# ひろクリニック

読み方: ヒロクリニック

URL: https://www.hospita.jp/hospital/1559

## 基本情報

- 住所: 東京都渋谷区道玄坂2-28-3 道玄坂クラトスビル4F
- 電話: 03-5458-1860
- 最寄駅: 渋谷駅、神泉駅

## 診療科目

泌尿器科、婦人科、皮膚科、性病科

## 病院紹介

**渋谷区渋谷駅近くにて泌尿器科・皮膚科・婦人科・性病科の診療を行っております。
ED治療やHIV迅速検査、ピル処方等、お気軽にご相談下さい。**

■**院内処方**
**安心確実の院内処方**
\* 早漏(PE)治療 - パキシル
\* ED治療 - シアリス, レビトラ, バイアグラ
\* 避妊(Pill) - 低容量, 中容量, 緊急避妊用アフターピル

■**HIV検査**
**わずか15分間で結果がわかるHIV検査**
当院では、少量の血液にて、わずか15分間で結果がわかるHIV迅速検査を行っております。
他のSTD検査とも同時に行えますので、気軽にお問い合わせください。
HIV感染症の場合、感染のリスクから2ヶ月間はウインドウ期間といって、検査によってHIVウイルス抗体が検出されない期間があります。
感染のリスクから、2ヶ月以上たってから検査をしてください。
検査後、無料にて証明書を発行致します。
当院は厚生労働省HIV検査に関する研究班の協力研究班員のクリニックです。
**HIV迅速検査料 4,500円（税込）**
◎**梅毒迅速検査料3,800円**
◎**B型肝炎迅速検査料3,800円**
◎**C型肝炎迅速検査料4,500円**
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) 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) |
|---|---|
| 受付 | 待合室 |

 | \| **性病科** \| \|---\| |
|---|

■**HIV感染症／エイズ**
血液／体液を介してウイルスが感染する感染症です。異性間／同性間の性的接触が主要な感染経路です。
日本では近年、著しく増加傾向に有ります。
病 態は、感染初期／無症候期／エイズ発症期の3期に分けられます。感染初期は、発熱／咽頭炎／倦怠感／筋肉痛といったかぜ様の症状がみられることがあります。無症候期は症状はありませんが、ウイルスが増加しリンパ球が破壊されています。この状態ののち、リンパ球がさらに減少すると、免疫不全状態が進行し、 エイズが発症します。無症候期は約5年〜10年ですが、個人によって差が大きいです。
●**検査／治療法**
血液によって行い、スクリーニング検査で陽性の場合、さらに抗体検査を行って確認します。
血液検査は感染後約2ヶ月間経過しないと判定できません。
当院では、通常のスクリーニング検査と迅速検査の両方を行っています。
通常のスクリーニング検査は約2日間で結果がわかります。料金は3,000円です。
**迅速検査は15分間で結果がわかり、料金は4,500円です。**
また、他の性病 (淋菌感染／クラミジア感染／ヘルペス／尖圭コンジローム 等) に感染している場合、HIV感染症に3〜4倍感染しやすい事が知られていて、この点からも積極的なHIV検査が必要です。
◎**梅毒迅速検査料3,800円**
◎**B型肝炎迅速検査料3,800円**
◎**C型肝炎迅速検査料4,500円**

■**クラミジア感染症**
**男性の場合**
通常、尿道部分に感染し、尿道炎を引き起こします。1週間から3週間の潜伏期のあと、尿道の不快感や透明な分泌液が確認できます。しかし、クラミジア感染症で問題なのは、症状が全くない場合が多数あることです。
放置すると前立腺炎や精巣上体炎を引き起こし、長期化します。
**女性の場合**
ク ラミジアの感染によって子宮頭管炎、卵管炎、卵巣炎、骨髄内炎症症候群 (PID) を引き起こします。
症状としては、帯下の増加、不正出血、下腹痛、性交痛などがあり、上記症状がある場合、検査が必要です。
また、感染による不妊症や流 産、子宮外妊娠のリスクも高まるという報告があります。
男性同様、無症状であることも多数あります。
●**検査／治療法**
検査は分泌物、初尿による抗原検査、血液による抗体検査です。
治療は、1週間から2週間の抗生物質内服治療です。
また、オーラルセックスやディープキスによって咽頭にクラミジアが感染することがあります。
無症状であることが多いため、積極的な検査治療が必要です。

■**その他**
**\*** [毛ジラミ症](http://www.hiro-clinic.net/pages/medical-treatment/venerealdisease/index.html#louse) **\*** [性器ヘルペス](http://www.hiro-clinic.net/pages/medical-treatment/venerealdisease/index.html#herpes) **\*** [軟性下癇](http://www.hiro-clinic.net/pages/medical-treatment/venerealdisease/index.html#std001) **\*** [梅毒](http://www.hiro-clinic.net/pages/medical-treatment/venerealdisease/index.html#syphilis) **\*** [淋菌感染症](http://www.hiro-clinic.net/pages/medical-treatment/venerealdisease/index.html#gonococcus) **\*** [A型肝炎](http://www.hiro-clinic.net/pages/medical-treatment/venerealdisease/index.html#hepatitis_a) **\*** [B型肝炎](http://www.hiro-clinic.net/pages/medical-treatment/venerealdisease/index.html#hepatitis_b) **\*** [C型肝炎](http://www.hiro-clinic.net/pages/medical-treatment/venerealdisease/index.html#hepatitis_c) **\*** [性器カンジタ症](http://www.hiro-clinic.net/pages/medical-treatment/venerealdisease/index.html#kanjita) **\*** [トリコモナス症](http://www.hiro-clinic.net/pages/medical-treatment/venerealdisease/index.html#torikomonasu) **\*** [尖圭コンジローマ](http://www.hiro-clinic.net/pages/medical-treatment/venerealdisease/index.html#konji)
 | \| **泌尿器科** \| \|---\| |
|---|


■**尿道炎**
尿道に細菌が進入し、感染を起こす病気です。
STD（性感染症）の場合とそうでない場合があります。
原因となる細菌によって、淋菌性尿道炎、非淋菌性尿道炎に分けられ、非尿道性尿道炎はさらにクラミジア性尿道炎と非クラミジア性尿道炎に分けられます。
\* 淋菌性尿道炎
\* クラミジア性尿道炎
\* 非クラミジア性尿道炎
起因菌として、ウレアプラズマ、マイコプラズマ、ブドウ球菌、トリコモナス等があり、これらの細菌が尿道に侵入して炎症を引き起こします。
原因としては、もちろん上記の菌が性行為によって感染する場合もありますが、性行為とは全く関係なく発症する場合も少なくありません。
症例は尿道分泌物や排尿痛、異和感といったもので、淋菌性尿道炎やクラミジア性尿道炎と区別がつかない症例も少なくありません。
●**検査／治療法**
治療は抗生剤の投与で1〜2週間で完治するものがほとんどです。しかし、時に難治性で、長期化する場合もあり、根気強い治療が必要となるケースもあります。

■**前立腺炎**
残尿感、排尿時痛、排尿時不快感、排尿困難、頻尿、夜間頻尿、射精痛および不快感、下腹部痛、腰痛、会陰部痛、陰のう部痛、ソケイ部痛、大腿部の疼痛や不快感といった多種多様の症例が見られます。
細菌の感染による細菌性前立腺炎と細菌の感染ではない非細菌性前立腺炎に分けられます。
STD（性行為感染症）による細菌性前立腺炎も多く見られます。
●**検査／治療法**
治療は抗生剤の内服や消炎剤の内服によって分けれ、治療に長期間要するものも少なくありません。
また、治療によっては前立腺癌との鑑別を要するものもあり、同時に前立腺癌鑑別のためのPSA検査を行う場合もあります。

■**前立腺肥大症**
前立腺肥大症は病理学的に前立腺の良性結節性の腫大を意味し、尿路を圧迫することにより、排尿障害を引き起こす病気です。症状として、頻尿、残尿感、排尿困難、尿失禁、尿閉などが見られます。
加齢によって発症する頻度が高くなり、60代で70%、80代で90%の肥大があるとされています。
しかし、前立腺が肥大すると、すべて排尿障害になるわけでもなく、治療の必要がない方も少なからずいらっしゃいます。
●**検査／治療法**
診断は、直賜診や超音波検査、尿流測定や残尿測定等よって行われます。また、前立腺肥大症に前立腺癌が10〜20%合併にいることもありますので、PSA（前立腺特異抗原）値の測定も行われます。
治療は過労やストレス、便秘、冷え、飲酒を避ける等の生活指導はもちろんですが、第1選択としては、α1ブロッカーが使われます。これは前立腺の平滑筋に存在するα1レセプターを遮断して、平滑筋の収縮を抑えて、排尿困難を改善するものです。
また抗アンドロゲン薬により、前立腺を縮小させることもあります。
漢方製剤もよく用いられます。
TUR-P、TUV-P等の手術療法も症例によっては選択されます。

■**前立腺癌**
前立腺癌は加齢とともに発生頻度が上昇する病気であり、多くが60歳以降に発生します。
特徴としては、臨床癌と潜伏癌があり、潜伏癌は生前に発見されずに死後、培検にしてはじめて発見されるものです。
症状は、排尿困難や夜間頻尿、排尿痛、血尿、残尿感といったもので、前立腺肥大癌や一部の前立腺炎と、症状のみで区別することは難しいです。
●**検査／治療法**
診 断は、直賜診や血清PSA（前立腺特異抗原）、超音波検査等によって行われますが、何と言ってもPSA値の測定が重要です。PSA値が基準値以上の場合、 針生検によって確定診断が行われます。
しかし、PSA値は年齢や前立腺炎、前立腺肥大によっても上昇することが多いため、症例ごとに検証して生検が行われます。
治療は、全摘術、ホルモン療法、去勢術、放射線治療、化学療法が行われます。

■**膀胱炎**
最も頻度の高い尿路感染症であり、一般的には女性のみの感染症です。頻尿、排尿痛、残尿感の症状と尿混濁、血尿等によって比較的容易に診断がつきます。
原因としては、一般細菌による膀胱への侵入が多いのですが、STD（淋菌、クラミジア）によって引き起こされる事もあります。ご注意が必要です。
●**検査／治療法**
頻尿症状が男性に見られる場合は容易に膀胱炎と考えずに、前立腺炎や前立腺癌のケースも考えられるため、積極的な検査が必要です。
治療は一週間程度の抗生剤の内服のみで十分完治しますが、再発例難治例にも注意が必要です。

■**その他**
**\*** [精巣上体炎](http://www.hiro-clinic.net/pages/medical-treatment/urology/index.html#urology030) **\*** [亀頭包皮炎](http://www.hiro-clinic.net/pages/medical-treatment/urology/index.html#urology040) **\*** [血尿症](http://www.hiro-clinic.net/pages/medical-treatment/urology/index.html#urology080) **\*** [血清液症](http://www.hiro-clinic.net/pages/medical-treatment/urology/index.html#urology090)
 | \| **婦人科** \| \|---\| |
|---|

当院は、婦人科疾患全般に診療しております。
子宮や卵巣等のガン検査、子宮筋腫等の超音波検査を実施しております。
お気軽にご相談ください。| \| **外陰部の病気** \| \|---\| \| ・[細菌感染による皮膚炎](http://www.hiro-clinic.net/pages/medical-treatment/gynecology/01.html#saikin) ・[接触性皮膚炎](http://www.hiro-clinic.net/pages/medical-treatment/gynecology/01.html#saikin) ・[陰部ヘルペス](http://www.hiro-clinic.net/pages/medical-treatment/gynecology/01.html#saikin) ・[のう胞外陰炎](http://www.hiro-clinic.net/pages/medical-treatment/gynecology/01.html#saikin) ・[バルトリン腺炎](http://www.hiro-clinic.net/pages/medical-treatment/gynecology/01.html#saikin) ・[尖圭コンジローマ（ヒトパピローマウイルス感染症）](http://www.hiro-clinic.net/pages/medical-treatment/gynecology/01.html#saikin) \| |
|---|
| \| **膣の病気** \| \| ・[細菌性膣炎](http://www.hiro-clinic.net/pages/medical-treatment/gynecology/02.html#saikin) ・[老人性膣炎](http://www.hiro-clinic.net/pages/medical-treatment/gynecology/02.html#saikin) ・[膣腫瘍](http://www.hiro-clinic.net/pages/medical-treatment/gynecology/02.html#saikin) \| |
|---|
| \| **子宮頸部の病気** \| \| ・[子宮頸部の炎症（子宮頸管炎）](http://www.hiro-clinic.net/pages/medical-treatment/gynecology/03.html#saikin) ・[子宮膣部びらん](http://www.hiro-clinic.net/pages/medical-treatment/gynecology/03.html#saikin) ・[子宮頚癌](http://www.hiro-clinic.net/pages/medical-treatment/gynecology/03.html#saikin) \| |
|---|
| \| **子宮体部の病気** \| \| ・[子宮内膜炎](http://www.hiro-clinic.net/pages/medical-treatment/gynecology/04.html#naimaku) ・[子宮筋層炎](http://www.hiro-clinic.net/pages/medical-treatment/gynecology/04.html#naimaku) \| |
|---|
| \| **卵管卵巣の病気** \| \| ・[付属器炎（卵巣炎・卵管炎）](http://www.hiro-clinic.net/pages/medical-treatment/gynecology/05.html) \| |
|---|


 | \| **ピル処方** \| \|---\| |
|---|

ピル（経口避妊薬）とは、一般にエストロゲンとプロゲステロンの合剤による避妊法を意味します。
現在、世界的に繁用されている経口避妊薬は、低用量ピルに分類されるものです。

**ピル処方の流れ**
**a）低量ピル＆中量ピル**
当 院は予約制ではありませんので、事前の予約は必要ありません。都合の良い時間に直接ご来院ください。
初めてピルを服用する場合には、血液検査等が必要なこ ともありますので、電話にてお問い合わせください。
今まで服用経験のある方は、特に服用中に問題がなければその場にて直接処方いたします。
**b）アフターピル**
当院は予約制ではありませんので、予約は必要ありません。都合の良い時間に直接ご来院ください。
全身状態等に特に問題がなければ説明の後、すぐに処方いたします。
※アフターピルは、性交後72時間以内に最初の2錠を服用しないと効果がありませんのでご注意ください。
また、できる限り早期に服用するほど、避妊効果は高いので、お早目にご来院ください。

**ピル処方価格**
**各種低容量ピル 3,000円（税込）**
**中量ピル 3,000円（税込）**
**モーニングアフターピル 6,000円（税込）**

**\*** [投与方法](http://www.hiro-clinic.net/pages/medicine/pill/index.html#touyo) **\*** [避妊機序](http://www.hiro-clinic.net/pages/medicine/pill/index.html#hinin) **\*** [避妊効果](http://www.hiro-clinic.net/pages/medicine/pill/index.html#kouka) **\*** [ピルの副作用](http://www.hiro-clinic.net/pages/medicine/pill/index.html#fukusayou) **\*** [ピルの副効用](http://www.hiro-clinic.net/pages/medicine/pill/index.html#fukukouka) **\*** [ピルの禁忌](http://www.hiro-clinic.net/pages/medicine/pill/index.html#kin) **\*** [緊急避妊法（モーニングアフターピル）](http://www.hiro-clinic.net/pages/medicine/pill/index.html#kinkyu) **\*** [料金表](http://www.hiro-clinic.net/pages/medicine/pill/index.html#pill_pricelist)
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)
 | \| **HIV検査** \| \|---\| |
|---|

■**わずか15分間で結果がわかるHIV検査**
当院では、少量の血液にて、わずか15分間で結果がわかるHIV迅速検査を行っております。
他のSTD検査とも同時に行えますので、気軽にお問い合わせください。
HIV感染症の場合、感染のリスクから2ヶ月間はウインドウ期間といって、検査によってHIVウイルス抗体が検出されない期間があります。
感染のリスクから、2ヶ月以上たってから検査をしてください。
検査後、無料にて証明書を発行致します。
当院は厚生労働省HIV検査に関する研究班の協力研究班員のクリニックです。
**HIV迅速検査料 4,500円（税込）**
◎**梅毒迅速検査料3,800円**
◎**B型肝炎迅速検査料3,800円**
◎**C型肝炎迅速検査料4,500円**
 | \| **ED治療** \| \|---\| |
|---|

はじめての方も安心してご相談ください。
医師による診察の上で、患者さんの症状／状態に最適なお薬を処方いたします。
また既に医師の処方を受けている方で特定の医薬品をお求めの場合も処方致します。
予めお電話でご確認の上、当院までお越し下さい。

**EDとは**
ED(勃起障害)とは、成功時に有効な勃起が得られない、また充分な時間勃起が持続出来ない状態を言います。機能的EDと器質的ED, 混合性EDに分類されています。
以前は保存的で有効な治療方法がありませんでしたが、1988年にファイザー社からバイアグラ(ワキン酸シルデナフィル)が発売され、EDの治療が飛躍的に進歩しました。
2004年4月からは、バイエル社よりレビトラ(塩酸バルテナフィル)が発売、2007年から、日本イーライリリー株式会社より、投与後36時間まで有効性が認められているシアリスが発売され、治療の選択肢が広がりました。

**レビトラ／バイアグラ／シアリス、処方までの流れ**
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)
\* 予約不要
\* 当院は予約制ではありませんが、混雑時でも通常5〜10分程度で処方いたします。
ご都合の良い時間にお気軽にご来院ください。
\* 診察室に看護婦は入りませんので、安心してご来医院いただけます。| \| **シアリス** \| **1,800円（税込）** \| \|---\|---\| \| ![image03.jpg](data:image/jpeg;base64,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) \| ・[参照情報](http://www.ed-care-support.jp/) \| \| **レビトラ** \| **1,500円（税込）** \| \| ![image01.jpg](data:image/jpeg;base64,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) \| ・[価格表](http://www.hiro-clinic.net/pages/medicine/ed/levitra.html#pricelist) ・[服用出来ない方/併用禁忌リスト](http://www.hiro-clinic.net/pages/medicine/ed/levitra.html#contraindication)・[Q&A (よくあるご質問)](http://www.hiro-clinic.net/pages/medicine/ed/levitra.html#qa) ・[参照情報](http://www.hiro-clinic.net/pages/medicine/ed/levitra.html#reference) \| |
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| \| **バイアグラ** \| **1,500円（税込）** \| \| ![image02.jpg](data:image/jpeg;base64,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) \| ・[価格表](http://www.hiro-clinic.net/pages/medicine/ed/viagra.html#pricelist) ・[服用出来ない方/併用禁忌リスト](http://www.hiro-clinic.net/pages/medicine/ed/viagra.html#contraindication)・[Q&A (よくあるご質問)](http://www.hiro-clinic.net/pages/medicine/ed/viagra.html#qa) ・[参照情報](http://www.hiro-clinic.net/pages/medicine/ed/viagra.html#reference) \| |
|---|

 | \| **早漏 (PE) 治療** \| \|---\| |
|---|

**早漏とは**
早漏とは、本人の希望時間より早く、挿入前や挿入後早期に射精する状態が、持続あるいは繰り返される事をいいます。
過去の文献では「適切な性交時間とは、二人が相互に満足できる時間の長さ」であることが指摘されています。それゆえ女性が希望する挿入から射精までの時間を目標としてそれに達しない場合を早漏と考えます。
日本ではEDの患者さんが980万人いると言われていますが、実際にはそれ以上の人がいるとも考えられています。
・[原因と治療方法](http://www.hiro-clinic.net/pages/medicine/pe/index.html)

## 診療時間

- 月・火・水・金: 10:00〜12:30
- 土: 11:00〜14:30
- 月・火・水・金: 14:00〜19:00
- 休診日: 木曜・日曜・祝日
- 備考: ■ご予約は承っておりません。
■保険証は必ずお持ち下さい。

## 評価・口コミ

Googleの評価: {"id":48049390,"date":"2026-06-28","place_id":"ChIJvWoc6KmMGGARB5fEg_EQhFo","rating":2.6,"count":19,"created_at":"2026-06-27T15:21:06.000000Z","updated_at":"2026-06-27T15:21:06.000000Z"}/5.0（0件）


## 在籍医師

情報なし

## お知らせ

情報なし