The Invisible Reality of “Unconsummated Marriages” and Resignation: Women’s Medical LUNA Clinic Releases Conversation Video with YUZUKA

In recent years, marriage counseling agencies have seen a sharp increase in women who reach marriage but are unable to establish sexual relations, a situation referred to as “unconsummated marriage,” as well as women suffering from dyspareunia who cannot consult anyone and struggle alone. Women’s Medical LUNA Clinic, located in Naka-ku, Yokohama, Kanagawa Prefecture and led by Director Ryoko Nakamura, has felt a pressing issue through its daily patient care: many people give up before even deciding to visit a clinic, telling themselves, “This is just my constitution” or “It is my fault.” To address this, the clinic held a dialogue with essayist YUZUKA, who has articulated the real feelings of modern women around sexuality and received many urgent consultations through the marriage counseling agency Cotonone. This collaboration led to the release of a conversation video that connects medical expertise with voices from the field, aiming to support people who are still struggling one step before seeking medical care. Going forward, the initiative will not stop at awareness-raising through video. The clinic and Cotonone will work to build a closer collaborative structure, aiming to provide support that stays alongside each person’s concerns from both medical and lifestyle-support perspectives. Release and program information: Viewing URL: https://youtu.be/T2tWRjfsaLM?si=7m5K5VcbgR4CqiSL Related project: A collaboration video on concrete mindsets has also been released simultaneously on YUZUKA’s channel. https://www.youtube.com/watch?v=NRQdH9s-240 Overview of the YouTube conversation: the “reality” not spoken in the examination room The pressure to be normal and self-esteem: The cycle in which people cannot judge whether their condition is normal and end up blaming themselves, thinking, “Maybe I am the strange one.” Do not dismiss dyspareunia as constitution: The discussion challenges the misconception that enduring pain is virtuous and conveys the fact that symptoms can improve with appropriate treatment. The gap behind “I do not want to”: The issue is not only the presence or absence of sexual desire, but also the influence of communication with partners and broader social context. Lack of experience and psychological barriers: The internal conflict of people who feel shame over having little or no experience and cannot take the first step. The clinic is not the last resort: The importance of relying on medical care earlier, before concerns become severe. The video delivers a strong message to those who have hesitated to seek care because they thought, “It is not an illness”: the clinic is on your side. In the video, Dr. Nakamura serves as interviewer and explores the real voices from consultations that reach YUZUKA. From both medical and first-person perspectives, the conversation unpacks concerns that people could not tell anyone and presents possible paths toward resolution. Redefining the “Vaginal Dock” launched in November 2025: from diagnosis to consultation The “Vaginal Dock,” offered since November 2025, is not solely intended to detect disease. Through this collaboration, LUNA is repositioning the service as a first-contact consultation window for people with sexual concerns. The value provided by the Vaginal Dock: By visualizing vaginal pressure and mucosal conditions through examination, the service helps reduce vague anxiety. Careful counseling is also provided by Dr. Nakamura and other specialized staff. Experts receive concerns that are difficult to put into words, such as those discussed in the conversation, and connect patients to rehabilitation and the latest treatment proposals, supporting the development of healthy partnerships. Speaker profiles: Dr. Ryoko Nakamura: Director of Women’s Medical Clinic LUNA Next Stage; certified specialist of the Japanese Urological Association; certified specialist of the Japanese Society of Female Pelvic Floor Medicine; director of the International Femtech Medical Beauty Research Association. As a specialist in urology and female pelvic floor medicine, she is committed to delivering medically grounded, appropriate vaginal treatments to women troubled by changes in the femzone associated with age and childbirth. She values medical care that looks ahead to each patient’s life stage several years into the future and practices fundamental, sustainable treatment approaches rather than temporary measures. She is also a pioneer in femtech medicine, combining aesthetic techniques with medical knowledge of the pelvic floor and urination, and works to lower the barriers to female urological care by listening to women who hesitate to seek help for issues such as urinary leakage and pelvic organ prolapse. YUZUKA: Representative of Harubina Inc. and Hakumeisha LLC; representative of marriage counseling agency Cotonone; essayist; screenwriter. Drawing on clinical experience as a former psychiatric nurse and multifaceted insight developed through experience in nightlife work, she continues to put into words the struggles and sexual truths of modern women. Through operating Cotonone, she has encountered serious real-world issues in partnerships before and after marriage, including unconsummated marriages and dyspareunia. Her life’s work goes beyond matching people; she deeply explores others’ lives and accompanies each person toward being able to love their own sexuality. She is the author of three books, including Umazaranai yo, Sonna Otoko ja., and is also active as a screenwriter. Skilled in close-contact and immersive reporting, she continues listening to concerns at the front lines and actively communicates to remove the wall between medicine and the people directly affected. Medical institution overview: Women’s Medical Clinic LUNA Next Stage Address: LIST132 Building 3F, 1-32-1 Motomachi, Naka-ku, Yokohama, Kanagawa 231-0861, Japan Departments: female urology, femzone medical care and aesthetics, consultation for female sexual dysfunction Features: a clinic conducting clinical research and supporting women’s beauty and vitality through medicine https://www.luna-clinic.jp Contact for inquiries: Women’s Medical Clinic LUNA PR representatives: Takeda / Yui Hashimoto TEL: 045-662-0618 Email: luna.takeda.hiroko@gmail.com