{"id":10151,"date":"2025-09-06T08:00:00","date_gmt":"2025-09-05T23:00:00","guid":{"rendered":"http:\/\/savvytokyo.com\/?p=10151"},"modified":"2025-09-05T15:33:33","modified_gmt":"2025-09-05T06:33:33","slug":"getting-contraceptive-pill-japan","status":"publish","type":"post","link":"https:\/\/savvytokyo.com\/getting-contraceptive-pill-japan\/","title":{"rendered":"Getting The Birth Control (Oral Contraceptive) Pill in Japan"},"content":{"rendered":"\n<p>The birth control pill in Japan is known as <em>keikou-hinin-yaku<\/em> (\u7d4c\u53e3\u907f\u598a\u85ac) but more commonly referred to as \u201c<em>piru<\/em>\u201d (\u30d4\u30eb). 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.<\/p>\n\n\n\n<p>But in reality, it remains a relatively cheap, effective and increasingly accessible method of birth control that you can get with a little effort.<\/p>\n\n\n\n<nav class=\"wp-block-gplus-anchor-table\"><ol><li class=\"wp-block-gplus-anchor-table__level-2\"><a class=\"wp-block-table-of-contents__entry\" href=\"#why-the-pill-obsession\">Why The Pill Obsession?<\/a><\/li><li class=\"wp-block-gplus-anchor-table__level-2\"><a class=\"wp-block-table-of-contents__entry\" href=\"#how-do-i-get-the-pill-in-japan\">How Do I Get The Pill in Japan?<\/a><\/li><li class=\"wp-block-gplus-anchor-table__level-2\"><a class=\"wp-block-table-of-contents__entry\" href=\"#what-types-of-pills-are-available\">What Types Of Pills Are Available?<\/a><\/li><li class=\"wp-block-gplus-anchor-table__level-2\"><a class=\"wp-block-table-of-contents__entry\" href=\"#emergency-contraception-the-morning-after-pill\">Emergency Contraception (The Morning-After Pill)<\/a><\/li><\/ol><\/nav>\n\n\n\n<h2 class=\"wp-block-heading is-style-framed-heading\" id='why-the-pill-obsession'>Why The Pill Obsession?<\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-1297131202.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-1297131202-1024x683.jpg\" alt=\"Close-up of young woman's hand holding birth control pills\" class=\"wp-image-94688\" srcset=\"https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-1297131202-1024x683.jpg 1024w, https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-1297131202-300x200.jpg 300w, https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-1297131202-768x512.jpg 768w, https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-1297131202-380x253.jpg 380w, https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-1297131202.jpg 1254w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><small class=\"imgcopyright\">\u00a9 Photo by iStock: Mindful Media<\/small><\/figure>\n\n\n\n<p>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\u2014cringe-worthy, yes, but also part of the reason <a href=\"https:\/\/savvytokyo.com\/contraception-in-japan\/\">contraceptive choice<\/a> feels more familiar in the West than in Japan.<\/p>\n\n\n\n<p>Here, the picture is different. <a href=\"https:\/\/savvytokyo.com\/a-guide-to-japanese-condom-brands\/\">Condoms<\/a> 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\u2014sex education in Japan still doesn\u2019t widely emphasize female contraceptive choices.<\/p>\n\n\n\n<p><a href=\"https:\/\/savvytokyo.com\/abortion-in-japan\/\">Abortion is legal<\/a> 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\u2019s written consent, and procedures are usually more expensive than back home.<\/p>\n\n\n\n<h2 class=\"wp-block-heading is-style-framed-heading\" id='how-do-i-get-the-pill-in-japan'>How Do I Get The Pill in Japan?<\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-1367970097.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-1367970097-1024x683.jpg\" alt=\"Japanese medical recording book and package for medicine on light blue background\" class=\"wp-image-94692\" srcset=\"https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-1367970097-1024x683.jpg 1024w, https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-1367970097-300x200.jpg 300w, https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-1367970097-768x513.jpg 768w, https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-1367970097-380x254.jpg 380w, https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-1367970097.jpg 1254w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><small class=\"imgcopyright\">\u00a9 Photo by iStock: takasuu<\/small><\/figure>\n\n\n\n<p>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\u2019s supply usually costs around \u00a53,000, depending on the brand and your doctor. <a href=\"https:\/\/savvytokyo.com\/gynecologist-appointment-foreigners-explained\/\">My gynecologist<\/a> was incredibly helpful and friendly, but others may still be conservative about prescribing it, so experiences vary. Overall, access has been steadily improving.<\/p>\n\n\n\n<p>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.<\/p>\n\n\n\n<h2 class=\"wp-block-heading is-style-framed-heading\" id='what-types-of-pills-are-available'>What Types Of Pills Are Available?<\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-2164395358.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-2164395358-1024x683.jpg\" alt=\"Woman Hand Choosing Oral Contraceptive Pills, With Calendar And Clock On Background\" class=\"wp-image-94694\" srcset=\"https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-2164395358-1024x683.jpg 1024w, https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-2164395358-300x200.jpg 300w, https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-2164395358-768x512.jpg 768w, https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-2164395358-380x253.jpg 380w, https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-2164395358.jpg 1254w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><small class=\"imgcopyright\">\u00a9 Photo by iStock: EyeEm Mobile GmbH<\/small><\/figure>\n\n\n\n<p>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.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Monophasic pills:<\/strong> Marvelon (\u30de\u30fc\u3079\u30ed\u30f3), Ortho M-21 (\u30aa\u30fc\u30bdM-21), Yaz (\u30e4\u30fc\u30ba)<\/li>\n\n\n\n<li><strong>Multiphasic pills:<\/strong> Triquilar (\u30c8\u30ea\u30ad\u30e5\u30e9\u30fc), Ange (\u30a2\u30f3\u30b8\u30e5), Synphase (\u30b7\u30f3\u30d5\u30a8\u30fc\u30ba), Ortho 777 (\u30aa\u30fc\u30bd\uff17\uff17\uff17)<\/li>\n<\/ul>\n\n\n\n<p>As of June 2025, Japan has finally approved its first mini-pill: Slinda 28 (\u30b9\u30ea\u30f3\u30c0), 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.<\/p>\n\n\n\n<h2 class=\"wp-block-heading is-style-framed-heading\" id='emergency-contraception-the-morning-after-pill'>Emergency Contraception (The Morning-After Pill)<\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-1485407724.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"755\" src=\"https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-1485407724-1024x755.jpg\" alt=\"Emergency contraception (morning after pill) \/ Emergency Contraception\" class=\"wp-image-94696\" srcset=\"https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-1485407724-1024x755.jpg 1024w, https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-1485407724-300x221.jpg 300w, https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-1485407724-768x566.jpg 768w, https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-1485407724-380x280.jpg 380w, https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-1485407724-100x75.jpg 100w, https:\/\/cdn.savvytokyo.com\/app\/uploads\/2025\/09\/iStock-1485407724.jpg 1192w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><small class=\"imgcopyright\">\u00a9 Photo by iStock: Lalocracio<\/small><\/figure>\n\n\n\n<p>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.<\/p>\n\n\n\n<p>For the first time, Japan will allow over-the-counter sales of the emergency contraceptive pill. NorLevo (\u30ce\u30eb\u30ec\u30dc\u9320 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 \u00a57,000 and \u00a510,000 per pill.<\/p>\n\n\n\n<p>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.<\/p>\n\n\n\n<p>For now, if you need it before the rollout, you\u2019ll still need to call a clinic and ask for the <em>kinky\u016b-hinin-h\u014d<\/em> (\u7dca\u6025\u907f\u598a\u6cd5), or <em>mo-ningu afutaa piru<\/em> (\u30e2\u30fc\u30cb\u30f3\u30b0\u30a2\u30d5\u30bf\u30fc\u30d4\u30eb).<\/p>\n\n\n\n<p><a href=\"https:\/\/health.gaijinpot.com\/clinic\/?department=womens-clinic&amp;languages=english\" target=\"_blank\" rel=\"noreferrer noopener\">Find an English-speaking women&#8217;s clinic in Tokyo.<\/a><\/p>\n\n\n\n<p>Japan still has a way to go when it comes to <a href=\"https:\/\/savvytokyo.com\/health\/womens-health\/\">women\u2019s health<\/a>, but things are changing\u2014albeit slowly. The upcoming launch of over-the-counter emergency contraception and the arrival of mini pills are significant steps toward broader choice.<\/p>\n\n\n\n<p>Never forget: the birth control pill (regular or emergency) does not protect against sexually transmitted infections (STIs). <a href=\"https:\/\/savvytokyo.com\/a-guide-to-japanese-condom-brands\/\">Condoms<\/a> are still the only protection for that. Stay safe, stay informed, and let\u2019s keep the conversation going!<\/p>\n\n\n\n<p><em>For other contraceptive options, don&#8217;t forget to check our full article about <a href=\"https:\/\/savvytokyo.com\/contraception-in-japan\/\">contraception in Japan<\/a>.<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><em>This article has been updated with the latest information for 2025.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The percentage of Japanese women who take oral contraception is still minimal in comparison to women in the West, where it reigns as one of the most popular forms of birth control. But fear not ladies, here are the ins and outs of purchasing birth control pills in Japan. <\/p>\n","protected":false},"author":80,"featured_media":59984,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_subtitle":"The \"piru\" explained","footnotes":""},"categories":[43,41,231,252,243,3707,1286,379,3693],"tags":[3782,3785,3779],"promotion":[],"class_list":["post-10151","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","category-lifestyle","category-love-sex","category-new-in-tokyo","category-practical-information","category-sex","category-trending","category-womens-issues","category-womens-health","tag-contraception","tag-oral-contraceptive","tag-the-pill"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Getting The Birth Control (Oral Contraceptive) Pill in Japan - Savvy Tokyo<\/title>\n<meta name=\"description\" content=\"Fear not ladies, here are the ins and outs of purchasing the birth control pill in Japan, including emergency contraception and the mini-pill.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Getting The Birth Control (Oral Contraceptive) Pill in Japan - Savvy Tokyo\" \/>\n<meta property=\"og:description\" content=\"Fear not ladies, here are the ins and outs of purchasing the birth control pill in Japan, including emergency contraception and the mini-pill.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/savvytokyo.com\/getting-contraceptive-pill-japan\/\" \/>\n<meta property=\"og:site_name\" content=\"Savvy Tokyo\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/tokyosavvy\/\" \/>\n<meta property=\"article:published_time\" content=\"2025-09-05T23:00:00+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/cdn.savvytokyo.com\/app\/uploads\/2022\/07\/iStock-1257475368.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1254\" \/>\n\t<meta property=\"og:image:height\" content=\"837\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Margot Curtis\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Margot Curtis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/savvytokyo.com\/getting-contraceptive-pill-japan\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/savvytokyo.com\/getting-contraceptive-pill-japan\/\"},\"author\":{\"name\":\"Margot Curtis\",\"@id\":\"https:\/\/savvytokyo.com\/#\/schema\/person\/4230f6defe2d492a3efcdbbef2f93f44\"},\"headline\":\"Getting The Birth Control (Oral Contraceptive) Pill in Japan\",\"datePublished\":\"2025-09-05T23:00:00+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/savvytokyo.com\/getting-contraceptive-pill-japan\/\"},\"wordCount\":753,\"commentCount\":1,\"publisher\":{\"@id\":\"https:\/\/savvytokyo.com\/#organization\"},\"image\":{\"@id\":\"https:\/\/savvytokyo.com\/getting-contraceptive-pill-japan\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/cdn.savvytokyo.com\/app\/uploads\/2022\/07\/iStock-1257475368.jpg\",\"keywords\":[\"contraception\",\"oral contraceptive\",\"the pill\"],\"articleSection\":[\"Health\",\"Lifestyle\",\"Love &amp; 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