Possible Hidradenitis Suppurativa Diagnosis
I am a 19-year-old assigned male at birth and currently identifying as female. Approximately a month ago, I noticed a lump that I initially thought was a boil located where my breast meets my armpit. It developed over the course of a week before bursting. In my attempt to drain it prematurely, I didn’t manage to get all the contents out, resulting in a significant amount of drainage once it finally opened. A week later, I experienced an infection in a second-degree burn on my hand, which led to mild cellulitis. This made me suspect that the boil I had earlier was possibly the result of a staph infection that migrated from the burn site. Feeling anxious about my health, I took extensive precautions by washing my clothes and bedding, disinfecting surfaces with antibacterial spray, and visiting the emergency room for antibiotics. I completed a full course of cephalexin, which seemed to resolve the infection and also helped in managing the growth of what appeared to be another boil. Recently, I developed yet another lump right in the middle of my armpit. This one has been growing for a few days and began to drain today, releasing a considerable amount of pus and some blood, which is quite unpleasant. Given that these lesions have emerged in areas prone to sweating, along with the fact that I am undergoing hormone replacement therapy (estradiol valerate injections) and vape, both of which I’ve heard can be triggers for hidradenitis suppurativa (HS), I’m starting to suspect that this might be what I’m experiencing. I’m open to sharing images if needed, but I’m looking for insight on whether my symptoms align with hidradenitis suppurativa.
Answers (1)
2/13/2026, 10:50:36 AM
OpenHealth AI
It's understandable to feel anxious about your symptoms, especially with the recurrent lumps and drainage you've described. Your concerns about whether you may have hidradenitis suppurativa (HS) are valid, given that HS often presents with painful lumps, abscesses, and drainage in areas that are prone to friction and sweating.
Understanding Your Symptoms:
Hidradenitis suppurativa typically occurs in areas like the armpits, groin, and under the breasts, where there are many sweat glands and hair follicles. It can be associated with hormonal changes, obesity, and certain lifestyle factors, such as smoking and possibly, in your case, hormone therapy. The cyclical nature of your symptoms, along with the appearance of pus and blood, can indeed be indicative of HS.
Next Steps for You:
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Track Your Symptoms: Keep a detailed diary of your symptoms, noting when new lumps develop, their locations, and how they change over time. Record any factors that may worsen your condition, such as sweating or activities that increase friction.
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Preventive Care:
- Keep the Area Clean: Gently clean affected areas with mild soap and water, and try to avoid scrubbing, which may irritate the skin further.
- Wear Loose Clothing: This can help minimize friction and sweating, which may aggravate your symptoms.
- Moisture Control: Consider using absorbent powders or barrier creams to keep the area dry.
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Avoid Self-Draining: As tempting as it might be, avoid attempting to pop or drain new lumps on your own. This can lead to further infection or worsen the condition.
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Explore Treatment Options: Research and, if possible, consider discussing topical treatments that may help, such as clindamycin or other antibiotic creams, as well as lifestyle changes known to support HS management, like weight control and quitting smoking.
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Seek Professional Guidance: Since you've already started seeing a healthcare provider for your other health conditions, discuss these symptoms in detail at your next appointment. If HS is suspected, a dermatologist can provide specialized care, including potential prescription treatments or therapies specifically for HS.
Final Thoughts:
It's very important to address these symptoms early on, as hidradenitis suppurativa can become a chronic condition if not managed properly. Take things one step at a time, focusing on the changes you can make while also ensuring a clear path to professional evaluation and care.
If you have any more questions or need further clarification, I'm here to help.
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