Having a baby on finasteride

I have been on Propecia for the last 3 years and it’s worked well. It has come to a stage where I would like to have a child with my wife. I have been researching for answers about effects of Propecia whilst conceiving on the internet and although there are many answers stating that it’s safe to carry on taking whilst trying to conceive, I am still unsure and not convinced. In the end I would not want to jeopardize the health of the child. May I ask, if I was to halt taking Propecia, how long should I wait to be sure that it is completely out of my system and that the sperm count and morphology would be completely back to normal?

This is a difficult question to answer. There are millions of men on this drug and I don’t believe that there is any report of the defect that is known if women took the drug. Also the semen levels are very, very low and the drug really impacts the growing fetus in the first trimester. Most of the warnings are medical-legal ones. The drug fixes to tissues in the body and this tissue fixation lasts about 1 week. If there are sperm reductions, it could take up to 6 months for this to reverse, probably less.


2017-10-12 07:23:11Having a baby on finasteride

Haven’t taken finasteride for a week

I haven’t taken my fin for a week, i’m getting a new script tomorrow. Is 1 week enough time for noticable hair loss? Kinda worried. thanks

One week of no finasteride will have no impact as it stays in your hair follicles for at least a couple of weeks.


2020-09-15 12:36:39Haven’t taken finasteride for a week

Haven’t Seen Much Growth 7 Months After My Hair Transplant

Hi,

I had a hair transplant about 7 months ago and I really have not seen any major improvement. I had the transplant of the hair line. What has happened is that some of the transplanted hair never fell out and has continued to grow but I have seen no regrowth where the transplants shed.

Is this a failure or will it still grow.

My hairline is still a little red.

Thank you

At 7 months, you should see growth from the transplants. It sounds like it’s possible that your transplants grew in right away (seen in 5% of patients), but you may have experienced shock loss in the surrounding hair, leaving you no better off than before you started. As for redness, it should’ve subsided months ago. I don’t know enough about your procedure (number of grafts, hair type, technique used) or your skin type to be able to reflect on the persistent redness or if the transplant was a failure or not. I would discuss your concerns with the physician that performed the surgery and use the pre-operative photographs when you discuss this with him/her.

Have You Tried NeoGraft Yet?

Hi Dr. Rassman,

I read where your colleague, Dr. Bernstein, recently decided to add the NeoGraft Unit to his office’s hair restoration offering – see his blog for more information. I was wondering if you have had an opportunity to try the NeoGraft and whether or not they have managed to overcome trauma to the grafts from “drying” and mechanical effects (during extraction and implanting)? I have read your blog concerning your (and Dr. Pak) device (hydro) and was really hoping that they might take a page from your book on this technique.

I did try NeoGraft on one of our known FOX negative patients and the results were not good, but comparable to what we would have gotten using our own techniques in such a patient. A quick aside, the FOX test means that we ran a small FUE test to see if they are candidates for a full FUE procedure… and FOX negative means we do not recommend the FUE procedure for them.

The NeoGraft system did what we would have expected it to do. I believe (without direct experience) that the ARTAS robot would have also produced damage with this FOX negative patient, but as most patients are not FOX negative, the test of the NeoGraft on this patient was not a fair representation of what it should do.

I have asked for a loan of a NeoGraft system to help me find a place in my practice for it. I know that Dr. Bernstein is getting an ARTAS system and I am sure that when he has a FOX negative patient, I will find out what his experience is with such a patient.

Have You Heard About AAPE For Hair Transplantation Use?

Does anyone have experience with AAPE from Prostemics? A patient asked if I do this.

Dr. Brande Wolfe described AAPE as an abbreviation for “Advanced Adipose-derived stem cells Protein Extracts”, is a mixture of refined growth factor proteins that is extracted from human adipose-derived stem cells conditioned media. With its unique protein formula. AAPE is supposed to maximize the revitalizing effects of skin and hair follicles and consists of human proteins created by stem cells, natural composition with multi-function such as anti-wrinkle, antioxidant, whitening, hair re-growth and even wound healing effect. It is interesting that this AAPE product is approved by the US FDA.”

This is not mainstream clinical hair transplant technology.

Have you grown hair with doing headstands and scalp massage?

I had a patient stand on his head for two hours a day for 6 months to get more circulation to his scalp. He did 1 hour in the morning and one hour in the evening. He still developed progressive balding and did not grow any hair. I ended up transplanting him and he was quite happy.


2021-03-03 07:40:35Have you grown hair with doing headstands and scalp massage?

Have You Had Any Patients on Finasteride That Had Kids Who Later Presented Health Issues?

Have any of your patients come back to you to report on children they had who were born with or who later presented with health issues that your patients thought might be linked to their use of finasteride? I know there’d be no way to show causality, I’m just wondering if it’s happened.

Personally I don’t care as much about infertility as I do about having a child who has health issues as a result of my finasteride usage. I’m having conscience-pangs just thinking about it. Could finasteride exert some kind of deleterious effect on the genetic content inside sperm whereby the sperm _does_ manage to fertilize the egg but where genetic abnormalities are passed on to the child? As usual, I suppose the answer is that nobody knows for sure.

No. At least, no one ever came to me who was on the medication asking about it. Propecia / finasteride taken by men as directed is not a pregnancy / health risk. When taken by women, it can potentially cause birth abnormalities possibly due to hormonal changes it causes during fetal development.

I know there are plenty of men that have had kids after taking the medication, so perhaps our readers will leave comments about their experiences.


2013-12-08 12:51:48Have You Had Any Patients on Finasteride That Had Kids Who Later Presented Health Issues?

Have You Ever Seen a Case of Hair Loss Contained to a Just One Small Bald Spot?

Has a case ever occurred where a non uniform/asymmetrical form of hair loss had say thinning/hairloss centralized in a small area say 1inch x 2inch and the rest of your hair remained intact for the rest of your life?

Yes, there are inherited patterns like you mentioned and there are a variety of diseases like ringworm and alopecia areata that can do this. If that is a problem, see a dermatologist who can tell the difference for you upon an examination of your scalp and hair.

Have We Focused Too Much On The Harmful Effects Of Sunlight? – It May Prolong Your Life

It seems that there is some secret to actual exposure to sunlight that supplements of Vitamin D does not give you. “In a study of 30,000 Swedish women recruited in 1990 and questioned about their sun-seeking behavior found that the more they had sunbathed, the less likely they were to have died 20 years later. In fact those who did the most sunbathing were hlf as likely to be dead as those who had avoid the sun entirely” said Rishard Weller in New Scientist June 13.

“Other research backs this up. Another Scandinavian study of 40,000 women found that those who went on the most sunbathing holidays were least likely to have died 15 years later…. We have been so distracted by what we see – skin cancer – and have forgotten what maters most. Vitamin D is often used as a euphemism for “healthy sunlight”, but an increasing number of supplementation studies show that the benefits of sunlight cannot all be put down ti it. ”

It also seems that people with pale skin and sun exposure get the worst cancers of the skin such as melanomas, while those with tan skin, get less aggressive skin cancers.

Have taken SSRI and Finasteride and now have mild ED

I’ve been on finasteride for over 2 years with good results. But now I’m experiencing some erection issues. The sex drive is there, but the erections are very weak and generally need manual stimulation. In your experience how long does it take for this to go away once stopping the medication? I was also on an SSRI, so it’s hard to say which medication is actually causing these issues. I’ve been off the SSRI for almost two months, and my sex drive came back quite quickly, probably within two weeks of stopping. I’ve been off of finasteride for two weeks now and haven’t really noticed any difference, so I’m getting a little nervous. Anyway, hope to hear from you and have a great holiday!

Give it time and then you will know. Some men have ED problems just as they get older and that is why Viagra and Cialis have done so well as a drug for treating ED. Heavily focusing on sexual performance often leads to some ED, a psychological effect but if your ED is caused by finasteride, then speak with your doctor about finasteride and your ED.


2021-04-21 06:47:59Have taken SSRI and Finasteride and now have mild ED