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Yuor hair will be drier during accutane so you should be careful with chemical treatment of your hair.
There are patients to complain of extra facial hair on retin a .If you need accutane co,plate the course and deal with the hair growth later. It may fall out after completing course of accutane but you can safely have laser hair removal of necessary later.
Statistically one third of babies have major birth defects.Wether all these defects can be found based on these examination are not 100 per cent accurate.Itvis best to discuss this with the obstetrician and your spouse now..I fortunately have this situation once in over 35 years and the patient...
Discuss with your doctor but I would recommend a lower starting dose of 20 mg to be increased by 20 mg per month to 60 mg in month three. This may decrease side effects and still allow you to achieve clearance.