Propecia and Pregnancy, is it safe?
Article by HairlossTalk.com
May 21, 2004
Is it safe to conceive a child while taking Propecia? What about intercourse during pregnancy? Dr. Richard Lee opens up the clinical data and gives us the final word on the facts surrounding Propecia, Birth Defects, and having children...
Not many things can surpass the stress caused by the possibility of causing birth
defects in your own unborn child. So, it’s quite understandable that the
mention of a possible birth defect with the use of finasteride (Propecia 1mg and
Proscar 5mg, Merck) would cause considerable anxiety and concern. The package
insert for Proscar states under the section on Contraindications: “Because
of the ability of Type II 5alpha reductase inhibitors to inhibit the conversion
of testosterone to DHT, finasteride may cause abnormalities of the external genitalia
of a male fetus of a pregnant woman who receives finasteride”. So, is the
risk real?
Theoretically, yes. Practically, no.
What Exactly Happens?
The specific birth defect they're referring to, which happens when there is no
Type II 5-alpha reductase enzyme in the male embryo, is called hypospadias. Hypospadias
is a birth defect in which the urinary tract opening is developed on the ventral
surface (under side) of the penis rather than at the tip of the penis. There have
never been congenital abnormalities observed in female fetuses at any
dosage of finasteride.
During the research and development phase of finasteride, studies were done
on experimental animals. Rats, rabbits, and rhesus monkeys were given finasteride
to determine its relationship to birth defects, i.e. hypospadias.
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Dr.
Richard Lee
Dr. Lee obtained his degree in medicine from the University
of Pittsburgh, and has founded and operated one of the few private medical
practices devoted entirely to the research and treatment of hair loss..
"Regrowth" was incorporated in 1987. Dr.
Lee provides consultation services to hair loss sufferers, and has a line
of custom minoxidil and topical spironolactone solutions which are widely
used by our members here at HairlossTalk.com. Dr. Lee is a respected member
of the HairlossTalk Community, and one of the few physicians truly educated
on the causes and treatments of hair loss. You can see his website and products
at http://www.minoxidil.com |
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
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.
Continue
to Part 2 of this Article... |
|
Propecia
and Pregnancy - Part 2
Topics: So when is it Safe? |
Intercourse During Pregnancy | The Final
Word |
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