Taking Propecia and Having a Child

Hi dear Dr Rassman

I am a 43 years old man which have taken Propecia (1 mg) for 7 months. I know taking the said pill for women is forbidden and they should not even touch it. So, if a man who is taking Propecia and want to bring a baby, he should stop using the pill before intercourse with his wife? I mean the finasteride dose not transfer through the sperm.

If the answer is yes, how long before intercourse the man should stop using the Propecia?

Your soonest reply will be appreciated. Thank you

After extensive studies in this very issue, we know that the drug is not transmitted to the woman through sexual intercourse. We have not seen the problems of fetus sexual differentiation in women who were fertilized by men taking this drug at the 1mg dose for hair loss. It is generally considered safe to have a successful pregnancy while a man is taking finasteride (Propecia).

Full Contact Sports After a Hair Transplant

I train regulary in full contact fighting sports. How long would I be out from training after a hair transplant???

If your surgery was done using the FUE technique, 7-10 days should be adequate (or until the scabs have gone away) before resuming your training. For a surgery done using the strip technique, I would wait 4-6 weeks.


2009-08-11 08:36:52Full Contact Sports After a Hair Transplant

Taking Two Drinks per Month During Pregnancy, Can Reduce the IQ of Your Baby

It has been well-established that heavy drinking during pregnancy causes problems for the fetus, but, after studying 500 newborns at the University Hospital in Erlangen Germany, they found higher levels of a particular chemical, Ethyl Glucuronide, in women who had two alcoholic beverages per month. They followed these babies to the age of 6 and found that these babies have a lower IQ than normal babies by 4 points. This suggests that even less drinking can also cause the problem and would obviously be a major problem for children.

Taken from New Scientist 28 July Page 13


2018-08-15 09:16:04Taking Two Drinks per Month During Pregnancy, Can Reduce the IQ of Your Baby

I Gave up My Wig After Years.

I have been on topamax for 20 years and now wear wigs. I am completely heart broken. I had lovely hair. I was put on Topamax for a off label use for mood disorder when I could of been put on so many other different medications. It is so very sad. I am 47 and I have to wear wigs to look pretty. I stopped taking this medication (cold turkey) six months ago with no problem at all and have noticed no change so far.

I had a man a while back who did Scalp Micropigmentation after he took off his hair piece which he wore for 25 years. He went to the office and everyone commented that he should have shaved his head years ago because he looked good showing off all of that “nice hair”. (It was really the Scalp Micropigmentation as he had a Class 7 balding pattern but looked like a man with a fully shaved head of hair.) See here: https://scalpmicropigmentation.com/bold-shaved-look/


2018-10-10 11:55:40I Gave up My Wig After Years.

Teenager’s Eyebrow Never Grew Back After Shaving It 3 Years Ago

(male) I shaved a good bit of my eyebrow when I was twelve – I’m, fifteen now. In short, they never quite grew back right. Will rogaine work? If not, what can I do?

I don’t think that giving a 15 year old advice on medication should come from me. Assuming that you were of legal age to make such decisions on your own, minoxidil might grow back eyebrows… and then again it may not. See a doctor and have your problem managed. You should also get a parent/guardian involved in your situation.


2008-04-03 13:33:21Teenager’s Eyebrow Never Grew Back After Shaving It 3 Years Ago

Genetics or Coincidence?

Is it a coincidence or not that both my father and my grandfather (his father) went bald, or is it because of the similarities? My father has an overbite (his top jaw is more in front of his bottom jaw), as did his father. My grandfather and father went bald at about the same age, which was their early 20’s, although my father said he noticed hair loss at around the age of 18-19.

My brother who does not share this bite similarity is now 26 has his hair, but has an asymmetric pattern which has been this way since his late teens, and has maybe matured/receded more since then, but he has a healthy head of hair.

I guess my main question is: since I also have this overbite like my 2 bald family members, does this put me at more of a risk of balding because I have a facial feature more like them, or is balding simply not relateable whatsoever to minor facial similarities. I guess my concern is inheriting genetics.

Thanks.

I wouldn’t expect facial features and hair loss to have relation. You can get tested for the balding genes with HairDX and that will give you an idea if you are carrying the gene for balding. It won’t tell you if that gene will express itself (or to what degree, or when)… but it’s something to go on if you’re concerned.

Temple Hair Loss

Hi, I am interested in possibly obtaining your services. In particular, I am interested in the FOX procedure. My problem areas are in the temple region. I live in MD so I have included some attatchments of the temple region. The ones that look like I have less hair is what I kind of look like in the morning. The ones that look like I have more hair is after I have brushed my hair. As my hair grows longer the hair around the temple region doesnt look as thick as the rest of my hair. I am currently taking propecia which seems to have stop the hair loss but I believe I started it a little to late to help my temple region. So my primary go is to thicken the areas of the temporal region. I may also be interested in some small things such as thickening some of my facial hair. If more pictures are needed I would be happy to get them to you. I am not sure what the next step is so I’ll be looking forward to hearing back from you. Thanks.

P.S. I am 27 years old.

Nice to talk to you today. You reported that you have been on Propecia for 9 months. In addition, you saw a doctor from another clinic who suggested that you visit me and get an FUE (FOX) procedure into the temples.

I have reviewed your pictures. At 27 years old, I am generally very cautious. Before I would even consider adding hair density to the temple region, I would want to assess your overall future balding possibilities, looking for miniaturization throughout the head. I would also want to see what your temple densities are. As you are on the East Coast, I would recommend that you visit Dr. Robert Bernstein in New York where he can make such an assessment. He is an excellent doctor whose opinion should have great value. No one wants you to take unnecessary risks, particularly me, so a good opinion from Dr. Bernstein will determine the best approach. His website is bernsteinmedical.com.

Girlfriend might leave me as my hair goes

i’m 19 and she is 18 and we’re both going to be sophomore in college next year and she is going to dorm next year and im worried that we won’t be together because i’ll become too far gone and she will find someone with a really nice head of hair and obviously a personality and whatever. i happen to think i have an amazing personality but this hairloss would make me look, ugh idk like very unpresentable

Sometimes you need to challenge a relationship to find out its value. If your girlfriend would leave you simply because of hair loss, then she is shallow. You have value well beyond your appearance and your hairline. Think about that and if she goes away, she is not worth keeping


2021-03-23 10:33:34Girlfriend might leave me as my hair goes

Terrible post-operative care after hair transplant (photo)

Can you imagine having to walk around like this. The doctor has no sense that there was a technique to wash off the crusts the day of and the day after the surgery. Within 3 days of surgery you should look perfectly normal and able to go out in public without detection. By the third day, you should be able to resume full activities, heavy exercises if you wish. The recipient area requires daily washes as well to keep the recipient area free of crusts. I generally recommend the use of a sponge and supply my patient with a surgical sponge to fill with soapy water and press on the recipient area daily. By repeating this daily, all crusts can be washed off without any fear of losing grafts. IF any crust are present, use a Q tip and dip it into soapy water, and roll it on the crusts and that will lift them off without dislodging them, but never rub them, just roll the Q tip on the recipient crust. I like to see no evidence of any crusting in the recipient area and the crusts from the donor area gone in 7-10 days with daily washing. Below are two patients, this one with terrible crusting on the left and one of my patients on the right placed side by side for comparison purposes. Both patient are 6 days after the transplant. Can you tell which patient is New Hair Institute’s patient?


2020-09-15 09:02:28Terrible post-operative care after hair transplant (photo)

How Does Tattoo Removal Work?

The FDA regulates laser devices and the inks used to remove tattoos. Some Lasers have been cleared for use in tattoo removal.

The FDA has cleared several types of lasers as light-based, prescription devices for tattoo removal. A Massachusetts company recently received FDA clearance to market its laser workstation for the removal of tattoos and benign skin lesions. Baldingblog has mentioned, in a previous post, that 21% of people who have tattoos, regret having them done. As such, this 21% of those who have tattoos, are candidates for Laser Tattoo removal. Once the ink is placed in the dermis of the skin, these inks will mostly stay in place for a person’s lifetime. Tattoos are intended to be permanent.

The laser pulses a high-intensity laser energy pulse through the epidermis targeting the pigments below the epidermis. “The laser breaks the pigment into smaller particles, which may be metabolized or excreted by the body, or transported to and stored in lymph nodes or other tissues”, says FDA’s Mehmet Kosoglu, Ph.D.. “Lighter colors such as green, red, and yellow are the hardest colors to remove, while blue and black are the easiest.”

According to the American Academy of Dermatology, the procedure requires multiple treatments (typically six to ten) depending on a tattoo’s size, colors, and depth. and requires a few weeks of healing time between procedures.

In Scalp Micropigmentation, we use darker colors and when performed correctly, keep the volume of the ink small and placed in the upper dermis. If the ink would be placed too deep in the dermis, it would not be a dot, but rather a blob. Doing this correctly requires a specialized skill that takes many months to master. Unfortunately, the poorly done tattoos on the scalp, place the inks too deeply and a large volume is often used, making it more difficult to remove them. This material is summarized from an article which appears in the FDA’s Consumer Updates, January 30, 2013