Vaginal Health: Recognizing Symptoms, Making a Diagnosis, and Enhancing Relationships
Hidradenitis suppurativa (HS) is a chronic, inflammatory skin condition that affects areas of the body with sweat glands. It primarily involves apocrine sweat gland–rich areas such as the armpits, groin, and perianal regions, where these glands are more densely located.
HS can be a challenging condition to live with, as it often co-exists with anxiety and depression. However, it's important to note that HS is not a sexually transmitted infection (STI) and cannot be passed to a partner.
The first visible symptom of HS is often a tender, deep lump under the skin. These lumps may evolve into pimple-like or boil-like lesions that can connect with tracts, causing pain and drainage.
While HS does not have a cure yet, treatment options are available to help manage the condition and reduce flares. These may include antibacterial wash, topical antibiotics, steroid injections, oral antibiotics, biologic drugs, surgical removal, or drainage of the area.
Risk factors for HS include follicular occlusion disorders, altered skin microbiota, and inflammation that ruptures the follicular wall. Additionally, skin friction and sweating can make HS flares more likely.
If medication or advice from your doctor hasn't helped with the genital bumps, you can ask for a referral to a dermatologist. It's also important to remember that starting the conversation about HS with a partner may strengthen the relationship.
HS is three times more common in females than males and impacts between 1 percent and 4 percent of people. If diagnosed early, the outcomes can be significantly better. HS may have a genetic component, so it's crucial to be aware of the condition's signs and symptoms.
In some cases, HS can make it painful or uncomfortable for some individuals to have sex in certain positions. However, it's worth noting that HS does not typically appear on the labia.
If you're living with HS and experiencing anxiety or depression, your doctor might help you find resources for these conditions. It's essential to remember that you're not alone and that there are support networks available to help you navigate this challenging journey.
Newer biologic drugs are being tested for HS treatment, offering hope for those living with this condition. By staying informed and working closely with your healthcare provider, you can find the best treatment options for managing your HS.
