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Hypospadias did occur in the male offspring, when pregnant rats were administered
doses that were between 5 and 5000 times the amount recommended for men in treating
Male Pattern Baldness (1mg/daily). The critical period during which these effects
can be induced in male rats was determined to be during the 16th and 17th days
of gestation.
In rabbit fetuses which had finasteride directly injected into the uterus from
days 6-18 of gestation at doses equivalent to 5000 times the recommended human
dosage, no evidence of malformations was observed. This result would be expected,
since there was no exposure during the critical period of genital system development
in rabbits.
Conceiving a baby while on Propecia
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We have all seen the warnings about pregnant women being advised not to handle
a broken propecia tablet. In many people's minds, it stands to follow that if
they shouldn't handle a broken tablet, surely semen containing finasteride would
be dangerous as well. Again, we should always look to the studies to get the
facts we need. Scientists intravenously gave 750 times that dosage to Rhesus
Monkeys. In fact it was 750 times the highest possible dose a woman could be
exposed to through semen from a man taking 1mg per day. Even at this dose, there
were no genital abnormalities observed.
Propecia and Genital Development during Pregnancy
In the human embryo, the period of external genitalia development is during
the 7th - 9th weeks of gestation. Although the sperm (which can contain finasteride
from the man taking Propecia) plays a role in determining the sex of the baby
(either Y-bearing or X-bearing), the actual male and female morphological characteristics
do not begin to develop until the seventh week of Pregnancy.
Prior to this time, the genital systems of the two sexes are similar, and the
initial period of genital development is referred to as the ‘indifferent
state of sexual development’. About six weeks after conception, if a Y
chromosome is present in the embryo's cells (as it is in normal males), a gene
on the chromosome directs the undifferentiated gonads to become testes. If the
Y chromosome is not present (as in normal females), the undifferentiated gonads
will become ovaries. If the gonads become testes, they begin to produce androgens,
primarily testosterone, by about eight weeks after conception. These androgens
stimulate development of the one set of the genital ducts into the epididymes,
vas deferens, and ejaculatory duct. The presence of androgens also stimulates
development of the penis and the scrotum. Hypospadias can result if there is
inadequate production of androgens by the fetal testes.
(Continued on next page...)
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