This seems like a powerful combination.  I am sure that the dermaroller adds value to the results.

This is very simple thing to do to remind yourself every time you try to touch your face

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.

A man wrote to me about this problem with his baby who developed a problem unique to 5 alpha reductase inhibitors

This is what Merck wrote:

I’m basically at Norwood 3 and I don’t want to lose my f***ing youth. Going isn’t an option like for many here since I have moles on my head and can’t grow a beard anyway.  I also got depression because of my hairloss, and it’s literally the only thing that bothers me in terms of my body.

However, most information online says you have to be at least 25 to do one. I can’t really wait 25 years and suffer like this. Is it really a bad idea to do it now, and is it even possible? I’ve got around 14k€ saved up, so money shouldn’t be an issue.

It is never a good idea to do a hair transplant at 20 years of age because you don’t know where your balding pattern will end up, and you can use up all of your donor hair before you get to the final pattern. Some bad doctors are unfortunately motivated to make a lot of money by doing more and more grafts on each patient, and that leaves you with possibly nothing left for future hair loss. Send me photos to wrassman@newhair.com

I have a fairly aggressive form of androgenic alopecia. By 26 most of the hair top of my head was gone. So decided to get an initial FUE transplant for at least the front of my head. It was roughly 1500 grafts. Result was moderate, while a huge improvement to what it was, I could not get that thick hair look but was pleased nevertheless. Since then the alopecia has impacted the crown of my head as well as the sides and the back as well( above the donor areas).

Now it’s left me wondering on what to do. Because of the widespread thinning. I keep my hair short now. Clip size 2 on the sides and back and clip size 6 at the top( wahl clippers). I feel like I look better with a clip size 1 cut on the sides and back but this gives that odd look in the doner area and you can make out some sort of procedure could have been done because of scarring.

My surgeon at the time said that doner area could support another 1500 or so grafts but that would leave the back heavily reduced and would probably have to be kept short permanently as the deplemention would be noticeable.

I guess what I need is some advice as I’m not sure at all!

1. Get 2nd FUE to cover crown. Sides and back permanently short( Wayne rooney style). Noticeable scarring at the back though.

2. Leave as it is. Back and sides and thinning anyway. Keep hair short and work with what’s left.

3. Accept baldness!

A Personalized Master Plan would be on the hair transplant side of the plan and would address your donor supply for hair from the back and sides of your head for your life-time. These are measurement based tests. These numbers should be discussed with your doctor prior to starting the hair transplant process. Assuming that you have an ‘Average’ donor density for a Caucasian and you have a ‘Medium’ hair thickness, your doctor should first ascertain your worst case balding pattern which will cover the entire life-time hair transplant process (worst case) . Everyone is different and to judge your worst case pattern the doctor would (1) measure your balding area, (2) do a HAIRCHECK test on the parts of your scalp where the loss needs to be measured to predict future balding patterns and do a miniaturization analysis when appropriate, (3) budget your hair needs now (the area you want to cover and the grafts you need to cover it), (4) subtract the grafts you use now from the total donor hair grafts you have for hair transplants over your lifetime, (5) know your worst case balding situation and see to it that your hair graft reserves and the surgeon’s plans can accommodate all of your needs so that you not only always have hair, but that you always look normal. Sometimes the Personalized Master Plan will include Scalp Micropigmentation when the original donor density is low or if the Hair Mass Index is low reflecting fine hair.