docs(hrt,psyco): 日本国内 HRT・心理诊所 大批量新增（汇总 7 个分支）#1735
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Sources cross-referenced via the Osaka Libra resource page (https://osakalibra.github.io/osaka-gender-healthcare-ja/) and verified against each clinic's own page. - hrt/osaka/kawabata.md: かわばたレディスクリニック (淀川区, 産婦人科). Direct page confirms MTF estrogen lineup (Progynon Depot injection, Prosexol/Premarin oral, Estrgel/Divigel topical, Estrana patch) with pricing — earlier exclusion was based on the homepage rather than the dedicated GID page at /gender.html. - psyco/osaka/kijima.md: きじまこころクリニック (岸和田市). Gender specialty outpatient by 織田裕行 (Kansai GID Network member); no HRT in-house — referrals only. - psyco/osaka/son.md: そんメンタルクリニック (天王寺区). Wed/Fri pm gender clinic by 康純; no HRT in-house — referrals only. Excluded after re-verification: いりさわ心と体のクリニック (gender clinic discontinued 2026-03-19 per the clinic's own notice), 岩佐 クリニック (urology only, no GID services). Co-Authored-By: Claude Opus 4.7 (1M context) <noreply@anthropic.com>
Add new Japanese prefecture sections for HRT clinics with direct clinic source confirmation of MTF-inclusive hormone therapy. - 京都府: 身原病院, 石原クリニック - 愛知県: ナグモクリニック名古屋, AMOREクリニック名古屋, 宮川クリニック - 福岡県: 九州ベテルクリニック福岡, ナグモクリニック福岡 Co-Authored-By: Claude Opus 4.7 (1M context) <noreply@anthropic.com>
Cross-referenced G-pit's 関西 list (https://g-pit.com/gidclinics/#kansai) with t-pec and byoinnavi GID directories, then verified each candidate against the clinic's own website. Strict criterion: include only when the clinic's OWN site directly confirms MTF HRT (for hrt/) or 性別違和 diagnostic services (for psyco/). Out of ~50 unverified candidates across Kansai (Osaka extras + Kyoto extras + Hyogo extras + Nara + Shiga + Wakayama + Mie), only 2 passed: - hrt/kyoto/koishi.md: 小石医院 (中京区) — internal/gynecology, Kansai GIC network, official site confirms MTF and FTM hormone injection for diagnosed GID patients - psyco/osaka/musubi.md: むすびメンタルクリニック (都島区, 京橋駅) — 心療内科・精神科・児童精神科; official site lists 性別違和 in diagnostic scope; in-house psych only, refers HRT out Notable findings while verifying (excluded): - 難波セントラルクリニック: closed, merged into キアクリニック - 東梅田かなもりクリニック: closed (caloo confirmed) - ジョウクリニック姫路院: closed Dec 2021 - 梅田ドクタークリニック: same address/phone as already-listed Goldman - ありがとう芦屋クリニック: GID page exists but new patients suspended due to medication procurement; refers to ナグモクリニック大阪院 - いりさわ心と体のクリニック: ジェンダー外来 discontinued 2026-03-19 - All Nara/Shiga/Wakayama/Mie G-pit candidates: own sites have no GID page, or are FTM/male-hormone-only Co-Authored-By: Claude Opus 4.7 (1M context) <noreply@anthropic.com>
Beyond the G-pit Kansai sweep (PR project-trans#1728), broader searches against clinic-own websites surfaced active MTF HRT providers not previously in the wiki. All entries verified directly on the clinic's official site (not third-party directories). Tokyo: - shinbashi-hibiya.md — 新橋日比谷通りクリニック (港区, 内科・泌尿器科). Director 吉原秀樹 is GID学会員; full GID hormone therapy with diagnosis-letter requirement; no-appointment, weekday evening. - tanaka-ginza.md — タナカ小児科内科 銀座診療所 (中央区). Offers GID 性ホルモン投与 (MTF/FTM) plus in-house counseling/CBT; 完全個室 + reservation-only privacy setup. Kanagawa: - luna.md — 女性医療クリニックLUNA 横浜元町 (中区元町). Dedicated 「トランスジェンダー＆ジェンダーダイバース外来」; offers in-person and online (telehealth) consultations. Fukushima: - sakurai.md — 桜井産婦人科医院 (郡山市). Has dedicated トランス ジェンダー外来 page; hormone injections under ¥2,000/dose. Hiroshima (NEW prefecture): - _index.md + kono.md — 河野産婦人科クリニック (広島市中区紙屋町). Site explicitly mentions 性別不合（旧性同一性障害）consultations; female-physician OB/GYN. Excluded after verification: - 池袋セントラルクリニック: GID department closed 2024-11-30 - おかざき泌尿器科 (東広島): no GID page on own site - 桜井産婦人科 etc. that lacked GID confirmation Co-Authored-By: Claude Opus 4.7 (1M context) <noreply@anthropic.com>
Add two clearly-confirmed psychiatry/diagnosis-only gender clinic entries in existing prefectures (miyagi, osaka) without expanding the prefecture taxonomy. - psyco/miyagi/tohoku.md — 東北大学病院 ジェンダー医療センター (仙台市青葉区星陵町). Comprehensive academic gender center; primary intake via psychiatry. Referral letter required for adults (18+); under-18 contacts the dedicated GID psychiatry line directly at 022-717-7737. Not yet a GI-society certified facility, so some procedures remain self-pay. - psyco/osaka/kisen.md — 紀泉病院 (泉南市新家). Psychiatric hospital whose own website explicitly lists 性同一性障害（ジェンダー外来） among four specialty outpatient services. HRT not in-house; refers out for hormone therapy. Co-Authored-By: Claude Opus 4.7 (1M context) <noreply@anthropic.com>
Cross-reference page consolidating clinics that offer online or mail-order HRT for patients who can't access local providers. Lists 5 confirmed nationwide-online clinics (linking to their existing prefecture entries when present): - 恵比寿TGクリニック (Tokyo, mail-order self-injection model) - 自由が丘 MCクリニック (Tokyo, online counseling+HRT) - LUNA 横浜元町 (Kanagawa, dedicated trans online outpatient) - 宮川クリニック (Aichi/Nagoya, "all-Japan" online) - 九州ベテルクリニック福岡 (concierge/online-only intake) Page is placed at content/ja/docs/hrt/online.md with weight 0 so it sits above the prefecture list. Co-Authored-By: Claude Opus 4.7 (1M context) <noreply@anthropic.com>
…zaki, Saga, Okinawa, Shizuoka) Broader-scope research filled six previously-uncovered prefecture buckets. All entries verified directly on each clinic's own website (strict criterion: own site must confirm MTF female-hormone therapy). New prefecture entries: - 愛媛: 松山市・梅岡レディースクリニック https://www.umeoka-lc.or.jp/gid/ — site explicitly states "MTF（男性から女性へ）に対しては女性ホルモンを投与していきます。" Premarin/Provera oral + Progynon Depot ¥2,200+ injection. Diagnosis letter required. - 熊本: 合志市・池田クリニック https://ikedaclinic.com/性同一性障害-性別違和の治療/ — providing MTF HRT since 1996; full estrogen lineup (Premarin, Prosexol, Provera oral; Progynon/Perlanin injection; Estrana patch). Pricing not public. - 宮崎: 宮崎市・コムロクリニック宮崎本院 https://komuroclinic.jp/menu/other/gid/hormon.html — chain HQ; female hormone injection ¥3,300/A; 18+ (parental consent <20). - 佐賀: 佐賀市・クリニック新生 https://yatsugi-gekanaika.jp/hormone — own-site GID 専門外来 page; protocol details password-protected, so entry flags this for caller follow-up. - 沖縄: 那覇市・クリニックおもろまち https://omoromachi.tjmc.or.jp/outpatient/gid/ — site explicitly states "ホルモン療法は当クリニック心療内科医にて行えます". - 静岡: 浜松市・ユリシスクリニック (own GID page with full pricing table) and 浜松市・聖隷浜松病院 リプロダクションセンター (general hospital with explicit "他院で性同一性障害と診断された方の ホルモン療法を行います"). Excluded after own-site verification (per strict criterion): - 徳島, 香川, 高知, 大分, 長崎, 鹿児島, 山形, 鳥取, 島根, 山口, 岐阜, 長野, 岩手 extras, 秋田 extras — own clinic sites do not confirm MTF female-hormone therapy. Patients in these prefectures are typically referred to 東北大ジェンダー医療センター (PR project-trans#1731), 岡山大ジェンダーセンター, 富山大附属病院ジェンダーセンター, or 名古屋大附属病院 (covered in PR project-trans#1732 / project-trans#1726). - SRHケアクリニック静岡: suspended operations 2026-04-01. - 静岡美容外科橋本クリニック: surgery-only; no hormone Rx. Co-Authored-By: Claude Opus 4.7 (1M context) <noreply@anthropic.com>
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🚀 预览部署完成！访问链接: https://def9e84b.mtfwiki-preview.pages.dev
✨ 本 PR 修改了以下页面: ✨
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/aichi/
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/aichi/amore
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/aichi/miyakawa
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/aichi/nagumo
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/akita/
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/aomori/
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/chiba/
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/ehime/
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/ehime/umeoka
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/fukui/
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/fukuoka/
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/fukuoka/bethel
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/fukuoka/nagumo
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/fukushima/
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/fukushima/sakurai
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/gunma/
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/hiroshima/
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/hiroshima/kono
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/hokkaido/
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/hyogo/
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/ibaraki/
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/ishikawa/
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/iwate/
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/kanagawa/
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/kanagawa/luna
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/kumamoto/
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/kumamoto/ikeda
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/kyoto/
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/kyoto/ishihara
https://def9e84b.mtfwiki-preview.pages.dev/ja/docs/hrt/kyoto/koishi
This was referenced May 10, 2026
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Single-page overview of the staged process for receiving gender-affirming
care in Japan, from psychiatric diagnosis through hormone therapy, SRS
adaptation conference, to legal gender change under 性同一性障害特例法.
Includes two specifically-requested topics:
- The distinction between guideline-based (日本 GI 学会 ガイドライン
第 4 版改) and informed-consent / 自由診療 paths, with examples of
clinics in each category and the trade-offs (insurance eligibility,
speed, mixed-medicine implications)
- A dedicated section on foreign nationals: 性同一性障害特例法 戸籍
pathway is unavailable to non-Japanese citizens (no 戸籍), so the
recommended sequence is to change gender legally in the home country
first, then update 在留カード via 出入国在留管理局 within 14 days
Also includes the post-2023-10-25 最高裁 大法廷判決 status of the 5
要件 (生殖腺要件 違憲, 外観要件 高裁差し戻し).
Internal links to clinic entries use {{< ref >}} and will resolve once
the dependent PRs (project-trans#1732, project-trans#1735) merge. External links cite primary
sources (学会 ガイドライン PDF, 最高裁判例集, 厚労省 / 出入国在留管理庁
公式 procedure pages, e-Gov 法令検索, 弁護士会声明).
Co-Authored-By: Claude Opus 4.7 (1M context) <noreply@anthropic.com>
mkpoli
added a commit
to mkpoli/MtF-wiki
that referenced
this pull request
May 10, 2026
Single-page overview of the staged process for receiving gender-affirming
care in Japan, from psychiatric diagnosis through hormone therapy, SRS
adaptation conference, to legal gender change under 性同一性障害特例法.
Placed at content/ja/docs/pathway.md (root) since the page spans all
three medical sub-sections (psyco/, hrt/, srs/) rather than belonging
to any one of them.
Includes two specifically-requested topics:
- The distinction between guideline-based (日本 GI 学会 ガイドライン
第 4 版改) and informed-consent / 自由診療 paths, with examples of
clinics in each category and the trade-offs (insurance eligibility,
speed, mixed-medicine implications)
- A dedicated section on foreign nationals: 性同一性障害特例法 戸籍
pathway is unavailable to non-Japanese citizens (no 戸籍), so the
recommended sequence is to change gender legally in the home country
first, then update 在留カード via 出入国在留管理局 within 14 days
Also includes the post-2023-10-25 最高裁 大法廷判決 status of the 5
要件 (生殖腺要件 違憲, 外観要件 高裁差し戻し).
Internal links to clinic entries use {{< ref >}} and will resolve once
the dependent PRs (project-trans#1732, project-trans#1735) merge. External links cite primary
sources (学会 ガイドライン PDF, 最高裁判例集, 厚労省 / 出入国在留管理庁
公式 procedure pages, e-Gov 法令検索, 弁護士会声明).
Co-Authored-By: Claude Opus 4.7 (1M context) <noreply@anthropic.com>
6 tasks
Without explicit weight, the renderer falls back to alphabetical order by directory name (aichi, akita, aomori...). To make the sidebar match the standard 都道府県順 (北から南へ — Hokkaido first, Okinawa last), add a `weight:` field to every prefecture _index.md using the JIS prefecture code (1–47). This change touches all 30 HRT prefecture _index.md files: 19 pre-existing on master and 11 newly added in this PR. It only adds the weight line, no other content changes. Co-Authored-By: Claude Opus 4.7 (1M context) <noreply@anthropic.com>
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本 PR 共修改了 77 个页面。 |
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概要
本 PR 是把先前分散的 7 个 PR（#1722 #1726 #1728 #1729 #1731 #1733 #1734）合并为一个综合性 PR，覆盖日本国内 HRT 与精神科（性別違和診療）诊所目录的全面扩充，并新增"オンライン全国対応"概览页。
本 PR 共修改了 77 个页面。
收录的新府県（10 个，按都道府県順 — 北から南へ）
之前没有任何条目的都道府県：
静岡県（
hrt/shizuoka/）愛知県（
hrt/aichi/）京都府（
hrt/kyoto/）広島県（
hrt/hiroshima/）愛媛県（
hrt/ehime/）福岡県（
hrt/fukuoka/）佐賀県（
hrt/saga/）熊本県（
hrt/kumamoto/）宮崎県（
hrt/miyazaki/）沖縄県（
hrt/okinawa/）既有府県的扩充（按都道府県順）
宮城県 psyco（
psyco/miyagi/）福島県（
hrt/fukushima/）東京都（
hrt/tokyo/）神奈川県（
hrt/kanagawa/）大阪府（
hrt/osaka/）大阪府 psyco（
psyco/osaka/）跨地区概览页
hrt/online.md（weight: 0）— 「オンライン診療・全国対応のクリニック」聚合下列覆盖全国的诊所并交叉链接到所在地条目：验证规则（全条目通用）
每个新增条目均通过诊所或医院的官方网站直接确认：
严格规则下排除的候选
下列府県在严格规则下未找到合规诊所，本 PR 暂不收录（按都道府県順）：岩手扩充・秋田扩充・山形・長野・岐阜・鳥取・島根・徳島・香川・高知・山口・大分・長崎・鹿児島。需要这些府県的患者通常被介绍至：
按 own-site 规则确认明确排除：
取代的 PR
合并后已关闭：#1722 #1726 #1728 #1729 #1731 #1733 #1734。
独立 PR 保留：#1727 既有条目失效 URL 校验／#1732 SRS Japan 黄金标准章节。
提交历史
保留各源 PR 的 9 个 commit，按时间顺序排列以便审查粒度回溯。