Abortion Clinic in Tokyo (Tamachi) | English-Speaking Female OB-GYN

Pain-Minimizing Abortion Care

Our clinic does not provide medical abortions. We only perform surgical abortions.

• All procedures are performed by our female director
• Board-certified OB-GYN with extensive experience in abortion care
• All standard methods of first-trimester abortion available
• Strong focus on safety and emotional support

English Support at our hospital

English support is available only for Scheduled Surgery (exam and surgery on separate days), when English-speaking staff is on duty.

• Interpretation Fees: An interpretation fee of 5,500 yen will be charged per visit.
• In case of an emergency, please note that assistance at the emergency center is provided in Japanese only. We do not provide interpreters to accompany patients outside the clinic.
• Reservation -ONLY by LINE
  Resister LINE
• After submitting your medical questionnaire from LINE, you can book your pre-op exam

Abortion Services (Induced Abortion)

Gestational Age Eligible at Our Clinic

• Up to 11 weeks 6 days (early first trimester)
• We do not perform abortions at 12 weeks or later

Fees

• An interpretation fee: ¥5,500 will be charged per visit.
• Pre-operative test fee: ¥11,000 (Scheduled surgery)
  • Testing fees are non-refundable when it is determined that the surgery cannot be performed.
• Surgery fee (EVA): ¥99,000 (tax included)
  • If the ultrasound measurement indicates 11 weeks 0 days or more, an additional fee ¥30,000 (tax included) will apply
  • MVA option: Additional fee ¥38,000 (tax included) applies for the MVA method
  • Testing fees are non-refundable when it is determined that the surgery cannot be performed.
  • Surgery scheduled more than three weeks from the reservation day, an additional ultrasound fee of 11,000 yen (tax included) will be require
  • Additional ultrasound later to monitor the progress of the pregnancy, (despite a normal pregnancy once confirmed by ultrasound examination), an ultrasound examination fee of 11,000 yen (tax included) will apply.
  • Medical certificate issue will cost ¥15,000 (tax included) per copy.
  • Rh-negative patients: Anti-D immunoglobulin, if needed: ¥25,000 (tax included)
  • Additional fees will apply if there are health risks.

Eligibility for Surgery

Depending on the blood test results, the surgery date may be postponed or the surgery cannot be performed (informed by LINE or phone ).

Post-Operative Checkup

• Within one month:
  • Interpretation fee of ¥5,500 (tax included) only
  • post-operative checkup: free
• More than one month:
  • ¥6,600+ Interpretation fee of ¥5,500 (tax included)
• Checkup for:
  • Ultrasound assessment of the uterus
  • Check of bleeding and recovery

A Message from the Director : Miho Uchida, M.D.

Before being a physician, I am also a woman. I will listen to your story and support you with empathy and respect.

I truly understand,　“No woman becomes pregnant because she wishes to have an abortion.”　Many women who come to us for abortion care do so because they have no other choice.

They often arrive after days or weeks of indecision, feeling:

• Unable to talk openly with family or partner
• Unsure where to ask for help
• Increasing anxiety as time passes and the gestational limit approaches

If you are uncertain about whether to proceed, or if you feel alone with your decision,please do not keep everything inside.
You are welcome to visit us just to talk and understand your options.
However, in order to provide safe and appropriate care, our clinic has clear criteria.
In some cases—such as patients with significant medical risks—we may not be able to perform surgery here and will recommend treatment at a higher-level medical facility.

For those who wish, we also provide counseling on:

• Reliable contraception
• How to protect your body and future
  so that you will not have to face repeated abortions.

FIDES Ladies Clinic Tamachi

• Board-certified Obstetrician and Gynecologist (JSGO)
• Certified provider under the Maternal Protection Law
• Director: Miho Uchida, M.D.

Surgeon: Dr. Miho Uchida

All procedures are performed personally by our director, who has:

• Over 20 years of experience as a physician
• About 20,000 abortion procedures performed

As a female OB-GYN, she strongly values:

• Minimizing physical burden
• Reducing emotional stress
• Using vacuum aspiration instead of more invasive methods whenever possible

Although no surgery can be guaranteed to be complication-free
at our clinic:

• Every surgery is performed by the director herself
• Ultrasound guidance is used in 100% of cases

Extensive experience allows us to handle complications appropriately should they occur.
From the patient’s perspective, “Who will actually perform the surgery?” is often the greatest concern.
At our clinic, the answer is simple: Every surgery is performed by the director herself.

Even if you ultimately decide not to undergo surgery here, please feel free to consult us if you are struggling with a pregnancy.

Abortion Methods Available

We provide all standard methods for early surgical abortion, with a strong preference for vacuum aspiration based on international guidelines.

2. D&C – Dilation and Curettage (Curettage Method)

A traditional method still used in some facilities in It involves:

• Mechanical dilation of the cervix
• Use of forceps and curettes (metal instruments)
• Scraping of the uterine lining

WHO guidelines state that where D&C is still performed, it should be replaced by vacuum aspiration or medication whenever possible.

At our clinic, considering endometrial damage and international guidelines, we do not routinely perform D&C.

It may be considered only in exceptional cases at the patient’s strong request, after full explanation of the risks.

In practice, almost no patients choose D&C once they understand the differences.

MVA – Manual Vacuum Aspiration in Detail

Globally, vacuum aspiration is recommended over D&C for safety and endometrial preservation
Within vacuum aspiration, research suggests specific advantages of MVA:

A 2009 Cochrane Review and later studies (e.g., Padrón et al., 2018) report:

• Lower rates of uterine perforation with MVA compared to electric vacuum aspiration
• Lower rates of intrauterine adhesions (Asherman syndrome) after MVA

While complications can still occur with MVA
it is considered one of the safest available surgical methods for early abortion.

How MVA Is Performed at Our Clinic

Anesthesia

• Most patients receive IV anesthesia and sleep through the procedure

Assessment

• We confirm the direction and length of the uterus
• We identify any risk factors (fibroids, malformations, etc.)

Gentle Cervical Dilation

• We use thin dilators to gently confirm and widen the cervical canal

Suction

• A soft plastic cannula (tube) is placed in the uterus
• A hand-held vacuum device (like a large syringe) is used to create suction
• Pregnancy tissue is aspirated into the device
• The device and cannula are single-use, ensuring a very low risk of infection.

Confirmation

• We confirm hemostasis
• We use ultrasound to check that the uterine cavity is clear
• You rest in the recovery area until the effects of anesthesia wear off

Safety and Infection Risk

MVA single-use instruments significantly reduce infection risk

For pregnancies at 6–7 weeks, studies report that

• 1–2 passes inside the uterus are usually sufficient
• so the procedure is very quick (a few minutes)

Compared with D&C:

• Lower risk of infection and endometrial damage

Because of these advantages, MVA is widely used even in low-resource settings worldwide.

Our Commitment to Safe and Comfortable Care

To ensure safety and comfort, we follow these principles:

• Standard method: Vacuum aspiration (EVA or MVA)
• Option for WHO-recommended MVA
• No pre-operative cervical dilators (no laminaria, Dilapan, etc.)
• Always ultrasound-guided procedures
• Prophylactic antibiotics to reduce infection risk
• Pain control with appropriate analgesics
• Intravenous anesthesia protocol designed with input from a former university anesthesiology professor
  （Fast awakening／Low incidence of nausea／No “nightmare-like” side effects)
• Collaboration with higher-level hospitals for emergency transfer if needed

How to Reserve

Reservation -ONLY by LINE

Register LINE

After submitting your medical questionnaire from LINE, you can book your pre-op exam
Reception hours:

• 10:00–17:00
• 10:00–14:30 – (Sundays and public holidays)

Notes

• For minors (17 years and younger) must be accompanied by a legal guardian
• Minors need parental consent
• Under Japanese law, both the signature and the seal of the spouse are required. Including a legally married spouse, a fiancé, a partner in a de facto marriage through cohabitation, or a former spouse not yet separated for more than 100 days.
• Depending on test results and the surgical situation, you may be asked to return on the next day or the day after
• Please read “Patients for whom surgery may be difficult”carefully before booking

Patients for Whom Surgery May Be Difficult

In some cases, we may still be able to operate with additional precautions or fees, or we may refer you to a higher-level hospital.

May require additional fee or referral:

• Obesity
• Respiratory disease
• Mental health disorders
• Epilepsy
• Hypertension
• Diabetes
• Liver disease
• Uterine malformations
• Rh-negative patients who wish to give birth in the future
  (please contact us before your visit; some may be eligible for scheduled surgery)

Obesity/Asthma increases the risk of respiratory complications during anesthesia.
We do not perform surgery at our clinic if:

• You have significant heart disease
• You have serious arrhythmia

Scheduled Surgery (exam and surgery on separate days)

With scheduled surgery, your visits are divided into:

• Examination & blood tests (first visit)
• Surgery (second visit)

1. On the first day:

• Transvaginal ultrasound examination to confirm pregnancy
• Pre-operative blood tests
• Explain the procedure and provide consent forms
• Schedule your surgery date
• Payment for examination

2.On the surgery day:

• Submit documents
• Payment for surgery
• Undergo surgery
• Recover and return home once you can walk steadily

Partner’s Signature – When Is It Required?

Under Japanese law, both the signature and the seal of the spouse are required. Including a legally married spouse, a fiancé, a partner in a de facto marriage through cohabitation, or a former spouse not yet separated for more than 100 days.

Surgery While Breastfeeding

• Only intravenous anesthesia (no local anesthesia).
• Stop breastfeeding for two days is required.

Surgery for Women with Previous Cesarean Section

A previous C-section leaves a scar on the uterus and may slightly alter its shape or strength.
This can theoretically increase the risk of perforation or technical difficulty during abortion surgery.

However, at our clinic:

• We carefully check the scar and uterine shape by ultrasound
• We adjust the technique accordingly
• We have successfully performed surgery in almost all cases of previous C-section without uterine perforation to date.

Important points:

• Additional fees may apply

Surgery for Patients with Asthma

Anesthesia in patients with asthma carries a higher risk of respiratory complications.
As a rule, we recommend treatment at a higher-level hospital

Important points:

• Final decision is made after in-person consultation and assessment
• Additional fees may apply
• If respiratory problems occur during surgery, emergency transfer to a higher-level hospital will be arranged

Frequently Asked Questions (FAQ)

Below is a condensed version of the FAQ.