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מכון שלזינגר לחקר הרפואה על פי ההלכה

medicine with potentially harmful side effects for cosmetic purposes

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23 באוקטובר 2018

הרב המשיב: הרב ד"ר מרדכי הלפרין

שאלה:

I have a halachic question. I am 22 years old and am begining to lose my hair. In order to slow down the process I am thinking of starting the drug Propecia (Finasteride).


However there appears to be some side effects from the treatment, among them (as extracted from a website on its side effects):


"Less common or rare


* Abdominal pain; back pain; decreased libido (decreased interest in sex); decreased volume of ejaculate (decreased amount of semen); diarrhea; dizziness; headache ; impotence (inability to have or keep an erection) "

[http://www.nlm.nih.gov/medlineplus/druginfo/uspdi/202649.html]


My questions are as follows:


1) Is one allowed to take a medicine with potentially harmful side effects for something that is purely cosmetic? Although there is an emotional and self confidence issues as well, it is clearly not an issue of life and death.


2) Some of the side effects in particular seem to effect the male reproductive organs. Are any of these side effects problematic from the perspective of Jewish Law? In particular I was concerned about this one "decreased volume of ejaculate". I am aware in Jewish law that there is a problem of "destroying seed". Would this potential side effect be included among that prohibition?

תשובה:

1. It depends on the risk level:

A person is allowed to enter a relatively low level of risk for the purpose of his livelihood (Tractate BM 112a)

"מפני מה עלה זה באילן ומסר את עצמו למיתה אלא על שכרו" (בבא מציעא קיב. כמו"כ שו"ת נודע ביהודה יור"ד סי' י)

Therefore, if the danger level is very low- suppose on the order of 1:20,000, it is permissible to take the risk for purposes of quality of life.

2. The side effect of "decreased level of ejaculate" by the drug is not considered as "destruction of the seed".

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שאלות נוספות

בדיקת העמסת סוכר

שלום רב, ביתי בחודש שישי להריון עשתה בדיקת העמסת סוכר (של שעה) והתוצאה היתה 139. הרופא שלה המליץ על בדיקה נוספת של העמסת סוכר והפעם

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