Balding Blog

I am concerned that what you are showing in the photo is more than crusting, but is rather something called necrosis. I know that you are not in the U.S., but you should go back to see your doctor and discuss the term “necrosis” with your doctor.

Hi, Dr. Rassman. Thanks for answering all of our questions.

My question is, How likely is it for someone to “settle in” to a level of hair loss (Norwood 3A, for example) and not see any more rapid loss for a period of time (years, for example)? Do some people get to a certain level of hair loss beyond a mature hairline and stay that way without medication? Or is your fate essentially sealed after you reach a certain level?

Let me clarify what I see as your misunderstanding. The Norwood chart is not to be seen as a progression of hair loss chart, but rather the final patterns seen in a large male population.

Some people do seem to go from a Norwood class 3 to a 4 and then to a 5 pattern, but you may just “settle in” to your Norwood 3A state, as an example. There is really no 100% certainty, but a good doctor with a good miniaturization study and examination can give you a better assessment of what hair may go with time. Here’s the Norwood chart so we’re all on the same page:

Your “fate” was sealed in your genetic code when you were conceived many, many years ago. Very few patients become a Norwood class 7 pattern, and even the balding patients who start as a class 5 may not go much further, even at the age of 100 or so. So for example, there’s no “point of no return” that says if you reach class 4 by this certain age, you’re guaranteed to be a class 7 later in life.

Just getting over some server problems today — thanks for being patient. Things are looking stable now after the system upgrade.

Was hooking up with a girl and realized she also had hairloss. I think once you become obsessed with hairloss you notice it so much. Noticed that her hair part was wider and thinner hairs around there. Can totally see more scalp than most women. She is still hot so idc. But my point is once you know about balding you easily notice it. So many people have hairloss.

Yes, that is very true. Ever since I entered this field of Hair Restoration Surgery 30 years ago, I look at other men and women to establish what is normal and what is not normal for hair loss. From all of these observations, I have learned (especially at airports when I see many people walk by and have little else to do) what normal hair loss patterns are found in the general population. From this, I drew interesting conclusions which I speak about at medical meetings as I have identified patterns of loss that are not the patterns confined to the Norwood Classification.

Supposedly, very little (if any) Finasteride comes across with semen, so I doubt that this is causing her problem. She should see her gynecologist. The levels present in the ejaculate of patients taking 1 mg appear to be negligible. From the literature I have read, there does not appear to be any need to stop 1 mg of Finasteride in those patients trying to conceive or in those whose partners want to be or are pregnant.

Finestride and semen from tressless