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Responses from ‘Finasteride is a risk in pregnancy’ post

This is my original post: https://baldingblog.com/finasteride-is-a-risk-in-pregnancy-with-unprotected-sex/

In this study (https://www.ncbi.nlm.nih.gov/pubmed/29855987), the women, aged 39, was taking 2.5mg of finasteride daily alongside her partner during the entire gestation period. The male baby was healthy with no deformities of the genitals.

I can’t put it together but I did note the article. The report from the patient indicated that the scrotum and its support structures develop in the male fetus at the end of the first term or beginning of the second term of pregnancy. In this study, the woman only took the finasteride for the first 5 weeks of her pregnancy but her partner appears to have continued using it. Cause an effect is difficult to impossible to pin down in this troubled man.

What about wanting to have a child while on finasteride, should we stop medication? And for how long?

I have to think about this. The half life of finasteride in the blood stream and extracellular fluids is about 6 hours which means it should be out of your fluids in a day or two at most. I also know that it stays in some tissues, possibly everywhere, so I really don’t know any science that informs me how to answer your question. When your partner gets pregnant, you can resume protected sex with no problems and that is absolutely safe.

Well that’s rather concerning. Along with your conclusion, I’m assuming this also means that if you are trying to conceive you should not be on finasteride/dutasteride. Would you agree with that, Dr. Rassman?

I would leave that to you. As I said above: “The half life of finasteride in the blood stream and extracellular fluids is about 6 hours which means it should be out of your fluids in a day or two at most. I also know that it stays in some tissues, possibly everywhere, so I really don’t know any science that informs me how to answer your question.” I am no longer able to think through this problem at this moment.

Isn’t it kind of far fetched to link such statistical ‘tail event’ to the use of finastride in this scenario? The causal link imposed could very well be due to total randomness.

Could be!

I didn’t know this, and my wife is currently 25 weeks pregnant… we used a condom for the most part but I’m still terrified.

Statistically, the odds are in your favor and you should be fine. There are very few reports like the one brought forward by the man I referenced, but for all the men who read this going forward, they should engage in protected sex if they are on finasteride.


2020-03-26 10:20:47Responses from ‘Finasteride is a risk in pregnancy’ post

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Does Propecia CAUSE Frontal Hair Loss?

Sirs,

Thank you for such an informative blog. I have read many things in French language forums about Propecia that, although the drug fascinates me, cause me to question its ability to help me. I’m 29 and moving towards a NW 3.0 (I might already be there). I have read that Propecia causes frontal hairloss. This is frequesntly mentioned in French-language forums and frightens me away from the drug. The only hairloss poblem I have (and it is rather minor at the moment) is frontal.

Can you confirm that propecia does not cause frontal hairloss?

very cordially yours

Those with Norwood Class 3 balding patterns may progress with further balding. Propecia will either prevent this from happening or slow down the process. I have little doubt about answering your question — Propecia does not cause hair loss in the front or anywhere else on the scalp in a person with male patterned balding. It is FDA approved to treat hair loss, not cause it. See Are Minoxidil and Propecia Worth Using? (with Photos) for a great example of regrowth from Propecia (along with minoxidil).


2007-11-26 11:31:30Does Propecia CAUSE Frontal Hair Loss?

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Results shown after 9 months on finasteride (photo)

The miniaturized hairs evident on the patient’s right side of the before picture show miniaturized hairs which are not clearly evident in the after picture. If it were not just a set of pictures sent to me, I would ask him if these miniaturized hairs grew before he went on finasteride. I suspect that they were stunted as most miniaturized hairs just don’t grow when they are at the end of their miniaturization cycle. I would like people to take the same view with the same lighting of their hairline so that the viewer can tell the difference.


2020-09-24 13:14:17Results shown after 9 months on finasteride (photo)

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Does Sleeping On Your Side Make a Difference to Your Hair Loss?

Dr. Rassman,

Does running your hand through your hair have any effect on the rate of hair loss? I have a habit of running my hand through my hair frequently (possibly 50 times) each day, and being a 20 year old male with my genetics against me, I am beginning to wonder if this may be encouraging hair loss to occur (although no loss, other than slight recessions, is visible yet).

Also, when sleeping, does it matter whether I sleep on the crown of my head verses the side of my head? Specifically, does sleeping on the crown help to encourage hair loss in the crown area (eg. the bald spot), and should I attempt to sleep on my side more often, or does it not matter whatsoever? Once again, no hair loss is visible in my crown as of yet, other than the small spot I was born with.

Thank you!

There is no real risk to running your fingers through your hair, unless you are pulling on your hair. Running your fingers through your hair is not causing your hairline to recede, I can tell you that much. Sleeping positions do not impact hair loss.


2008-11-17 09:09:50Does Sleeping On Your Side Make a Difference to Your Hair Loss?

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Revising a Donor Scar with a Tight Scalp?

I have hair transplant done 2 years ago about 2000 grafts, however I have a donor scar that runs from ear to ear and wider than 1 cm since the skin got constantly pulled. My head skin is very tight,so i am wondering what can I do to fix this ? I want to cut my hair short in the back. Should I transplant hair from other part back to the donor area or any other solutions?

thanks.

You should start doing scalp exercises (see video) and then try to get a surgeon to perform a scar revision surgery with new techniques that are available today. These do not always work, because your body has a new baseline after you have a surgery. You can also try transplanting hair to the scar using the FUE technique, which will work if a revision of the scar does not work. None of these methods are perfect, but they can minimize the look of the scarring. You need to see a doctor to discuss these options for your specific needs and expectations.


2008-09-12 09:44:32Revising a Donor Scar with a Tight Scalp?

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Does Topical Minoxidil (5% or 10%) Have Any Adverse Cardiac Effects?

You spoke about the cardiac problems that could be associated with oral minoxidil in the podcast. Does Topical Minoxidil (5% or 10%) have any adverse cardiac effects associated with short or long term use?

Yes, the higher the dose or topical, the more the absorption and the greater the risk of cardiac side effects. More is not always better.


2020-05-24 19:38:03Does Topical Minoxidil (5% or 10%) Have Any Adverse Cardiac Effects?

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RK19

What is RK19 and the obvious question: does it really work?

Again and again, more products reach the market that do not reflect legal claims allowed by the FDA. In my opinion, the pictures on this site are not believable, which makes the site and the claims not believable to me. The pictures appear to have some scalp coloring in the after pictures, which to me appear as if there was an effort to deceive the observer. I may be wrong, but as a clinician, I hold to stringent standards. Everyone wants a magical cure to balding and this certainly does not look like it.

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My donor area is now balding, why and what can I do about it?

Your donor area was either over-harvested if you had an FUE or developed a scar from a strip surgery which, when it occurs, usually occurs in that location. You did not state if you had FUE grafts and if so, how many or if you had strip surgery. If it was FUE, the number of grafts for that area was too high. If it was a strip surgery, most likely the wound was closed too tight which will cause this type of hair loss.

We obviously see complications from both (a) too many FUE grafts for a given area of the scalp and (b) strip wounds that are too tightly closed. Most doctors and patients think that the donor area can stand almost any stress but in this post I suggested that stress (FUE or strip surgery) can cause hair loss by impacting the donor area blood supply. You should wait this out and in about six months after the procedure, the hair may return. Scalp MicroPigmentation is a good option for this problem if it needs to be treated.

See link below.

https://scalpmicropigmentation.com/scar-covering/

 

 

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Rogaine Regrew My Hairline!

Hi Doc

Just want to share a success story. I had my hair mapped for miniturisation, it was apparent that i was thinning in the temple region and starting in the crown area. I have been using 5% minoxidil ever since for about a year now and I have experience exceptional regrowth in the temple region(although the regrown hair is shorter than the rest of my hair-2cm long, the rest of my hair is 5cm long in the front). I heard that minoxidil does not grow hair there!

The regrown hair has covered the receding hairline making my hairline appear more full, I now have a mature hairline, could even be a lower than a mature hairline. I have just started propecia 40 days ago to maintain what I got on my head, at the moment i’m very happy!! By the way i’m 20 years old..

Your results are terrific by your own description; however, at your age the pull of the balding process will be great, so the minoxidil and the Propecia you just started on may not hold the hair there forever (particularly lower than a mature hairline).

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Don’t Believe Everything You Read

Creator of Cancer-Cure Diet Faked Her Cancer
Nick Mulcahy April 23, 2015

“The creator of a best-selling mobile phone app and cookbook,The Whole Pantry, has confessed that her story of healing terminal brain cancer through diet and other natural therapies is a fabrication.”…

Dr Saunders continued: “This story shows the difficulty scientists have in getting their stories heard over snake oil salespeople.”

“Hopefully this will make people think twice and do some basic checking of facts,” he added. “We need to be skeptical of the mythical lone genius selling magical cures that ignore basic science and hard evidence.”

I get hundreds of emails a week asking me about my opinion on new hair loss treatment or my thoughts on side effects of Propecia. While the Internet is a great source for information, it is not always accurate. My point has always been there is no substitute for seeing a doctor (in person) when it comes to your personal medical issues which include side effect from Propecia or your hair loss issues. Finally the old adage, if it sounds too good to be true, it probably is.