The mini-pill in Japan, without estrogen.
Yes, you can get a progestogen-only pill in Japan. We prescribe Slinda, an estrogen-free mini-pill, through a short video visit in English, and deliver it to your home or hotel anywhere in Japan. No Japanese and no Japanese health insurance needed.
At a glance
| Slinda 28mini-pill, 1 sheet, 28 days | ¥3,300 |
| Shippinganywhere in Japan, home or hotel | ¥660 |
| Same-day deliverycentral Tokyo (the 23 wards), optional | +¥5,500 |
| Online consultation feefirst online visit only | ¥1,100 |
| Repeat prescriptions onlineno consultation fee | ¥0 |
| Japanese health insurance | Not needed |
| Deliveryafter payment | Next day at the earliest |
All prices include tax. You receive an itemized invoice by email and pay online by credit card (Visa, Mastercard, American Express). Nothing is charged before you confirm. See all prices on our fees page.
What is Slinda?
Slinda contains one hormone, drospirenone 4 mg, and no estrogen. It is sold as Slynd in the United States. Each sheet has 24 active pills and 4 inactive pills, and you take one pill every day without a break.
It prevents pregnancy mainly by stopping ovulation. If you forget a pill and remember by the next day, take it as soon as you remember, and take that day's pill as usual. If you miss two or more days in a row, use condoms as well until your next period. The doctor will explain this at your consultation.
Older mini-pills, such as desogestrel or norethisterone pills (for example Cerazette or Micronor), are not sold in Japan. If you take one at home, Slinda is the closest option here.
Mini-pill or combined pill?
| Mini-pill (Slinda) | Combined pill | |
|---|---|---|
| Hormones | Progestogen only | Estrogen and progestogen |
| Pills in a sheet | 24 active + 4 inactive, start the next sheet right away | 21 active + 7 inactive (or a 7-day break) |
| Bleeding | Often irregular, sometimes none | A regular monthly bleed |
| Price | ¥3,300 / sheet | ¥3,300 / sheet |
The mini-pill is an option if estrogen is not suitable for you, for example if you are 35 or older and smoke, have migraines with aura, or have high blood pressure. The doctor decides which pill suits you after reviewing your questionnaire. Read more about combined birth control pills.
How to get it
Book online
Pick an open slot on our English booking page (times are in Japan time, JST). Your confirmation and Zoom link arrive straight away.
Fill in a short questionnaire
Choose "Mini-pill (progestogen-only)" as your reason. The questions check that the pill is safe for you.
Zoom visit, under 30 minutes
Join from your phone or laptop. An English speaking staff member is on the call with the doctor. How it works.
Pay by card, receive your pill
An itemized invoice arrives by email. Once you pay, your pill ships to your home or hotel in discreet, unbranded packaging, next day at the earliest.
Side effects and safety
The most common side effect is irregular bleeding or spotting, especially in the first few months. Some people stop having periods. Others may notice acne, headaches, breast tenderness or nausea.
Slinda is not suitable if you have serious kidney or liver disease, breast cancer, vaginal bleeding that hasn't been diagnosed, or if you may be pregnant. Drospirenone can raise potassium levels, so tell the doctor about any medicines you take, especially blood pressure medicines (ACE inhibitors or ARBs), potassium-sparing diuretics, potassium supplements, or painkillers such as ibuprofen.
The mini-pill does not protect against sexually transmitted infections. For STD testing, you're welcome to visit our clinic.
Questions, answered
Can I get the mini-pill in Japan?
Yes. Slinda, a progestogen-only pill containing drospirenone, is available in Japan with a prescription, and we prescribe it through an online visit in English.
Do I need Japanese health insurance?
No. The mini-pill is not covered by Japanese health insurance, so the price is the same for everyone, whether you live in Japan or are visiting.
I take a combined pill now. Can I switch?
Yes. Tell the doctor which pill you take now, and they will explain when to start Slinda so that you stay protected.
Will I still have periods?
Bleeding on the mini-pill is often irregular. Spotting is common in the first few months, and some people stop having periods altogether.
I'm visiting Japan. Can you deliver to my hotel?
Yes. We deliver to hotels, Airbnbs and other places to stay anywhere in Japan. Enter the address and your name as the recipient on the payment page. We can't deliver to addresses outside Japan.
How do I get a refill?
Book an online visit the same way, and choose "Refill of a medication prescribed here before" in the questionnaire. Online repeat prescriptions have no consultation fee, so you pay only for the pill and shipping.
Is there a female doctor?
Our doctors are male, and an English speaking female staff member is on every call. Please let us know if you have any concerns, and we will do our best to make you comfortable.
Will anyone know what I ordered?
No. Orders ship in discreet, unbranded packaging, and your personal and medical information is kept confidential.
K Ladies Clinic Shinjuku
Shinjuku Center Building 5F, 1-25-1 Nishi-Shinjuku, Shinjuku-ku, Tokyo
A short walk from Shinjuku and Tochomae stations.
Open 7 days a week: 11:00 to 12:30 and 14:30 to 18:30 (until 17:30 on Sundays and
national holidays). Online visits are available during clinic hours.
Opening hours and closed days