She Strengthens

The Hidden Impact of Hidradenitis Suppurativa on Your Vaginal Health

Hidradenitis suppurativa (HS) is a chronic, inflammatory skin condition that affects areas of the body with sweat glands. While it’s more common in females, HS can impact anyone, regardless of gender. When it occurs near or on the genitals, it can significantly affect both physical and mental health.

Understanding HS: What It Is and How It Affects You

HS typically appears in areas where skin rubs together, such as the armpits, groin, under the breasts, and around the anus. It can also occur on the scrotum, vulva, buttocks, and perineum, although it’s rare on the labia. The condition can be debilitating, but often tricky to diagnose. In fact, people may wait up to 10 years to get the right diagnosis, usually from a dermatologist.

Recognizing the Symptoms of HS

The first visible symptom of HS is often a tender, deep lump under the skin. It may look like pimples or boils, and your skin may clear up only for the bumps to return in the same spot, sometimes bigger or feeling like multiple bumps. You might notice open blackheads, swelling, itchiness, or bruising in the groin area before the bumps appear. Over time, some people develop black spots and scars from wounds that open and heal repeatedly.

Getting Diagnosed and Treated

If you’re experiencing persistent genital bumps and your doctor’s advice hasn’t helped, consider asking for a referral to a dermatologist. A specialist can help you get the right diagnosis and treatment. While HS doesn’t have a cure, early diagnosis can lead to better long-term outcomes. Your dermatologist may recommend antibacterial washes, topical antibiotics, steroid injections, oral antibiotics, biologic drugs, or surgical removal or drainage of the affected area.

The Emotional Toll of HS

Living with HS can be emotionally challenging, especially when it comes to intimacy. It’s essential to remember that HS is not contagious and doesn’t mean you’re unclean. However, the condition can be difficult to manage, and it’s okay to want compassion and understanding from your partner. Starting small by discussing your skin condition in general terms can help open up the conversation.

Managing HS and Relationships

It’s not necessary to bring up HS when you’re first getting to know someone, but as the relationship grows stronger, it’s essential to be honest about your condition. HS might make certain sexual positions painful or uncomfortable, and it’s crucial to communicate your needs with your partner. Your healthcare professional can provide resources to support your mental and sexual health, including referrals to therapists or counselors.

Debunking Common Misconceptions

HS is not an STI, and your partner can’t get it from you. The exact cause is unknown, but researchers believe it may have a genetic component. Other risk factors include follicular occlusion disorders, altered skin microbiota, and skin friction.

Ruling Out Other Conditions

If you’re unsure about a bump or lump in the groin, it’s essential to get it checked out by your doctor. Other conditions that cause bumps on the genitals and groin include Bartholin’s and epidermoid cysts, abscesses, boils, carbuncles, Crohn’s disease, genital warts, genital herpes, and enlarged lymph nodes.

Taking Control of Your Health

While HS can be challenging to manage, early diagnosis and treatment can make a significant difference. By understanding the condition, communicating with your partner, and seeking support from healthcare professionals, you can take control of your health and build stronger relationships.