Hi Dr Wrassman,

I’ve consulted with you via email before. Wanted to reach out once here before making an appointment.

My wife got accidentally pregnant while on 1mg Finasteride. I read various conflicting reports, my dermatologist here in San Jose, CA says it should be fine but that I should keep the medication away from her going forward. Wanted to check with you to see what you recommend? Should we go the abortion route and try to conceive once I’ve stopped taking the medication? Appreciate your reply.

Thanks!

I suspect that tens of thousands of men have gotten their wives pregnant while on finasteride. The drug company reported that taking finasteride while you wife is pregnant doesn’t pose an increased risk to the baby. A Google Search produced the following:

Is PROPECIA safe when trying to conceive?
A: It is OK for you to continue finasteride while your wife is trying to conceive. However, there is some data to suggest that it may slightly decrease fertility since, by shrinking the prostate (the prostate produces 25-30% of semen volume) it slightly changes the overall composition of semen.Sep 21, 2012

Can you have kids if you take finasteride?
Many men have fathered healthy children while using finasteride. At the present time, there is no evidence whatsoever that the children (either sons or daughters) of men taking finasteride have a higher risk of birth defects. However, finasteride may lower sperm counts and cause temporary infertility in some men.Dec 14, 2015

Finasteride and Fertility – Bernstein Medical
bernsteinmedical.com
https://www.bernsteinmedical.com › answers › finasterid…
Search for: Is PROPECIA safe when trying to conceive?

This has most likely happened because the person placing the grafts on the left side of his man’s head was less skilled than the person on the right side of his man’s head.  This is most likely a technical failure for full growth on one side.

 

 

1. Can SSRI cause a receding hairline?

2. Does Telogen affluvium work with male pattern baldness? Because I had a really bad shed if I got out of the shower and 3. I have male baldness what kind of shed is that?.

3. Does finasteride respond to telogen affluvium?

1- SSRIs can kick in genetic balding from stress alone, as well as a drug response
2- Telogen effluvium can impact any man or women undergoing stress
3- Finasteride does not impact telogen effluvium

The purpose of microneedling is to create a wound in the area of the hair stem cells that trigger the hair growth cycle. Those are found at around 0.8-2 mm below the scalp surface. The needle must get to the stem cells to get the best results.

How many chest hair grafts does the average male have that can be obtained from their chest and what is the survival rate?

Chest hair can be used for hair transplant as a donor source; however, it is not the best hair because (1) it has a short anagen cycle and a long telogen cycle, which means that only about half of the hairs will be growing at any one time, (2) the hair is finer than scalp hair most of the time, (3) chest hair grows as single hairs so a graft requires two or three grafts put together for a reasonable graft value. If the surgeon charges per graft extracted, that makes chest hair three times the cost of scalp or beard hair.  The hair usually falls out within days or weeks after the start of the telogen cycle.

Amazing results in young man that shows a Class 7 balding pattern in the crown. Note that the entire lower half of the crown has miniaturized hairs suggesting that the loss is recent and reversible. 

 

I’m 25 and medications reversed my frontal hair loss, but now I am thinking about getting a hair transplant for the crown which did not reverse with medications.

The size of your crown balding is minimal. If you start transplanting it now, maybe it will get worse and then you would have to do it again. The crown is a “Sinkhole” for using up your donor area.