Women's Issues Archives - Savvy Tokyo

Celebrating International Women’s Day in Japan 2026

Elizabeth Sok — Wed, 25 Feb 2026 23:00:00 +0000

International Women’s Day (IWD) is a holiday celebrated annually on March 8 with a focal point in the women’s rights movement. Here at Savvy Tokyo, we wanted to share with our readers some ways this day can be celebrated in and around Tokyo! First, get to know the history of IWD in Japan, from its early beginnings here in 1923. Then, read on for Tokyo’s many IWD events where you can celebrate the history and victories of women’s rights in Japan and learn what work still needs to be done to advance gender equality. While you’re at it, why not consider volunteering for a Japan-based organization focusing on women’s empowerment?

The History of International Women’s Day in Japan

While the first International Women’s Day was held on March 11, 1911 in several European countries, its roots lay in the United States a few years earlier. In 1909, the Socialist Party of America organized the first National Women’s Day in New York City to protest the poor labor conditions facing female garment workers. During World War I, these marches also became key sites for anti-war protests across the globe. March 8th became the official day when Russian women protested against food shortages, the war and the czarist government.

A women’s rights meeting in Tokyo on July 18, 1920.

In 1923, the feminist socialist group, Akarankai organized Japan’s first International Women’s Day march to call for women’s liberation. As with other marches around the world, socialism’s critiques against capitalism’s enslavement of women drove the protest’s messages. The protest was violently suppressed by the police and the next International Women’s Day wouldn’t be held in Japan again until 1947. Since then, annual marches have taken place to call for gender equality and world peace. In recent years, marches have focused on ending war, particularly Russia’s invasion of Ukraine and closing the gender pay gap.

International Women’s Day Events in Tokyo for 2026

To celebrate International Women’s Day in Tokyo this year, join like-minded people at the exciting events below. Whatever angle of IWD interests you, you are sure to find an event of interest in Tokyo this March!

Happy Woman Festa Tokyo 2026

The Happy Woman Festa 2026 is a series of events organized to celebrate IWD across Japan. The theme this year is Towards a future where happiness circulates. Make sure to reserve your seat in advance!

Date: March 8, 2026
Times: 11 a.m. – 6 p.m.(Happy Woman Festa 2026)
Address: United Nations University, 5-53-70 Jingumae, Shibuya, Tokyo
Cost: Free!
Note: The dress code for the Happy Woman Festa 2026 is yellow, the official color for IWD.

College Women’s Association of Japan’s Celebrates International Women’s Day

CWAJ marks International Women’s Day with a special staged reading of Mimoza Ways. The performance explores 100 years of Japanese women’s history, from the Seito Movement led by feminist pioneer Hiratsuka Raicho to the present day, blending reflection with moments of humor. A Japanese-French co-production that has received acclaim since its 2022 premiere, Mimoza Ways is the first Japanese production to trace a century of women’s experiences in this way. The reading is directed by Yu Yamagami and features Tsurumatsu Matsukuma, Yuko Ueno, Rena Koto and Yu Yamagami. Following the performance, a talk session with producer and translator Namino Rivoal Hori, along with the director and cast, will offer further insight and discussion. The event will be in Japanese.

Date: March 6, 2026
Time: 7-9 p.m.
Address: Theater X, Ryogoku City Core 1F, 2-10-14 Ryogoku, Sumida, Tokyo
Cost: ¥4,000

The Yellow Walk & Mimosa Day Award Party

Dress in yellow and join a vibrant celebration that will turn Tokyo into a moving field of mimosa! On March 7, the Italian Chamber of Commerce in Japan (ICCJ)’s Yellow Walk kicks off at the Italian Embassy, winding through the city in a powerful tribute to International Women’s Day before arriving at the iconic Tokyo Tower. The celebration doesn’t stop there either. Afterward, you can join the exclusive Mimosa Day Award Party, where you’ll enjoy live DJ music, signature cocktails and finger food while soaking in the classic high-rise view of Tokyo.

Date: March 6, 2026
Meeting time: 5:45 p.m.
Walk time: 6-9 p.m.
Address: Tokyo Tower Main Deck 1F, 4 -2-8 Shibakoen, Minato City, Tokyo
Cost: Free to walk; Yellow Walk + Mimosa Day Award Party (includes a ticket to Tokyo Tower Main Deck, all-you-can-eat buffet and drink); ICCJ Members: ¥6,600; Non-Members: 8,800; Mimosa Day Award Party only: ICCJ Members: ¥8,800; Non-Members: 11,000
Note: Dress as yellow as possible!

International Women’s Day Breakfast & Panel Discussion Australian Embassy Tokyo

The Australian and New Zealand Chamber of Commerce in Japan (ANZCCJ) invites you to Pullman Tokyo Tamachi for IWD 2026. This year’s theme is “Give to Gain” and will feature a panel discussion with several senior business leaders. Over breakfast, these panelists will highlight single mothers and single-parent households living in Japan.

Date: March 6, 2026
Time: 8 a.m.-9 a.m. (doors open at 7:30 a.m.)
Address: Pullman Tokyo Tamachi Banquet Room 9F, 3-1-21 Shibaura Minato, Tokyo
Cost: ¥10,000 (ANZCCJ members), ¥12,000 (non-ANZCCJ members)
Note: Attendees must register by Feb. 27, 2026

Women’s March Tokyo 2026

As with other IWD events globally, the Women’s Day March in Tokyo will be one of this year’s main events. This event has been held in the city since 2017. The one-kilometer march will begin and end at Jingu-dori Park in Shibuya Ward and all participants are invited to the after-party. Attendees who don’t want to be photographed can gather together behind a “no photos” sign during the event. Come join others to call for gender equality and an end to violence.

Date: March 8, 2026
Meeting time: 5:30 p.m.
Start time: 6 p.m.
Address: 6-22-8 Jingumae, Shibuya, Tokyo
Cost: Free!

Grand Hyatt Tokyo’s International Women’s Day Specials

Grand Hyatt Tokyo Hotel will be offering a variety of IWD specials. At the Mimosa Dinner – The French Kitchen, between March 1 and 8, offer the women in your life the stunning Mimosa Mousse Cake, designed by women patissiers. Whether you are sampling their seafood saffron nage or digging into a mimosa rare cheesecake, mark this year’s IWD with upscale dining!

Date: March 1 – 8, 2026
Address: Grand Hyatt Tokyo, 6-10-3 Roppongi, Minato-ku, Tokyo
Cost: Prices vary depending on the dish or course.

Mimosa Week

For up-to-date information about the state of women in Japan alongside beautiful illuminations, head to the Former Kunitachi Station. Inside this historic building, you can learn about recent developments in women’s issues on poster boards. Join a workshop on the eighth on how to make mimosa badges to show your support for women’s equality. Also, read up on several gender-related case studies exploring the experiences of women. As a special treat, there will be an illumination event featuring using yellow lights, the official color of IWD.

Date: March 5- 10, 2026
Address: Former Kunitachi Station Building, 1-1-69 Higashi, Kunitachi, Tokyo
Cost: Free!

BCCJ’s International Women’s Day 2026

The British Chamber of Commerce in Japan (BCCJ) will be hosting talks over dinner for International Women’s Day. Her Excellency Julia Longbottom CMG, British Ambassador to Japan, will speak on explring leadership and her experiences leading the UK-Japan relationship alongside voices from business and civil society. Offering an opprotunity for open dialog and collaboration, this event is open to all genders.

Date: March 18, 2026
Time: 6 p.m.-8:30 p.m.
Address: PwC Tokyo, 1-2-1, Otemachi, Chiyoda, Tokyo
Cost: ¥5,000 (BCCJ members); ¥8,000 (non-members)

We hope you enjoy your International Women’s Day in Japan! How are you planning on celebrating?

Meet Cynthia Usui, A Career Break Advocate & Chief Empowerment Officer of Sekaia Inc.

Shelley Smith — Tue, 06 Jan 2026 23:00:00 +0000

Born in 1959 into a Chinese–Filipino family in the Philippines, Cynthia Usui, Chief Empowerment Officer of Sekaia Inc., came to Japan in 1980 as a government-sponsored international student and graduated from Tokyo University of Foreign Studies. She once imagined a traditional professional path, but life took her across countries and roles, including a long period as a full-time homemaker. Married to a Japanese diplomat, she spent nearly two decades raising her daughter while living in multiple countries before eventually becoming a Japanese national and calling Tokyo home.

At age 47—when most people believe “it’s too late to start over”—Cynthia re-entered the workforce with a part-time cafeteria job. She began what would become one of Japan’s most remarkable second-career stories. From hospitality roles at major hotels, including ANA InterContinental Tokyo and Shangri-La, she went on to lead Tokyo 2020 hospitality at Coca-Cola. She later became a country manager in the hotel industry and then a manager at a major global IT company. Today, she serves as an advisor to an NPO that supports single mothers, while being recognized as a LinkedIn influencer and published author who advocates for career breaks.

Career Breaks by Cynthia Usui

Cynthia’s beliefs are rooted in lived experience. After a 17-year career break, she learned firsthand that stepping away from work is not the end of a career. It can become the beginning of a more authentic one. She calls herself the “Cinderella of stay-at-home moms,” not because she waited for the clock to strike midnight. But because she transformed “ordinary” and “unemployed” into extraordinary and unstoppable through curiosity, humility and persistence.

Her message is simple but radical:

“A career break is not a career end.”

Career pauses also create space for growth, resilience and new perspectives—qualities that enrich professional life later. Through storytelling, writing and mentoring, she now champions women who are restarting professional journeys after motherhood, caregiving, relocation or personal transitions.

What makes Cynthia inspiring is not only that she achieved senior roles. It is the fact that she began again when most people believe the window has closed. She has proven, through her own example, that it is never too late to reinvent oneself. Opportunity doesn’t fade with age, gender or circumstance. She stands for possibility, for second chances and for the power of saying “yes” even when your confidence says “not yet.”

Today, through Career Hub, her books and her platform on LinkedIn, Cynthia empowers a new generation of women to believe that every chapter counts—and that the time spent away from work doesn’t erase your potential. It expands it.

Cynthia’s Japan Recommendations

Take the train and get out of central Tokyo to see how regular people live.

Visit Cynthia’s website for more information about her and her work.

Her books are all available on Amazon (Japanese language):

人生は、もっと、自分で決めていい (Jinsei wa, motto, jibun de kimete ii; “You’re allowed to decide more of your own life.”)
ハーバード、イェール、プリンストン大学に合格した娘は、どう育てられたかママ・シンシアの自力のつく子育て術33 (Hābādo, Yēru, Purinsuton Daigaku ni gōkaku shita musume wa, dō sodaterareta ka: Mama Shinshia no jiriki no tsuku kosodatejutsu 33; “How was the daughter who got into Harvard, Yale and Princeton raised? Cynthia’s 33 child-raising methods for building independence.”)
専業主婦が就職するまでにやっておくべき8つのこと (Sengyō shufu ga shūshoku suru made ni yatte oku beki yattsu no koto; “Eight things a full-time homemaker should do before getting a job.”)

If you would like to follow Cynthia Usui personally, you can find her over on LinkedIn, X and Facebook.

If you have someone in mind you would like us to interview for Savvy Spotlight, please leave a comment below with your recommendations.

Sanae Takaichi: What Japan’s First Female PM’s Leadership Means For Women & Families

Kerri King — Tue, 21 Oct 2025 23:00:00 +0000

On October 21, 2025, Japan made history. Sanae Takaichi was sworn in as the country’s first female prime minister after winning leadership of the ruling Liberal Democratic Party (LDP). Her rise breaks a barrier that has stood for more than a century in Japanese politics, yet she steps into the role at a turbulent moment. Takaichi now leads a fragile minority government facing inflation, labor shortages and growing public frustration with inequality, childcare access and immigration.

Personal Background

Sanae Takaichi was born in 1961 in Nara Prefecture. Her father worked in the automotive industry and her mother was part of the Nara Prefectural Police. In 2004, she married fellow politician Taku Yamamoto. The couple divorced in 2017 but remarried in 2021, with Yamamoto taking her surname—an uncommon choice in Japan.

While Takaichi has no biological children, she adopted her husband’s three children from his previous marriage and is now a stepmother and grandmother. She is rarely seen speaking publicly about her family and seems to keep her private life separate from her career.

Political Background & Ideology

Takaichi first entered parliament back in 1993 and has since become one of the most seasoned figures in the ruling LDP. Over the years, she’s held some of the party’s biggest portfolios, serving as Minister for Internal Affairs and Communications under the conservative late prime minister Shinzo Abe and later as Minister for Economic Security under Fumio Kishida.

She’s long been seen as part of the LDP’s right wing and one of Abe’s closest political allies. Her worldview mirrors his:

Loyalty to tradition
Pride in national identity
A belief that Japan’s strength abroad depends on restoring confidence at home

Her Main Policy Priorities

Takaichi’s game plan mixes a focus on jump-starting the economy and strengthening Japan’s security with some pretty traditional social values.

Economics

Economically, she has promised to lift Japan out of its long slump through what she calls “crisis-management investment,” a plan for large-scale government spending on key sectors such as semiconductors, AI and green energy. She has also proposed wage incentives and temporary tax breaks for households and small businesses.

When it comes to social issues, Takaichi keeps things pretty traditional. She often talks about Japan’s future in terms of “strong families,” where stable jobs, marriage and children form the backbone of society. She’s supportive of parents and childcare access, but mostly within the same old frameworks rather than through big new reforms. Critics say that approach feels like trying to preserve the past instead of reflecting how modern families actually live and work.

Security

On security, Takaichi has made it clear she wants Japan to stand taller in a tense region. She supports revising Article 9 of the Constitution to officially recognize the Self-Defense Forces, increasing defense spending and deepening ties with the United States.

What Her Leadership Symbolizes VS Her Actual Track Record

Takaichi’s election is historic. Her rise to the highest seat of power challenges long-standing gender barriers in politics. In a country where women hold fewer than 20 percent of seats in the Diet, her leadership sends a clear signal that the glass ceiling can, at least, crack.

The symbolism, though, only goes so far. Takaichi has built her career on conservative values that often clash with modern ideas of gender equality. She has opposed allowing married couples to keep separate surnames, a reform many women see as a basic right. She has rejected same-sex marriage and defended the male-only Imperial succession system as vital to preserving Japan’s traditions.

During her leadership campaign, she pledged to raise the number of women in cabinet to “Nordic levels,” but was quick to add that she would not appoint women just to fill quotas. Her critics say this careful approach shows she’s still hesitant to take on the deeper problems that keep Japanese women from moving up in politics and at work.

What Her Leadership Could Mean for Working Women, Parents & Foreigners

For working women and parents, Takaichi’s plans so far suggest small, practical steps rather than sweeping reform. She has talked about tax deductions for childcare costs and incentives for companies that build in-house daycare facilities. These ideas could make daily life a little easier for parents, but they do not tackle the bigger issues like long daycare waitlists, the lack of after-school care or the uneven access to childcare outside major cities.

Workplace Reforms

When it comes to workplace reform, Takaichi supports “family-friendly” ideas such as flexible hours and remote work but prefers encouragement over enforcement. That approach might move the needle in large corporations, yet it may do little for part-time and contract workers, who make up a large share of Japan’s female workforce.

Education

Education is another area to watch. She has shown interest in expanding financial aid and digital learning tools but also speaks about “moral education” and patriotic values. Parents could see classrooms place more focus on discipline, responsibility and national pride, reflecting her conservative outlook on how children should be raised.

For Foreign Residents & Immigration

For people living in Japan from overseas, Takaichi’s leadership could feel more guarded. She views immigration mainly as a way to fill labor gaps, not to make Japan more multicultural. Skilled workers in tech or healthcare might see smoother visa routes, but broader reforms are unlikely. She has backed tighter rules on foreign land ownership near military sites and often speaks about protecting Japan’s “social order.” Aligned with Japan-First ideas similar to those of Sanseito, her government seems ready to welcome foreign talent, just strictly on Japan’s terms.

Sanae Takaichi Supporters vs. Critics

Supporters see Takaichi as calm, capable and steady—the kind of leader Japan needs after years of political drama and economic drift. They admire her discipline and patriotism and believe she can bring back confidence at home and abroad.

Critics see her differently. They worry she will double down on nationalism and tight control while avoiding reforms on gender, diversity and inclusion. With her minority government already on shaky ground, they question whether she can deliver meaningful change.

Her leadership is being watched closely: if she succeeds, she could redefine what leadership looks like for women in Japan; if she fails, it risks reinforcing old doubts about whether the system will ever let real change happen.

What do you think about Sanae Takaichi and how she plans to impact Japan’s future?

Self-Defense Laws in Japan: How Can I Protect Myself?

Suzanne Bhagan — Fri, 17 Oct 2025 23:00:00 +0000

You’re walking home late at night. Someone is following you. You squirt pepper spray in the person’s face. You’re just defending yourself, right? Not quite. According to the laws on self-defense in Japan, you can quickly morph from the victim into the aggressor if the court deems it necessary.

Recently, Japan has been reeling from disturbing stories of stalking and the murder of women in particular. In Kobe, Megumi Katayama was stabbed to death in her building’s elevator by a stalker. In Kanagawa, Asahi Okazaki was stalked and allegedly murdered by her ex. These stories have led to a spike in the sale of pepper spray as women prepare to defend themselves. But legal experts warn that the law may not be on their side.

What Is Self-Defense?

Legal self-defense, or 正当防衛 (seitou bouei), is a tricky concept. What is considered self-defense in other countries may not fly in Japan. Article 36 of the Japanese Penal Code lays out the law. To use self-defense, you need to prove that:

Your attacker broke the law, i.e., the attack was illegal.
The attack was “imminent,” putting you in immediate danger. In other words, you had to defend yourself on the spot.
Your defensive actions were proportionate to the attack. You did not counterattack with excessive force. Also, you did not defend yourself before or after the threat had passed.

What Is Not Self-Defense?

Article 36 also states that if you defend yourself “excessively” (かじょうぼうえい/kajoubouei), the judge may reduce or exempt you from punishment, depending on the circumstances.

Let’s give an example. A man gropes you on the train and swiftly exits at the next stop. You chase him down and beat the crap out of him. He deserves it, right? Maybe, but the court may see things differently. Why?

The court may judge that when your attacker escaped, the threat from the groping expired. You were no longer under “imminent” attack and your defensive actions appear vengeful. Your attacker may even press injury charges because you over-defended yourself.

What About Using “Weapons”?

Let’s go back to the pepper spray example. If you carry pepper spray in public, you could be charged under the Misdemeanor Act. It’s illegal to hide and carry, without a valid reason, a knife, iron rod or any device that can be used to harm a person’s life or body. In this context, pepper spray can be considered a “device” that could hurt someone.

As mentioned in the first paragraph, if you spray your stalker even though he hasn’t touched you, he could press charges because you injured him without a good reason.

In the same way, if you were carrying a household item like a pair of scissors or an umbrella and you used it to over-defend yourself, you could be charged with injury. If convicted of injury under Article 204 of the Japanese Penal Code, you could face a fine of ¥500,000 or go to prison for up to 15 years. Talk about being on the wrong side of the law!

Domestic Violence: An Iffy Situation

Let’s look at another scenario. Your significant other has grown increasingly abusive and violent towards you. One day, when he threatens you as he usually does, you counterattack with such force that you kill him.

This happened in a 2014 domestic violence (DV) case. The Sapporo District Court acquitted the defendant on the grounds of self-defense. During a heated argument at home, the defendant stabbed her partner in the shoulder and he died. The court found that the attack was immediate. The victim kept hitting the defendant and she could not escape without defending herself. They also found that the stabbing was proportionate to the victim’s repeated violence.

However, in another DV case, in 2019, the Nagoya District Court did not allow the defendant to plead self-defense. Here, the defendant suffered years of abuse. One day, her husband proceeded to attack and threaten her as usual. She strangled him to death. The court judged her actions as “excessive” and that she should have tried to escape. However, she received a lesser sentence because of the history of violence.

These two cases clearly show that, even if parties have a long history of abuse, the court will always pay attention to the “imminence” and “proportionality” of the defendant’s actions.

What Can I Do To Defend Myself Legally?

Back to that old pickle. Now that you’re clued up about self-defense laws in Japan, what is legally permitted to protect yourself, others and your property from would-be attackers?

If attacked, you should:

Block, push away or otherwise escape your attacker.
Defend yourself only to the extent of stopping the attack.
Scream, yell out or use a rape alarm/security buzzer to alert others around you.
Report the attack at the nearest police station or koban (police box).

To minimize the risk of being followed and attacked:

Be aware of your surroundings. Ditch the screen and earbuds.
Walk in well-lit areas or areas with surveillance cameras. If the area looks dodgy, take a taxi.
Live in an apartment higher than the second floor.
Hang out men’s underwear/clothing on your washing line outside to showcase a male presence.

Other things to try for ease of mind:

Learn aikido. Unlike other martial arts, in aikido, you do not attack but rather “redirect” the actions of your attacker to defend yourself.
Keep pepper spray at home for emergencies. Although it is illegal to carry around as a self-defense weapon, it is completely legal to have it stored in your home.
If you have any suspicions, inform your local police immediately. They may not be able to take immediate action without evidence, but they can increase patrols in your area.

Of course, it’s easy for things to get iffy in the heat of the moment because life is life. Whatever happens, keep your head on and protect yourself. Just don’t overdo it.

Have you or a friend ever experienced a situation like this? How did you defend yourself? Read more about groping in Japan and how you can deal with the dreaded chikan.

Disclaimer: This is not legal advice but for information purposes only. Please consult a qualified attorney if necessary.

Ozempic in Japan: A Savvy Guide For Foreign Residents

Kerri King — Fri, 26 Sep 2025 23:00:00 +0000

Over the past two years, drugs like Ozempic and Mounjaro have gone from quiet prescriptions for Type 2 diabetes to global household names. Thanks to celebrity testimonials, viral TikToks and endless headlines, these GLP-1 medications (short for glucagon-like peptide-1 receptor agonists) are now strongly associated with rapid weight loss. Japan hasn’t escaped the buzz. English-language ads for Ozempic and similar drugs are now common across social media, often targeting foreign residents. If the constant media push has you wondering about Ozempic in Japan, here is your Savvy Guide to these medications.

GLP-1 Drugs Approved in Japan

Can you actually get Ozempic or similar “weight loss injections” in Japan? The answer is yes, but only under strict medical criteria. The three most common medications available are:

Ozempic (Semaglutide): Approved in Japan in 2020, Ozempic is officially prescribed for type 2 diabetes management. Some doctors may provide it off-label for weight loss, but this is not common practice.
Mounjaro (Tirzepatide): This newer GLP-1 medication was approved in 2022, also for type 2 diabetes treatment. Like in the case of Ozempic, its recognized role in Japan is blood sugar control, not weight loss.
Wegovy (Semaglutide): Wegovy is the only injectable medication approved for obesity management and has been available since 2023. It’s covered under Japan’s National Health Insurance (NHI) if you meet the criteria (BMI ≥35, or ≥27 with related health conditions such as hypertension or diabetes).

Several other GLP-1 medications are also now available in Japan, including Rybelsus (oral semaglutide), Saxenda (liraglutide), Trulicity (dulaglutide) and Byetta/Bydureon (exenatide). These are usually prescribed for managing type 2 diabetes rather than weight loss.

The Cost: What You’ll Pay With & Without National Health Insurance

Whether these drugs are covered by National Health Insurance (NHI) or not makes a huge difference to your monthly costs. Japan’s NHI usually covers 70% of drug costs, leaving patients to pay about 30% out of pocket.

Here are the official 2025 prices and typical copays for the three most common medications available (monthly estimates are based on four weekly doses at the lowest available dose and exclude clinic visits or test fees):

Brand	Approved Use in Japan	NHI Copayment (Out-of-pocket Cost)	Private Clinic / Off-Label Cost
Ozempic	Type 2 diabetes	¥1,650–6,600/month	¥25,000–33,000/month
Mounjaro	Type 2 diabetes	¥2,300–13,800/month	¥22,000–40,000/month
Wegovy	Obesity (BMI ≥35, or ≥27 + comorbidities)	¥2,250–12,900/month	¥26,000 – ¥52,000

The Marketing Push To Foreigners

If you live in Japan and spend any time on social media, you’ve probably noticed the rise in ads for “weight loss injections.” Even if your feed has nothing to do with dieting, it’s now common to see English-language promotions for Ozempic, Mounjaro or similar drugs.

These marketing campaigns target foreign residents because access through Japan’s public health system is limited. Strict NHI criteria and a lack of English-language support often make it harder for foreign residents to get GLP-1 medications. Private clinics are well aware of this gap, and so they have begun to market aggressively to international residents, often charging significantly higher, out-of-pocket prices.

Private English-Speaking Clinics Offering GLP-1 Treatments

If you don’t qualify for coverage under Japan’s National Health Insurance (NHI), or if your doctor isn’t supportive, several private English-speaking clinics do offer GLP-1 medications. These clinics can be convenient, especially with bilingual staff and telemedicine delivery, but they can cost two to three times more than NHI-covered prescriptions.

It’s worth checking the fine print before signing up so you know exactly what you’re paying for. Some clinics bundle everything (consultations, follow-ups, needles, alcohol swabs, even travel letters) into one package. Others only list the medication price upfront and bill separately for extras like blood tests.

These are a few well-known clinics offering GLP-1 weight loss treatments in Japan:

Hada no Clinic (Tokyo): Bilingual clinic advertising weight-loss programs that include check-ups and counseling.
Bianca Clinic (Tokyo): Provides Mounjaro and other GLP-1 injections for weight loss, marketed as weekly treatments.
Tokyo Medical and Surgical Clinic (Tokyo): Longstanding international clinic in Tokyo offering weight loss treatment programs, including GLP-1s, with English-speaking doctors.
Juniper: Telemedicine platform with English consultations, nationwide delivery and travel letters for medication.
E-Life Clinic: Offers online consultations and pricing packages for Ozempic, Mounjaro and Saxenda.

Important Factors to Consider

If you’re thinking about trying a GLP-1 medication like Ozempic, Mounjaro or Wegovy, it’s worth looking beyond the hype. These drugs can be effective, but they also come with real risks that shouldn’t be overlooked.

How GLP-1 Medications Work (& What to Expect)

One of the main ways GLP-1 medications like Ozempic work is by slowing gastric emptying. Put simply, food takes longer to leave your stomach and move into your intestines. This makes you feel full sooner and stay full for longer, reducing your appetite. The exact mechanism, however, is also what causes many of the most common side effects: nausea, bloating, a constant feeling of fullness, stomach pain and sometimes vomiting.

Studies show that in some cases, GLP-1 drugs can cause gastroparesis, a condition where the stomach doesn’t empty properly, leading to severely delayed digestion and awful side effects. Having lived with gastroparesis myself, I can say it’s more than an occasional upset stomach and will drastically impact your quality of life.

Don’t just take my word for it. In clinical trials, nausea was reported in about 44% of people taking higher doses of semaglutide, while vomiting affected roughly 25%—making these two of the most common side effects. That’s also why you need to factor in the ongoing cost of additional medications, like anti-nausea tablets, which are often needed to manage these symptoms.

Other side effects frequently reported with GLP-1 drugs include diarrhea, constipation, acid reflux and abdominal pain. These symptoms are often worse at higher doses or when the dose is increased too quickly. Because of these risks, it’s essential to carefully weigh the benefits of these medications against the possibility of long-term side effects.

These medications can be useful tools, but they’re not quick fixes and carry real risks. If you’re considering them in Japan, always start by speaking to your doctor and making sure you understand both the benefits and the downsides.

Letters from Japan: “Getting Older in Japan”

Hilary Keyes — Sat, 13 Sep 2025 23:00:00 +0000

Dear Hilary—I am getting older in Japan.

I’m a woman in my late forties, divorced with no kids. I’ve been living in Japan for most of my adult life. I’m starting to feel left behind, unseen and out of my league, if that makes any sense. I’m getting older in Japan, and I don’t know what to do with the rest of my life. Can you give me any insight?

—Aging With Dignity

Dear Aging With Dignity,

It’s understandable that you would feel that way. Here’s a fun/random fact: as of the end of 2024, there were more than 230,000 foreign residents aged 65 or older in Japan. Japan is aging, and so is its foreign population. Things like pensions, retirement age and how to live in Japan beyond working age are topics of conversation among many people in their thirties and forties.

For many people in their late forties, it can feel like the world isn’t made for them anymore. Pop culture has moved in new directions that don’t seem to fit who you are. Fashion has looped around back to what you wore as a young teen or university student. You might find yourself feeling cut off from that side of life in general.

Add in the fact that you live in Japan and are, therefore, further removed from your peer group. It’s only natural to feel “left behind, unseen and out of your league,” as you said.

Aside from navigating perimenopause or menopause in Japan, you’re also approaching retirement age. A lot of foreigners in Japan struggle with depression or social isolation, and this only seems to get more difficult for everyone with age.

First of all, recognize that there is nothing wrong with you for feeling that way.

It happens to all of us eventually. It’s how you deal with those feelings that matters.

Some wisdom on this topic can be found in an age-old Japanese concept, and one that became globally popular a few years ago: ikigai, or finding one’s purpose. In short, ikigai is what makes getting out of bed in the morning worth it to you.

It could be your work, your hobby, exercise or simply wanting to listen to music and chill out before you deal with the day. Whatever it is, if you can find that and make sure that you do take that time for yourself, you’ll feel a lot better about going forward with your day.

I’m sure that to many, it can sound like some silly concept, and that’s true for Japanese people, too. Putting the ikigai concept into practice takes effort.

“Finding your ikigai sounds like such an old person thing. For a long time, I figured it was something that only people who had that much free time on their hands could bother with. Old people are always taking trips, joining new hobbies, going out to see museums and so on. Now I’m old and I get it. Living for work was terrible. Now I have friends, I go out, I eat better. I like living” (Japanese, 60s).

Is it easy to find your ikigai? No. Is it hard to find your ikigai? Also no.

It all depends on the energy you want to put into the process.

I’m not sure how you would categorize yourself in terms of intro- or extroversion, but one of the main things you can do to help yourself find purpose in life is getting out and seeing the bigger world around you. That doesn’t necessarily mean travelling abroad or even domestically. Going for walks and finding new things in your neighborhood can really help shift your perspective on life. Some friends of mine did this and ended up finding and joining a local meet-up group, despite not being fluent in Japanese.

You mentioned being divorced but nothing about being in a relationship. If you are interested in finding a new partner, you can also do that by going out and trying new things. Meet-cutes aren’t limited to movies or young people, after all.

You might also be thinking about moving back to your home country.

I’m not sure where you’re from, but if you do want to move back, you should look into your pension/social insurance system there and see if it is connected to or has any agreements with Japan’s system. While I’m by no means an immigration lawyer, there are a number of factors you’ll need to consider and things to take care of aside from moving itself.

If you are considering moving back to your home country, that’s certainly an option, and many people take it even after they’ve lived in Japan for many years. That being said, you may also have your reasons for wanting to stay in the country. It’s a very personal, albeit difficult decision to make, and no one can or should make it for you.

Just remember that you’ve navigated plenty of tough decisions so far in life, so I’m certain you’ll come to the right conclusion for you. Mood follows action, so try to take actions that will make you feel the way you want to feel. Best of luck.

Got a question you’d like to ask Hilary? Email it to askhilary@savvytokyo.com with the subject “Ask Hilary.”

Getting The Birth Control (Oral Contraceptive) Pill in Japan

Margot Curtis — Fri, 05 Sep 2025 23:00:00 +0000

The birth control pill in Japan is known as keikou-hinin-yaku (経口避妊薬) but more commonly referred to as “piru” (ピル). They were only legalized in 1999, four decades after they became available in the West. Japan was, in fact, the last U.N. member to approve the drug, and this delay has had a knock-on effect on its popularity even today.

But in reality, it remains a relatively cheap, effective and increasingly accessible method of birth control that you can get with a little effort.

Why The Pill Obsession?

The pill became available in the 1960s and symbolized liberation for Western women at a time when abortion was still largely illegal due to religious taboos. For many of us, that era came with awkward high school health classes and learning how to put condoms on bananas—cringe-worthy, yes, but also part of the reason contraceptive choice feels more familiar in the West than in Japan.

Here, the picture is different. Condoms still dominate the scene, along with withdrawal, temperature-tracking and the rhythm method. For some, the hesitation around the pill comes from fear of side effects or a simple lack of information—sex education in Japan still doesn’t widely emphasize female contraceptive choices.

Abortion is legal if you become pregnant, but unlike many other countries, you cannot arrange it alone unless the partner is unknown. Married or partnered women must have their partner’s written consent, and procedures are usually more expensive than back home.

How Do I Get The Pill in Japan?

The process is relatively straightforward: visit a gynecologist, have a consultation (often including a blood test on your first visit), and get a prescription. A month’s supply usually costs around ¥3,000, depending on the brand and your doctor. My gynecologist was incredibly helpful and friendly, but others may still be conservative about prescribing it, so experiences vary. Overall, access has been steadily improving.

One important note: National Health Insurance (NHI) does not cover the pill. However, if you ask your doctor to prescribe you a pill you were already taking overseas, depending on the brand, there may be options for a pill that is covered by the NHI.

What Types Of Pills Are Available?

Japan offers a selection of low-hormone combined oral contraceptives (estrogen + progestin). These come in both monophasic (same dose throughout the cycle) and multiphasic (varying doses) types.

Monophasic pills: Marvelon (マーべロン), Ortho M-21 (オーソM-21), Yaz (ヤーズ)
Multiphasic pills: Triquilar (トリキュラー), Ange (アンジュ), Synphase (シンフエーズ), Ortho 777 (オーソ７７７)

As of June 2025, Japan has finally approved its first mini-pill: Slinda 28 (スリンダ), a progestin-only oral contraceptive. Now available nationwide by prescription, it offers a safe option for women who cannot take estrogen or who prefer a lower-hormone choice.

Emergency Contraception (The Morning-After Pill)

Until recently, getting the morning-after pill in Japan required a prescription, which meant calling ahead to clinics (not all stocked with it) and making an appointment. This was a significant barrier, considering that effectiveness is highest within 24 hours.

For the first time, Japan will allow over-the-counter sales of the emergency contraceptive pill. NorLevo (ノルレボ錠 1.5mg) will be available directly at pharmacies under the supervision of a pharmacist. There will be no age limit and no need for parental consent; however, expect to pay anywhere between ¥7,000 and ¥10,000 per pill.

This follows nationwide trials where more than 80% of participants supported making emergency contraception prescription-free. While official rollout is expected later in the spring of 2026, the shift marks a historic change in reproductive healthcare here.

For now, if you need it before the rollout, you’ll still need to call a clinic and ask for the kinkyū-hinin-hō (緊急避妊法), or mo-ningu afutaa piru (モーニングアフターピル).

Find an English-speaking women’s clinic in Tokyo.

Japan still has a way to go when it comes to women’s health, but things are changing—albeit slowly. The upcoming launch of over-the-counter emergency contraception and the arrival of mini pills are significant steps toward broader choice.

Never forget: the birth control pill (regular or emergency) does not protect against sexually transmitted infections (STIs). Condoms are still the only protection for that. Stay safe, stay informed, and let’s keep the conversation going!

For other contraceptive options, don’t forget to check our full article about contraception in Japan.

This article has been updated with the latest information for 2025.

The Best Lingerie Stores With Bigger Bra Sizes in Japan

Kerri King — Tue, 05 Aug 2025 23:00:00 +0000

Finding lingerie that fits well and feels good is a challenge anywhere, but in Japan—where sizes tend to run smaller and cup-band combinations are limited—shopping for bigger bra sizes in Japan can feel nearly impossible if you’ve got a bigger bust or need a wider band. When I first moved here, I was so sure I wouldn’t find anything that I didn’t even bother looking.

It hasn’t been easy, and finding something that doesn’t scream “granny” takes work. However, cute, comfortable options do exist if you know where to look. From fashionable department store brands to surprisingly size-inclusive online shops, here are the best places to find bras in Japan that fit, flatter and feel good to wear.

Japanese Bra Sizing: What You Need to Know

If you want to avoid a fitting room surprise, it helps to know how Japanese sizes compare. Let’s say I once confidently grabbed my “usual” size only to end up squeezed into a bra that made me look like I was trying to pack a futon into a carry-on.

Bra sizing in Japan generally runs smaller and different brands often use slightly different size charts. That means you could be a D in one store and an F in another. Your best bet for finding the perfect fit is to always check the brand’s specific size guide and don’t be afraid to ask for a fitting—many staff members are happy to help, with some larger chains offering bilingual support. You can also use an online converter to find your size.

Shops With Bigger Bra Sizes in Japan

So, where do you go when the average Japanese bra just doesn’t cut it? Whether you’re looking for everyday comfort, something supportive and stylish, or just a band size that actually fits, these Japanese brands have you covered (literally).

Bradelis New York Japan

This New York-born brand has a cult following in Japan for its “step-up” bra fitting system, which focuses on shaping, lifting and supporting your bust over time. Bradelis is known for luxurious lace, comfort-focused structure and professional fittings and often has bilingual staff available at flagship stores like Ginza and Shinjuku.

Size Range: Up to H cup
Band Sizes: Up to 85 cm
Price Range: ¥6,000–¥12,000+
Availability: In-store & online

Peach John

Peach John is a bold, youthful brand often found in trend-forward spots like Shibuya 109. While in-store selections tend to cater to smaller sizes, their online shop offers a wider variety of colors, styles, and extended sizing options.

Size Range: A–G cup (G mostly online)
Band Sizes: Up to 80 cm
Price Range: ¥3,400–¥4,500
Availability: In-store & online

Aimerfeel

Aimerfeel is known for its affordable, cute bra-and-panty sets in bold, flirty styles aimed at younger shoppers. They also offer handy extras like band extenders. While some stores carry extended sizes up to F, G, or H cups, availability varies. I recommend checking out their online stock too, especially if your cup size is bigger than an E.

Size Range: A–H cup (limited H in-store)
Band Sizes: Up to 80 cm
Price Range: ¥2,000–¥4,000 per set
Availability: In-store & online

Nissen Smileland

If you’re tired of limited size options and sky-high prices, Smileland might be your new favorite discovery. This plus-size line from catalog giant Nissen serves up everything from comfy basics to surprisingly cheeky lace sets without the usual markup. The best part is that they offer one of the most size-inclusive lingerie (and clothing) ranges in Japan.

Size Range: A–10L cup (varies by style)
Band Sizes: Up to 110 cm
Price Range: Under ¥3,000
Availability: Mostly online, limited in-store (Ito Yokado)

Amphi (by Wacoal)

A stylish little sister to lingerie giant Wacoal, Amphi mixes reliable support with trend-driven designs at a friendlier price point. Think lace-trimmed everyday bras, wireless comfort styles, and gentle shaping options that still feel cute. You’ll find Amphi in most department stores across Japan, and some locations offer fitting services. A few even have bilingual staff to help you find your perfect match.

Size Range: A–G cup (varies by line)
Band Sizes: 65–85 cm
Price Range: ¥2,500–¥6,000
Availability: In-store & online

A Happy Marilyn

Known for its plus-size fashion, A Happy Marilyn is quietly building a reputation for comfy, supportive bras that actually fit. While you won’t find high-glam designs here, their lingerie does what it’s meant to—offer reliable support without digging in. If you care more about everyday comfort than flashy lace, this brand is a great choice.

Size Range: Up to J cup
Band Sizes: Up to 110 cm
Price Range: ¥2,000–¥3,500
Availability: Online only

Re-J & Supure

This plus-size fashion brand offers a modest but reliable lingerie selection for curvier bodies—one of the few you can shop in-store. While the styles are basic, the fit is dependable, and it’s a welcome option if you prefer trying before buying. Re-J & Supre is perfect for those looking for everyday essentials in extended sizes without the online guesswork.

Size Range: Up to H cup
Band Sizes: Up to 105 cm
Price Range: ¥2,000–¥4,000
Availability: In-store & online

Tutu Anna

Famous for its socks and accessories, Tutu Anna also carries surprisingly cute and affordable lingerie sets. With seasonal prints, pastel colors and plenty of matching options, it’s an excellent pick for smaller band sizes and anyone after a quick, budget-friendly bra refresh. This store is a great choice for teens or those needing a new bra quickly.

Size Range: A–F cup
Band Sizes: 65–80 cm
Price Range: ¥1,000–¥2,500 per set
Availability: In-store & online

Shopping for lingerie, especially for bigger bra sizes, can be tricky in Japan, but with the right stores and sizing tips, it doesn’t have to be frustrating. Keep this list handy and feel free to share your own go-to shops or fitting tips in the comments below!

Hair Loss in Japan: The Causes & Solutions!

Rae DeFrane — Fri, 25 Jul 2025 23:00:00 +0000

I was losing so much hair! Clumps were lost almost daily after I arrived in the country. Experiencing hair loss in Japan can be hard to swallow for anyone, but as a 20-something female, it was beyond troubling. I researched my symptoms online (which is always problematic) but found very little information about what I was experiencing. I hadn’t had this issue in Canada. Was it Japan, or was I going crazy?

After scouring the internet, desperate for advice, I finally found a private Facebook group for women living in Japan. There, I found a plethora of people who were suffering in the same way I was. It turned out I wasn’t crazy, and I wasn’t the only one.

A Common Problem

We were all in our twenties or thirties, and it seemed impossible to me that our problems were completely independent of our new surroundings. How could each one of us have completely separate issues that sprang up as soon as we landed? More importantly, how were other people with the same hair loss problem supposed to find this tiny pocket of information in Japan without being members of the Facebook group?

I want to shed light on this stressor and help anyone who might find themselves in the same situation. This was something that almost cut my time here drastically short, and I don’t want others to feel alone.

So, Why Is My Hair Falling Out?

The answer to this could be equal parts simple and frustrating. Are you of European or Celtic descent? Unfortunately, this might put you at a predisposition to have more hair loss in Japan. Westerners tend to have much softer, finer hair. There are many reasons why our hair can freak out as compared to when we’re in our home countries. Let’s run down the list of some of the things that can weigh heavily on our tresses.

The Causes

1. Jet Lag

A lesser-known symptom of jet lag, outside the general tiredness and brain fog, is hair loss (who knew?!) This is likely caused by many factors, such as being at a high altitude, general travel stress and your body being thrown completely out of its regular rhythm. So, if you’re brand new to the country, it might not be time to panic just yet. Jet lag (typically) wears off at one to two time zones per day. For anyone coming from North America, that means it can take a week before the immediate effects wear off.

That being said, our hair tends to take even longer to catch up, so if you think jet lag might be the culprit, give it a couple of weeks to start getting back to normal.

2. Climate Changes

Not only does your internal clock take a beating when you first arrive, but depending on what time of year you land in Japan, the change in weather can also give you a serious beating. Summers in Japan are brutally hot and humid. Our hair is like our fur, so if we need to cool down, it tends to start shedding!

After speaking with a dermatologist here in Japan, I was told that my hair loss could be caused by dandruff, which is often caused by the humid climate (gross!). Dandruff is definitely something that happens to a lot of Westerners during the Japanese summers and winters.

It turned out that the level of severity of seborrheic dermatitis (the medical term for extreme dandruff), which would take to disrupt hair follicles, is—to spare you the worst of the details—intense. Far worse than the few flakes I was noticing. Still, if you have intense itching and flaking, you might want to speak with an expert.

3. Diet

There are a lot of changes to diet that come with moving to a new country. Japan has a lot of delicious foods, but what I didn’t notice right away was that, coming from North America, there tends to be less protein in Japanese meals. Also (at least in Tokyo), fresh veggies and fruits can be expensive and consequently, are more easily skippable. This is where things can go wrong, as nutrient deficiencies are going to manifest themselves in your hair and skin first.

When I first arrived, my diet changed a lot; I had to make a much more deliberate effort to keep the same micronutrients in my system that I was getting on a regular basis back home. Even if your diet isn’t necessarily unhealthier, a big change in food intake can still lead to a reaction in your hair weeks after the change has occurred. This can make it hard to pinpoint as a culprit for hair loss.

Some of the most important micronutrients for hair health are vitamins C and E, zinc, B-vitamins and omega-3 fatty acids. While omegas are fairly easy to come by in the Japanese diet (contained in fish and nuts), a lack of animal-based protein can decrease your B vitamins. Meat contains plenty of zinc as well, so we start to see how important protein is for hair growth. For my vegan readers, whole grains, seeds and legumes also contain these, but I would consult your physician to ensure you’re not missing any key nutrients.

4. Water

Where I come from, we drink natural, untreated water straight from the ground. Canada is blessed with a lot of accessible and fresh water. Japan, in general, also has very clean water. In a big city like Tokyo, however, it is heavily treated with chlorine to keep it free from contagions.

When I first arrived, I thought the water coming from my tap smelled like a swimming pool. The chlorine also turned my dyed, reddish-brown hair almost dirty blond in under a month, so it’s definitely heavy-duty. If your hair isn’t used to treated water, it’s likely going to take a long time to adjust to the change.

The Solutions

1. A Shower Filter

After reading through that forum I mentioned earlier, I realized that there was action I could take to slow my hair fall. The number one thing that was recommended was to purchase a shower filter. This helps to combat all those harsh chemicals in Tokyo water and can even help you adjust the strength of the water pressure so it’s more gentle on your follicles. I found this was a very quick way for me to address the issue in my drain every evening.

Savvy Recommends: I bought mine at Bic Camera for about ¥5,000, but you can also purchase the Cleansui Clean Water Showerhead online.

2. Hair Products

Here’s a big mistake people make, especially when they first move to Japan. If you don’t have hair similar to that of a Japanese person, then don’t use Japanese hair products, especially shampoo and conditioner. The Japanese hair care industry is (unsurprisingly) tailored to Japanese tresses. It’s made for thick, coarse, Asian hair. Because of this, it can be way too powerful and drying on foreign hair.

I highly recommend bringing products from home or ordering through websites so that you can make sure you’re not doing more harm than good in the shower. It also might be helpful to get something that is specifically for dandruff if you find you’re scratching your head more than usual.

Savvy Recommends: Lots of people swear by other dandruff hair products, but I prefer a more natural option called Petal Fresh.

3. A Silk Pillowcase

This is probably the thing that has helped me out just as much as the shower filter since I moved to Tokyo. Switching to a silk pillowcase is gentle on your strands, so I have stopped waking up to hair on my pillow after a night of tossing and turning. There is also an added benefit: silk pillowcases are supposed to be better for your skin! They can be expensive, at about ¥6,000, but I have found it a worthwhile investment.

Savvy Recommends: Silk pillowcases can be found at any linen store, but if you want an online option, check out this one made in Japan.

4. Mind Your Food

Diet can significantly impact hair. While you should check with a doctor before making any drastic dietary changes or introducing nutritional supplements, the right additions can really help to facilitate growth. Make sure you are eating foods rich in omegas and protein, such as fish, avocados, eggs and nuts.

Iron is also crucial for hair growth, and it is plentiful in dark, leafy greens. Another great supplement for strengthening your follicles is biotin. This is notorious for being difficult to get from foods other than eggs, but ask your physician about introducing it into your supplement arsenal. Any biotin supplements should do, and you can find them all over Amazon, Rakuten or even in Don Quijote.

5. Relax!

Moving to another country is, well, stressful! Especially if you are trying to find an apartment, a job and any sort of comfort from your old life. Things can be tense for weeks or even months and that can take a toll on your entire being. Plus, if you notice a lot of hair falling from your head, that can feed into more stress, so you get caught in this never-ending loop.

Try to remember that stress affects your hair slowly, but cuts deeper than most other factors. If you look at your life and think, ‘But I’m not stressed!’ then look back a few more months. You might remember being in a different time that is still following you around in the form of hair loss.

Savvy Recommends: There are lots of ways to relax and it’s going to be about finding what works for you. Starting a yoga and/or meditation practice will work wonders. Or, try introducing warm baths with fun bath bombs to help calm your nerves. If putting on some Netflix stand-up comedy or the newest anime release is what calms you, then do it! It’s about carving out the time in your day or week to address feelings of stress and doing what we know grounds us again.

6. Know When To Call In The Troops

Now, if a few months have passed and the problem is persisting, remember that hair loss can be a symptom of a more serious issue. This article can’t tell you if it is a cause for concern, so if you have tried all other avenues and it has been a few months of gradual thinning, or a large amount of steady thinning, it’s best to seek the help of a medical professional.

Start with a general practitioner, though it’s possible you will be referred to a dermatologist for further evaluation. Hair loss can be caused by a myriad of things (especially in women living in Japan), but it’s always good to err on the side of caution.

Things Will Get Better!

I am writing this article to ensure that, as people of all genders, ages, and ethnicities move into Japan’s four distinct seasons, they know they are not alone in their struggles. It’s not just you. It can be Japan. You are not going crazy. After a year of living here, multiple trips to the dermatologist, and adjusting my haircare routine, I have quelled the worst of the hair fall.

It took me a long time to find the products that were right for me, so I suggest experimenting with your routine and trying to address the main issues we tend to face here as foreigners. A little time and TLC will most often resolve the issues, so try not to stress yourself out more by dwelling on them. Dwelling on them can only make them worse.

Just remember, you’re not the only one experiencing hair loss in Japan, and it will be okay. Focus on all the great things Japan adds to your life, not the losses on your scalp.

Abortion Laws & Support in Japan: A Foreigner’s Guide

Julia Mascetti — Sat, 12 Jul 2025 23:00:00 +0000

For some people, becoming pregnant in Japan is great news. It can be the start of an exciting new chapter of your Japan life, and a source of great happiness. However, for some women, carrying an unplanned pregnancy to term feels like an impossible prospect, whether due to financial constraints, social pressure, health or personal reasons. In such cases, understanding your options for abortion in Japan becomes essential.

Is Abortion Legal in Japan?

Depending on your home country, attitudes and regulations regarding abortion may be more or less lenient than you are used to. In Japan, abortion is legal under the Maternal Protection Act, and permitted if continuing the pregnancy would seriously impact the woman’s physical health or cause significant economic or social hardship. It is also legal in cases of rape or incest, and must be performed before 22 weeks of pregnancy.

In April 2023, Japan approved its first abortion pill, known as Mefeego (a combination of mifepristone and misoprostol), for pregnancies up to nine weeks. However, as of 2025, medication abortions still account for a small percentage of total procedures.

Abortion is still not uncommon. According to the Ministry of Health, Labour and Welfare, 126,734 abortions were reported in fiscal year 2023. Although this number reflects a continuing decline from earlier decades, it demonstrates that abortion remains a widely utilized option for those facing unplanned pregnancies in Japan.

What To Know In Advance

If you’re facing the difficult decision of terminating a pregnancy in Japan, it’s important to know your rights, the process and what to expect ahead of time. While the experience can feel overwhelming—especially in a foreign country—having accurate information can help you feel more in control.

Timing Matters

If you suspect you’re pregnant and are considering an abortion, act quickly. Abortion in Japan is legal up to 21 weeks and 6 days (just before the third trimester), but the sooner you act, the simpler and more affordable the procedure tends to be. After 22 weeks, abortion is only permitted if the pregnancy poses a serious risk to the woman’s life or health, and even then, it requires special approval and is rarely performed.

Medical vs. Surgical Abortion

Access to medical abortion in Japan is gradually expanding, but it remains limited and closely regulated. The pill must be taken at a designated medical facility, and most clinics require you to stay for observation, even though the medication is taken orally. Currently, only a small number of clinics across the country offer this option, so it’s important to check availability early.

For most women, especially those past nine weeks, a surgical abortion is still the most commonly available option. These are typically performed at obstetrics and gynecology (ob-gyn) clinics, especially in larger cities like Tokyo, Osaka and Nagoya.

Something that may come as a surprise—particularly to women from Western countries—is that partner (or spousal) consent is often required for an abortion in Japan. This is due to the continued enforcement of Article 14 of the Maternal Protection Act, which states that both the pregnant person and their spouse must consent to a termination.

While there are exceptions—such as if the partner is deceased, missing or if the pregnancy is the result of rape—you must usually provide documentation in those cases. In practice, however, many clinics do not verify the identity of the consenting partner. This means that some women choose to have a male friend sign the form, though clinics vary in how flexible they are with this approach.

It’s also important to note:

Unmarried women are not legally required to obtain spousal consent. However, many clinics still ask for a signature, even if it is not legally necessary.
Women experiencing abuse or coercion may find this requirement particularly difficult—support organizations (listed later in this article) may be able to assist.

Preparing for Your Appointment

Once you book an appointment, the clinic will provide detailed instructions about:

How to download and complete the consent form
What documents to bring (ID, health insurance card, etc.)
Pre-procedure health checks (blood tests, ultrasounds)
Estimated costs, depending on gestational age, method and clinic location

For example, at Ikenoue Obstetrics and Gynecology (mentioned later in this article), the consent form is available online, and the staff provides detailed instructions. Some clinics also offer pre-procedure counseling in Japanese or English.

How Much Do Abortions Cost in Japan?

In Japan, abortion is generally not covered by the national health insurance system, as it is typically classified as an elective procedure. This means that in most cases—regardless of method or reason—you will need to cover the full cost out of pocket. However, in rare cases where the abortion is medically necessary to protect the life or health of the mother (such as with an ectopic pregnancy or severe complications), the procedure may be partially or fully covered by insurance. If you believe your situation may qualify, it’s important to consult with the clinic or hospital in advance.

Medical Abortion Pill (Up To 9 Weeks)

The Mefeego Pack currently costs around ¥100,000–¥150,000. This includes mandatory medical supervision and usually an overnight hospital stay, even though the medication is taken orally.

First-Trimester Abortions (Up To 12 Weeks)

It typically costs ¥80,000 to ¥150,000, depending on the clinic, region and whether it’s done under general or local anesthesia. Many Tokyo-area clinics charge closer to the upper end of that range.

Second-Trimester Abortions (13 to 21 Weeks 6 Days)

These are more complex procedures that often require hospitalization and multiple visits. Costs generally range from ¥200,000 to ¥400,000 or more, depending on gestational age and medical needs.

Additional Costs

Initial consultation and pregnancy confirmation tests (like ultrasound, blood work): ¥5,000–¥15,000
Follow-up appointments (usually required): ¥5,000–¥10,000
Consent form processing: If documents or notarizations are required in some instances, extra fees may be added.

Prices can vary widely between clinics, so it’s important to ask for a detailed cost breakdown during your first consultation. Some clinics accept credit card payments, while others may require cash.

The Procedure

The exact details may vary by clinic and your individual situation, but here’s a general idea of what to expect on the day of the procedure.

When you arrive for your appointment, you’ll first be taken to a private room where a nurse will check your documents—particularly the signed consent form, if required—ask a few questions about your health history and allergies, and collect payment.

First-Trimester Abortions

First-trimester abortions are typically completed in half a day. You’ll be asked to change into surgical wear and prepare to meet the doctor. Once in the procedure room, you’ll likely be placed on an IV drip, given medication to soften your cervix and may wait anywhere from 30 minutes to two hours. You’ll then receive anesthesia—either local or general, depending on the clinic and your personal circumstances. The actual procedure usually takes about 10 to 20 minutes.

After the abortion, you’ll be moved to a recovery area to rest for about 30 minutes to an hour. Some bleeding and cramping afterward is normal. Many clinics ask you to bring your own sanitary pads, so be sure to check in advance. You’ll be given medication to aid healing and prevent infection, and will typically be asked to return within a week for a follow-up appointment to ensure you’re recovering well.

You won’t be allowed to drive after the procedure. Even if you’re planning to take public transportation, it’s a good idea to ask a trusted friend or partner to come with you and help you get home safely.

Second-Trimester Abortions

Second-trimester abortions are more complex and usually require a multi-day hospital stay. The process often involves labor induction and more intensive medical management. These procedures are more expensive due to the extended stay and additional care involved.

In many cases, you’ll also be issued a fetal death certificate. You may be asked to arrange for cremation or burial of the fetus—this is often handled through a local temple or cemetery if you choose to proceed. While emotionally and logistically more difficult, the hospital will usually explain each step in advance.

Medical Abortion

If the medical abortion procedure is approved, you’ll take the first pill at the clinic and stay under observation. The following day, you’ll take the second pill, which causes the uterus to contract and expel the pregnancy. You’ll need to remain in the clinic during the process, which may take several hours, and some facilities may require an overnight stay for this option, too.

Clinics in Tokyo

The following are Tokyo-based ob-gyn clinics that offer abortion services. While all of these options have some degree of English language support, not all medical or administrative staff will speak English fluently. It’s a good idea to call ahead to confirm their language options and whether interpretation is available during appointments.

Ikenoue Obstetrics and Gynecology (Setagaya): All abortions are done by female doctors only, and an English-speaking doctor is usually available.
Toho Women’s Clinic (Kiba): English availability may vary depending on the staff (both female and male), but the medical abortion pill is available here.
Orito Ladies Clinic (Yurakucho): English support is minimal when booking, but the primary doctor (male) speaks English and French.

Interpretation

If an English-speaking ob-gyn is unavailable, you can opt for a medical translation service. Japan Health Info offers interpretation and assistance for women up to 10 weeks pregnant, including referrals to appropriate clinics.

Can You Get Financial Help For An Abortion in Japan?

In most cases, abortion in Japan is considered a private medical service, and as mentioned earlier, financial assistance is not readily available through national insurance or welfare programs. However, there are a few possible avenues to explore, depending on your circumstances and location.

Municipal-Level Support (Case-by-Case)

Some local governments and women’s health centers may offer limited financial support or refer individuals in difficult situations to organizations that can help. However, this is typically reserved for:

Survivors of domestic violence
Teenagers or minors without family support
Individuals experiencing financial hardship or housing insecurity
Cases of sexual assault or coercion

For example, the Tokyo Women’s Plaza or Counseling Center For Women may connect individuals with support services or crisis centers. Some 福祉事務所 (fukushi jimusho; “welfare offices”) or 児童相談所 (jidosoudansho; “child consultation centers”) may also offer confidential guidance for minors or vulnerable individuals.

Aftercare & Psychological Support

Although your ob-gyn will provide you with medication to ease the physical after effects, psychological support in most cases is minimal. Most women who voluntarily opt for an abortion feel relief after it is all over, but it is also normal to experience a wide range of emotions. You may find it helpful to talk about your feelings with your partner, a trusted friend or a family member.

If the psychological aftereffects are interfering with your daily life, there are several English-speaking mental health resources available in Tokyo.

TELL Japan
Tokyo Mental Health
International Mental Health Professionals Japan (IMHPJ)

Many international clinics also have psychologists on staff or can provide referrals to English-speaking therapists.

Personal Stories

Foreigners considering an abortion in Japan may take comfort from the testimonials of women who have been in the same situation. Two women who have had abortions in Japan agreed to share their experiences with Savvy Tokyo anonymously. Both women were satisfied with their quality of care and have now recovered physically and emotionally from the experience.

The first woman undertook abortion as an outpatient procedure and went home the same day.

“The procedure itself was quick. I was put under enough anesthesia not to feel pain, but I was conscious the entire time. My friend came and picked me up because I wasn’t allowed to drive afterwards. I was given three days’ worth of medicine to stop the blood flow and shrink my uterus. However, after three days, I had to return to work and wasn’t allowed to use tampons (due to the risk of infection), which meant running to the bathroom between every class to change my pad due to all the bleeding. The procedure was expensive, but very clean and professional. It made the emotional experience of having an abortion a little bit easier. I did have to see the final ultrasound and was asked, ‘Are you sure?’, but there was no shaming. Despite the circumstances, it was a relatively OK experience.”

The second woman chose to terminate her pregnancy based on the grounds of not being ready to start a family and because she was concerned that a medical condition she had could impact the health of the fetus. She undertook the procedure under general anesthesia.

“At no point during the visit to the clinic, hospital or any of my doctor’s visits was I told not to choose to terminate. The doctors and other medical professionals whom I encountered seemed very supportive and understanding. My partner also expressed to me that he was willing to go along with whatever decision I chose. The procedure was about ¥180,000 and was not covered by insurance. Financially, it is a burden, but the hospital allowed me to make installment payments. I don’t regret my decision because I am still being treated for my medical condition, and I can’t imagine what it would be like to be pregnant and have these issues.

I come from a very liberal family and my mother is a medical professional. Understanding the importance of doing what is right for your own health was how I was raised. This whole situation was actually a very big surprise for me. I never imagined I would have to make a decision of this nature. Even though I feel okay about my experience, I still feel sad about it sometimes. I try to keep in mind that I need to think of the best decision for myself at that moment. When the right time comes, I’ll be ready.”

Abortion can be a taboo topic that can bring up a lot of complex feelings. If you are going through this, remember any and all of your emotional reactions are valid, including a lack of feeling.

Dealing with an unwanted pregnancy when living in a foreign country can be a scary prospect. There are safe, legal options with language support available to you, and a lot of stories with happy endings.

This article has been updated with the latest information for 2025.

Groped, Scared, Disgusted: Stories Of Dealing With Chikan in Japan

Lucy Dayman — Sat, 28 Jun 2025 23:00:00 +0000

Back in April 2018, a video went viral online. It showed a foreign man groping a woman on a Tokyo train. The clip spread across Japan’s online communities and networks, causing outrage and disbelief. The strong reactions were a positive sign. People openly discussed sexual assault in Japan. But the truth is, it still happens often. Being groped in Japan is called chikan (痴漢). Gropers take advantage of crowded, public spaces. They know victims fear causing a scene. Packed trains give them anonymity and cover, and the lack of space makes it hard to react. That’s why many victims stay silent or don’t report it.

What’s Being Done?

Over the years, Japan has continued to try and find ways to fight the issue. Some solutions have included the introduction of women-only train carriages, and signs encouraging commuters to speak up if they witness an assault take place, playing on the group mentality that often keeps people quiet; ‘together we can stop chikan.’ In 2010, the Saikyo Line, a line notorious for groping, had cameras installed in an attempt to deter future assaults. More recently, a number of other anti-chikan initiatives have been put into place, including pervert branding stickers put in place by the Saitama Prefecture Police Department and a “learning corner” added to the Molestation Eradication Project website (since September 2024) to help people understand what to do if they are a victim or witness a groping.

But chikan eradication is still a work in progress. As a 2024 nationwide Cabinet Office survey revealed, 10.5% of people aged 16 to 29 have experienced groping or similar indecent acts in public spaces, most often on trains or in stations. Among them, 13.6% of women and 3.6% of men reported being victims. Of these incidents, 62.8% occurred on trains, and 34.5% happened during peak commute hours between 6 a.m. and 9 a.m. Alarmingly, around 80% of victims chose not to report the crime. Given the insidious nature of the behavior and the difficulty in prosecuting cases, the real number is likely far higher.

Real Experiences

We spoke to seven women, both foreign and Japanese, who were eager to share their stories in the hope that speaking out about the issue would help others find some solidarity in their collective experiences. In the name of full transparency, all the women in this article are personal acquaintances, and these experiences have been shared as a response to social media callouts and conversations we’ve had in person. Here are their stories.

Megumi, 25, Japanese/American

I have had it happen to me twice. Once, when I was in ninth grade, five boys on the train started taking pictures of my legs and trying to look into my skirt, laughing about it. The first time it happened, I was frustrated and felt hopeless. We were surrounded by adults, and I wondered why none of them stepped in to say anything.

The second was when I was a freshman, a senior in high school, who was standing right next to me, just started touching my hips. I was scared frozen. The way he started touching me was so casual. I got off eight stops early and walked because I couldn’t bear it any longer.

Ako, 26, Japanese

When I was a junior high school student, it took me an hour on the packed train to get to school every morning. It (chikan) happened to me almost every day. There were subtle incidents, like being stuck next to a person who was reading a book, holding it at the same height as my breasts. When the train would shake, the hands holding the book would touch my breasts.

At first, I thought it was an accident, but as I turned my body, their hands would follow me. When I realized that it might be chikan, I’d get off the carriage, wait for the next train and was, as a result, late for school. I never felt like I could stand up to it. I always felt so empty after these situations happened, so I tried to avoid thinking about it.

Looking back, I think it has affected me emotionally and relationship-wise. I had no experience or knowledge about men at the time, so it made me think that’s what guys want and it’s normal. I learned that it wasn’t right when I was older, but by the time I was 15, I already had the wrong idea of how girls should be treated.

Jo, 37, Australian (11.5 Years in Japan)

I was living in Osaka, working an administrative job for a recruitment company at the time. I had to take the subway, and I never bothered with the ladies’ carriage. I’m taller than all my female Japanese buddies, so I never felt threatened or at risk.

Listening to my iPod (this was back in my mid-20s), I stood on a train that was crowded but not too packed. It was spring, and I had a skirt on. I was about the second row from the door, close enough to see my face reflected in the window. Something touched the back of my thigh—probably someone’s bag or just an accident, I thought. Then it moved slightly up my inner thigh… then higher… until it was pressing against the outside of my underwear. I completely froze, wanting to faint and vomit at the same time.

I could see the guy’s face in the window’s reflection. He stared at my reflected face with no expression at all. It was like a horror movie. I shifted my whole body before his hand could move anywhere else, and as I was just starting to think, “Ok, what am I going to do next…” the train stopped, and I stepped off at that station.

Older me is quite angry that no one I told (including my boss) suggested that I contact the police. I even remember one guy at work telling me that I needed to be more careful, as I was cute and had long, gaijin legs. In hindsight, it makes me want to jump in a time machine and go punch him in the face. I still love Japan more than anywhere, but this was just a really awful thing that happened.

Yuri, 25, Japanese

My first chikan experience was when I was 16 years old. An old guy started grinding himself on me on the metro. At first, I didn’t notice, but then it continued for so long that I turned around and when I looked back, I saw he had an erection. I was so scared I couldn’t do anything. I think my school uniform made me a target.

Another experience I had was that I was touched by the same man three times. After the third time he tried to touch me, I ran after him, but there were so many people at the station and he was so fast. When he was far enough away, he looked back at me and laughed, as if to say he’d won. I’ve come to realize that I really have to be wary if the train is full. I’m still scared to use the train when it is packed, so I usually use the women-only carriage.

Noemi, 26, Japanese

I think I was 13 or 14 years old. I was on a packed train and a guy behind me started rubbing himself on me. Also, when I was around the same age, I was on a packed train, and the guy next to me was moving weirdly. He was crossing his arms, but somehow he reached around me and started touching the bottom of my bra, along the inner bra wire. He was slowly sliding his finger back and forth under my bra. It felt like it lasted for ages. I was frozen, I did nothing, I just got off the train, and went to school. I felt disgusted, angry, confused, but mostly scared.

When I was young, this type of harassment was just something we had to go through in silence. So I’d like to ask people who witness harassment to intervene if they can. I am mad, but not at myself for not standing up to it. I’m mad at the men who get away with it.

Manami, 26, Japanese

There was no physical groping in my case, but I wanted to share my story to have a broader discussion about what people consider sexual harassment to be here in Japan, and the extent to which women face it in their daily lives.

It happened about a year ago, on my daily commute. I was getting the same morning train every day and started to recognize some faces in the same carriage. One day, I noticed a man, probably in his 60s, standing uncomfortably close to me. There was some room to move around, so I did just that, but he started following me around. At first, I thought I was overreacting, but this continued for the next three days.

When I first had a hunch he might be following me, I was too unsure to do anything, so I just kept quiet. But after it happened three days in a row, it was clear it wasn’t just me. Still too self-conscious to confront him, make drastic movements, or ‘run away,’ I simply decided to leave home a bit early and get on a different train.

I felt defeated—pissed that I had to change my schedule to avoid his harassment. But what enraged me the most was knowing he could be doing exactly the same thing to other women.

K, 23, Japanese

When I was a university student, I was on a train heading from Shimokitazawa to Shibuya. After a few minutes on the train, I noticed someone was touching me on the hips. I wasn’t 100% sure, so I kind of waited to see if he kept touching me or not.

After a few minutes, I realized he was definitely a chikan because he started to try to touch my breasts. From that time, I was only thinking about how I could catch him. My train got to Shibuya Station, and everyone was getting off. I moved against the flow of people and stayed on a train. He was behind me, so if I didn’t get off the train, he couldn’t either. After everyone got off, there was only him and me. I grabbed his shoulder bag and asked him, “Did you touch me?” He said “no,” he didn’t. He kept saying no over and over, but I took him to the station staff.

I was shocked at how brave and confident I felt. I remember at that time no one helped me, even though people around me should’ve noticed that I was fighting a chikan when I grabbed his bag or took him to the station staff. It’s a little bit scary to ask strangers for help, but I think it’s incredibly important.

Recurring Themes: The Fear of Speaking Up

A common theme that ran true for many of the women interviewed for this article was that their assumptions of how they thought they would have behaved were challenged when they found themselves being assaulted. As Megumi explained, “I wish I could say that I spoke up, but that bravery seems to disappear when you’re in the middle of being touched.” Noemi suggested that to combat the issue, the wider public must take responsibility for looking out for fellow commuters and stepping in if they see something inappropriate:

“I know how it feels to be scared and not be able to do anything. I want to tell people that if they see something like that happening, they should try to intervene and stop it.”

What To Do If You’re Assaulted

If you can, speak up.

If you find yourself being assaulted, you are in the full realm of your rights to speak up and make a scene. As we saw in these stories, finding the courage to do so can be difficult. However, once the awkward barrier of silence has been broken, it’s much more likely that others will step in to help intervene.

Find the station attendant.

There you can report the situation. You can also take the perpetrator with you, or if somebody else has stepped in to help, chances are they’ll hand over custody to a station official.

Leave the situation, if needed.

If you’re too scared to say anything, leave the situation as quickly as possible. Get off at the next stop, find a moment to collect yourself, and don’t be ashamed of being upset. Your safety should always be the number one priority, so do what feels safe.

Speak to someone about it.

Sometimes the best way to work through an event is to talk it out, whether with friends, family or a professional. Sexual assault is, unfortunately, an all too common occurrence, one that’s typically swept under the rug, which enables more perpetrators to get away with their actions. In speaking, we raise awareness, and with that awareness comes diligence. If you’re finding it difficult to find someone to speak to, consider contacting Tell Japan, an English language network of counselors and mental health support workers.

Have you ever experienced being groped or experienced chikan on the train in Japan or your home country? What did you do? What do you wish you had done? Share your thoughts with us in the comments or contact us about it.

This article has been republished for 2025.