removals for people who had subcutaneous birth control implants inserted abroad, such as the Implanon or Nexplanon. If you wish to have them removed, please make an appointment online. We offer this procedure to those who wish to conceive, no longer need contraception, or have expired and wish to change to another method of contraception. Contraceptive implants are not available in Japan, so we do not insert new implant. When removal, local anesthesia is administered and a small incision is made. Complications may include bleeding, infection, and failure (unable to remove). In such cases, we will consult an appropriate medical facility.The cost is 15,000 yen + consultation fee at your own expense. For those desiring implant removal, please make an appointment starting 12:00 noon to allow time for the procedure. 先頭へ戻る

自分らしい働き方を求めているお医者さんへ。産婦人科診療にとどまらず、地域のために活動したい産婦人科医からのお問い合わせをお待ちしています。 もっと自分らしい働き方を求めているお医者さんへ 当院に見学にいらっしゃいませんか？ くすの木レディースクリニック北千住では、一緒に働いてくださる産婦人科の先生を募集しています。当院は、2020年3月2日の開院以来、地域の皆さまのお陰で、コロナの影響下においても患者さんの数を順調に伸ばしてきました。2021年は1年間で1万4千人を超える患者さんに来院していただきました。予約がなかなかとりづらい、という声を多くいただくことが多く、そのご期待に応えるため、診療の予約枠を増やしたいと考えています。 また、今後は、診療だけでなく、地域のNPOや学校と連携して、学生さん向けのイベント、妊婦さん向け、不妊治療中の方向けのイベントを開催してまいりたいと思っています。 これからは、多様性のある社会に対応するために、夫婦一緒での診療（性感染症治療や不妊相談）、外国人の患者さんの積極的な受け入れ、同性カップルの対応などにもどんどん取り組んで行きたいと思います。なお、今後は地域の方々のニーズに応えるため、日曜日の診療も開始する予定です。 当院での勤務に興味をもって頂けましたら、クリニックの見学にお越しください。そして期間限定で構いませんので、一度勤務を体験して頂くこともできます。そして、 クリニックに勤務、運営にも参画して頂きたいと思います。 募集職種：医師（産婦人科専門医） 募集人員：若干名 勤務場所：東京都足立区千住2-33-3 千住横山第二ビル３F（北千住駅徒歩5分） その他　：勤務時間、給与などの条件については、できるだけご希望に沿えるように致します。 見学は、随時受けておりますので下記フォームからお申込みください。折り返し、こちらからご連絡を差し上げます。 お問い合わせ 送信ありがとうございました 送信する

We are located on the 2nd floor of the Fujita Building, a five-minute walk from the west exit of Kitasenju Station, on the 2nd floor of the Fujita Building, which is lined with York Foods and Family Mart along the arcade. The clinic is open from 9:30 to 17:30 Monday through Saturday. Access 3rd floor, Dai-ni Yokoyama Building, 2-33-3 Senju, Adachi-ku, Tokyo Five minutes walk from west exit of Kitasenju Station. Turn left at the corner of Don Quijote (Don-ki) Past Yoshinoya on the right, 3rd floor of a building with a pharmacy on the 1st floor. 03-6806-2500 Take the aisle to the left of the pharmacy and you will find an elevator going up. Consultation time We are open from from 9:30 to 17:30, Monday through Saturday. We are closed on Sundays, national holidays and New Year holidays. 先頭へ戻る

If you have a ticket for cervical cancer screening in Adachi Ward, you can receive a screening for 500 yen. Various optional services are also available. Cervical Cancer Screening (Pap smear) for Adachi Ward residents Cervical cancer screening in 2024 (Reiwa 6th year) is now available. We offer cervical cancer screening for Adachi Ward residents. If you are 20 years old or older, cervical cancer can be detected at an early stage by having a cervical cancer screening once every two years. If you have never had one before, please take advantage of this opportunity. When making an appointment online, please beware the following ● If you wish to do cervical cancer screening only ➡ Adachi Ward Cervical Cancer Screening（足立区子宮頚がん検診 (about 5 minutes) ● If you wish to discuss other issues such as menstrual cramps, etc. 　　➡ The first visit of gynecological consultation （婦人科初診）(about 15 minutes)　 　　　 If you make an appointment with "the first visit of gynecological consultation", we offer you a cancer screening in Adachi Ward on the same day if you bring your ticket with you. Note that those who have never had sexual intercourse do not need to be screened for cervical cancer. We recommend HPV vaccination prior to the start of sexual intercourse. Please schedule an appointment and come to the clinic. Target Women 20 years of age or older who have not been seen in the previous year (once every two years) Cervical cancer patients undergoing treatment or follow-up are not eligible for this program. Those aged 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70 years old who have not been examined in the previous year and those who have been examined in the previous two years will be sent a ticket by the ward. Copayment: 500 yen for those with a ticket. If you wish to have the results mailed to you, we will charge you 200 yen (+tax) for envelope stamps. Option: Transvaginal ultrasound 5,300 yen (+tax) is available for an additional fee if requested. ★★ Changes effective from September 2021 ★★ Cancer of the uterine corpus (endometrial cancer) is not a disease like cervical cancer, which can be detected at an early stage by regular checkups for those who have no symptoms. Therefore, endometrial cytology is not recommended for asymptomatic patients, and from September 2021, we will no longer offer endometrial cytology as an option of cervical cancer screening for Adachi-ward residents. If you are concerned about symptoms such as brown discharge, irregular bleeding (especially in postmenopausal women), or if you want to have a endometrial cancer examination for any other reason, please make an appointment for your first gynecological examination（婦人科初診）, which will be covered by your insurance. If you bring your examination ticket of cervical cancer screening for Adachi-ward residents, you can have a cervical cancer checkup on the same day. Contact. Adachi Ward Office, Health Promotion Division, Data Health Promotion Department, Health Examination Section Phone number: 03-3880-5121 予約注意 Click to go to the Adachi Ward Cancer Screening website 体癌検査中止 先頭へ戻る 足立区子宮がん検診 1 足立区子宮がん検診 2 足立区子宮がん検診 3

Pregnancy checkups are coordinated with nearby maternity facilities, and we are also available for return to the hometown for delivery. You can come to our clinic for a checkup and deliver your baby at the hospital of your choice. Pregnancy checkup & semi-open system If you wish to have a pregnancy checkup at our clinic, please bring the following items with you each time. (2, 3, 4 are only for those who have it) Health insurance card Maternity health record book and subsidy tickets Referral letter and test results Notebook for semi-open system Although the Kusunoki Ladies Clinic Kitasenju does not handle deliveries, we do provide prenatal checkups for patients who use the semi-open system or who deliver at a distant hospital (so-called return home deliveries). ●When using the semi-open system Kusunoki Ladies Clinic Kitasenju does not handle deliveries or hospitalization, but we do offer prenatal checkups in cooperation with facilities that can deliver babies. This is called a "semi-open system," in which we collaborate with the hospital where the baby is to be delivered, and the regular checkup is done at our clinic, while the baby is delivered at the partner hospital. The "semi-open system" was created based on the idea that antenatal checkups can be done at a nearby clinic that is convenient to visit, while deliveries can be done at a well-equipped delivery facility. In case of emergencies, such as nighttime or holidays, consultations can be conducted at affiliated facilities. The following 6 hospitals are affiliated with the semi-open system. (Click to go to the link) Tokyo Riverside Hospital Nippon Medical School Hospital The University of Tokyo Hospital Juntendo University Hospital Tokyo Medical and Dental University Hospital Japanese Red Cross Tokyo Katsushika Perinatal Center Tokyo Women`s Medical University Adachi Medical Center ●Delivery at a distant hospital (so-called return home delivery) If the hospital where you plan to give birth is outside the red frame in the chart below, you can receive antenatal care here until 32 weeks.　We recommend that you check with the hospital where you plan to deliver your baby beforehand about the timing of your homecoming. During the period of checkup at our hospital, we will collaborate with a facility that can provide nighttime and holiday services as well as those who are semi-open. ●Delivery at a nearby hospital (other than semi-open) If the hospital where you are planning to deliver is within the red frame in the diagram below, and you do not use the semi-open system, we do not provide checkups at this clinic. We recommend continuous antenatal checkups at the hospital where you plan to deliver from the initial stage of pregnancy until delivery. 妊健エリア ● Frequency of pregnancy checkups Early pregnancy to 10 weeks of pregnancy: every two weeks 11 weeks to 23 weeks of pregnancy: every 4 weeks 24 weeks to 32 weeks of pregnancy: every two weeks 33 weeks and beyond: checkup is done at facilities you plan to deliver The number of visits may vary depending on the pregnancy course. 妊婦健診の費用 Pregnancy Checkup Schedule Price List for Tokyo residents Pregnancy Checkup Schedule Price List for Saitama Residents Pregnancy Checkup Schedule Price List for Chiba residents 当院では東京都、埼玉県、千葉県松戸市、流山市、市川市、柏市 の方の妊婦健診助成券が利用できます。スケジュール、費用については、下のリンクをご覧ください。 Click the table for English version. The above schedule may change depending on the timing of your visit at our clinic and the pregnancy course. See the price list for costs. 先頭へ戻る

くすの木レディースクリニック北千住では積極的にHPVワクチン（子宮頚がんワクチン）の接種をお勧めしています。副作用は大丈夫？自分にはどのワクチンよいか？がん検診は必要なのか？様々な不安には医師が丁寧にお答えします。検討している方は、予約をおとりください。 About HPV vaccine At Kusunoki Ladies' Clinic Kitasenju, we actively provide HPV vaccinations. With rare exceptions, cervical cancer is said to be caused by the human papillomavirus (HPV). Cervical cancer can be prevented and detected early by vaccination before the onset of sexual intercourse and regular cervical cancer screening (cytology) after the onset of sexual intercourse. If any of the following (1) or (2) applies, the local government will send you a vaccination ticket. (1) Girls from the 1st grade of junior high school to the 1st grade of high school (conventional vaccination target) (2) Girls born between April 2, 1997 and April 1, 2006 (target of catch-up-vaccination) Vaccination will be free of charge for 3 years from April 1, 2022 to March 31, 2025. From April 1, 2023, the 9-valent HPV vaccine (Sylgard 9) will also be available as an option for scheduled vaccination and catch-up vaccination. People who have been vaccinated with the bivalent or quadrivalent vaccine up to the present have no problem changing to the 9-valent vaccine in the course of their vaccinations. *** If you start the 9-valent vaccine when you are under 15 years of age, you will get the same effect with two doses of the vaccine. Starting vaccination earlier will reduce the number of injections. Click on the image to see the original. ※※※If you missed the scheduled vaccination and have been vaccinated at your own expense by March 31, 2022, you can receive reimbursement (you will get your money back). Click to jump to Adachi Ward website About catch-up vaccination Click the figure to see the original. Click the figure to see the original. Click to see the original. 日本医師会ホームページ　https://www.tokyo.med.or.jp/22546 Click the figure to see the original. 日本医師会ホームページ　https://www.tokyo.med.or.jp/22546 The following three vaccines are available at our clinic. Do you think you need them? If you are a family member who is unsure about vaccinating your child, or wondering which type of vaccine is best for you, please make an appointment with us. Click here for the price list. Except in the case of scheduled vaccinations (free of charge), you will be charged an initial consultation fee at personal expense and a second consultation fee at personal expense. あり 小学校6年生から高校1年生の女子は無料です。 MSDホームページより "Will there be any side effects? I understand that there are many people who are worried about the side effects. The various symptoms that were reported on TV at one time have not been proven to be causally related to the vaccine. Click the figure to see the original. https://www.mhlw.go.jp/bunya/kenkou/kekkaku-kansenshou28/index.html Click the figure to see the original. https://www.mhlw.go.jp/bunya/kenkou/kekkaku-kansenshou28/index.html The effectiveness of the HPV vaccine has been shown to be higher when given before the onset of sexual intercourse, but even after the onset of sexual intercourse, there is a certain level of effectiveness for those up to 45 years of age. If you are wondering about vaccination, please consult with us.

We provide at-home infusion therapy for morning sickness. Pregnancy patients who have difficulty in taking oral fluids may require infusion therapy. Outpatient infusion is available with us At-home infusion for pregnant women with morning sickness Kusunoki Ladies Clinic Kitasenju provides at-home infusion treatment for pregnant women with morning sickness. Morning sickness is experienced by most pregnant women in the early stages of pregnancy. Symptoms range from a slight loss of appetite to a complete inability to take fluids or food by mouth. Morning sickness improves spontaneously as the pregnancy weeks progress, so you basically have to wait until you recover. In the meantime, to prevent it from getting worse and causing you to dehydrate, the hospital or clinic will administer fluids, intravenous vitamins, and an anti-nausea drip. There are currently two ways to provide intravenous infusions; (1) Outpatient infusion: Patients go back home after receiving an infusion at the clinic where they are visiting. If the condition worsens, the patient can return to the clinic for another infusion. (2) Inpatient infusion: You are hospitalized and given an infusion until you are able to eat (from one week to one month in some cases). However, there are many people who find it inconvenient to go to the clinic for morning sickness and hospitalization is not an option for them. Therefore, we offer following service . (3) At-h ome infusion: A visiting nurse visits the patient's home to provide an intravenous infusio n under the direction of a physician. Here are some comments we have received from our patients "I want an intravenous infusion, but it is hard for me to go to clinic by myself." "My clinic is too far away, so it's hard for me to go." "My family is too busy to take me to the clinic" "I would like to be hospitalized if I could, but I have older children and an elderly family member, so hospitalization is not an option." "I am worried about COVID-19 infection, so I don't want to stay in the hospital as much as possible." On the patient's expense cost, the outpatient infusion is the cheapest (approximately 1,000 yen per visit), but the body burden (hospital visit burden) is the greatest. In contrast, hospitalized infusion is the easiest for patients to bear, but the most expensive option (approximately 10,000 yen per day). At-home infusion is considered to be a style taking the best of both. Patient`s expense may change depending on the hospital, insurance and high-cost medical care benefit system . ●The flow of the at-home infusion service (see the diagram above) ① The patient contacts us to request at-home infusion. (The patient may be requested to visit us for a checkup.) ② The clinic sends an order to Home-Visit Nurse Station. ③ The patient contracts with the Home-Visit Nurse Station for the visit. After the contract is completed, the at-home infusion will start. ④ The patient pays the fees to us and the Home-Visit Nurse Station. ●Eligible patients: Patients who is currently visiting us for pregnancy. If not currently visiting us, please consult with us as needed. ●Areas covered: Adachi Ward, Arakawa Ward, Katsushika Ward, Taito Ward, Soka City Koshigaya City Misato City Yashio City　 Matsudo City Kashiwa City Nagareyama City For other areas, please consult with us. (Depending on the schedule of Home-Visit Nurse Station, we may not be able to visit you at your requested time.) ●Expenses to be charged to the patient 　 ☑Expenses to pay to Home-Visit Nurse Station Approximately 3,000-4,000 yen per day (covered by medical insurance) (The cost varies depending on the frequency of visits.) ☑Expenses to be paid to the Kusunoki Ladies Clinic Kitasenju Approximately 3,000 to 4,000 yen per dayPlease pay at the clinic after the completion of the at-home infusion. Back to the top つわりの自宅点滴 1 つわりの自宅点滴 2 つわりの自宅点滴 3

産婦人科は初めてで、何を診てもらったいいのかわからない、という場合には、レディースドックをご検討ください。様々なメニューを用意しています。 Women`s Health Checkup "I've never been to a gynecologist before, but I want to make sure I'm okay." "I want to check my health before I get married." "I don't have any symptoms that are troubling me, but I want to make sure I'm okay with a sexually transmitted infection." "Isn't it time for menopause? Have you ever been concerned about these issues? We have prepared multiple self-pay (not insurance covered) checkups for those with no specific symptoms. Various additional items can be added to the checkup as an option. Please note that even if you request an examination at your own expense, if we determine that it is appropriate for you to be covered by insurance after the consultation, it will be covered by insurance. Please refer to the following document for details. You will be asked to come to the clinic in 7-10 days to receive the results of the test and we will explain them to you in person. Click the table below to enlarge. English version will open. 先頭へ戻る

We offer high-risk HPV test for people with ASC-US. People with LSIL or higher needs colposcopy and/or biopsy. We do not offer colposcopy or biopsy, therefor we reffer you to appropriate hospital. Abnormal Pap Smear Biopsy under colposcopy cannot be performed here at our clinic. If necessary, we will refer you to a healthcare facility available to do the test. If you wish to have an urgent examination, we recommend that you go directly to a medical institution that is able to perform the examination. I got a cervical cancer screening at a medical checkup and was told that I need a detailed examination, but what should I do? In such a case, please consult with us. Depending on the results, a detailed examination may be necessary, in which case we may not be able to help you. We will explain the results in detail and refer you to an appropriate medical institution. If you wish to have an urgent examination, we recommend that you go directly to a medical institution that is capable of performing a full examination. (研修ノートNo.90「婦人科外来診療のための細胞診・組織診のすべて」より引用) ●Abnormal cytology that can be handled at our clinic　　 ASC-US　High-risk HPV testing is done at our clinic. If HPV is negative, cytology will be repeated one year later. If HPV positive, a detailed examination (colposcopic biopsy) is required. ●Abnormal cytology that cannot be handled at our clinic LSIL、ASC-H、HSIL、SCC,　AGC　 Detailed examination (colposcopic biopsy) is required. 　　　　 Biopsy under colposcopy cannot be performed here at our clinic.　If necessary, we will refer you to a healthcare facility available to do the test. If you wish to have an urgent examination, we recommend that you go directly to a medical institution that is able to perform the examination. ●Medical facilities we often refer our patients to Nearby hospitals that accept patients without a referral letter Araki Memorial Tokyo Riverside Hospital (Minami-Senju) Tokyo Metropolitan Tobu Chiiki Hospital (Kameari) Eiju General Hospital (Ueno) Hospitals that require a referral letter for appointments Adachi Medical Center, Tokyo Women's Medical University Other nearby university hospitals If there is a medical institution you wish to visit, please consult with us once and tell us that you wish to have a referral letter completed. Please inquire how to visit the hospital or make an appointment by the patient himself/herself.

We provide genetic counseling and are available for first trimester screening, first trimester combined testing, quatro testing and second trimester anomaly scan. Prenatal diagnosis When I became pregnant, I wondered, "Will my baby be normal? Will she grow up to be normal in childbirth? What if I find out anything abnormal with my baby after birth?" I think many people are concerned about this. These feelings come up naturally when you are pregnant and we think it is a very understandable feeling. We would like to understand the feelings of our patients and answer them as much as possible. We also have the utmost respect for your personal values and will support you in your various choices in pregnancy as much as possible. However, no matter how advanced medical science is, it is impossible to know everything about the baby in your belly. It is impossible to predict everything about your child's infinite potential for growth and development from birth in the fetal period. Our director is a clinical geneticist who has been involved in fetal ultrasound, prenatal diagnosis and genetic counseling.　While working at FMC Tokyo Clinic, she became certified to measure NT (Nuchal Translucency), which is the swelling in the back of the fetal neck (licensed by the Fetal Medicine Foundation to calculate the risk of chromosomal abnormalities from the first trimester of pregnancy). She has treated many pregnant women through screening, ultrasonography, and chromosome testing. What kind of anxiety do you have? To what extent does having the test relieve that anxiety? Which of the various prenatal tests is better? How much can the test reveal about the fetus? We understand that you may have many concerns. Please make an appointment for genetic counseling at our clinic first. On April 1, 2025, NIPT will officially begin at the clinic, having been certified by the Steering Committee for Prenatal Testing Certification Systems and Other Systems of the Japan Medical Association. We welcome patients from outside of our pregnancy checkup. In order to make an appointment well in advance, please make an appointment for genetic counseling by 9 weeks before your due date is confirmed. Appointments can be made by phone only. Genetic counseling is a process where we work together to understand your current situation, what choices you should make in the future, and whether or not you should be tested in your first place. Our professional staff will support you in this process. The final decision is up to you and your partner, but whatever your choice, we will be there for you, respecting your values and supporting you as much as possible. If you want to know about prenatal diagnosis, are worried about advanced mother`s age, are worried about chromosomal abnormalities, or are worried about your baby's diseases, please make an appointment for genetic counseling. (30-45 minutes 5,000-7,500 yen. The cost varies depending on the time you talked.) Tests available here are, first trimester screening, combined test (ultrasound and serum markers) , NIPT (April 2025), second trimester serum markers (Quatro test), second trimester anomaly scan. Pregnancy checkup with us or your clinic. We will follow up with you if necessary If chromosome testing or more specialized testing is required, we will provide treatment in cooperation with other medical institutions.