Hello Cattelya, welcome to skincell. I don't have your condition, but I know HS is a horrible condition to have to cope with.
If you have been reading the posts on HS, you will have read that HS is an autoimmune disease. Please read as much as you can on what an autoimmune disease is. If you understand what is going on you will cope much better. I have made lots of posts on that subject on skincell.I'm sorry to say there are no cures for these autoimmune diseases, we can only relieve the symptoms.
Were you offerred any treatment? or topicals such as Clindamycin? If the itch is as you say it is, then of course the derm will be able to prescribe something for you. If a gynaecologist determined that you do have HS, then they should have had the temerity to send you to a derm immmediately! A gynaecologist has not got the expertise necessary to treat HS entirely, it lies in the expertise of a dermatologist.
Here is a link which has a some of the treatments listed, and I would suggest that maybe you could try and see a derm as soon as possible and get some proper treatment, because if you keep itching to that extent you could easily get an infection or a fungal infection, and indeed, because you
are itching you could already have one.
HS is not caused by any bacterial infection however --
any infection is secondary. Most cultures done on HS lesions come back negative for bacteria, so antibiotics should be used only when a bacterial infection
has been confirmed by a physician.
http://www.aocd.org/skin/dermatologic_diseases/hidradenitis_suppu.html Initial treatments are usually oral antibiotics (minocycline, tetracycline, erythromycin, Augmentin, others) and topical antibiotics (clindamycin or erythromycin). Intralesional injections into the affected places reduce swelling and tenderness within days. Anti-inflammatory pills (Celebrex, Advil, Naprosyn, Alleve, and others) are helpful in addition to the antibiotics, especially if it is a severe case. Some women respond to high estrogen birth control pills (Demulen 1/50 Ortho Novum 1/50) and spironolactone pills.
Tight fitting clothing and shaving the areas are to be strictly avoided. Dirt does not cause hidradenitis. The involved areas should be cleaned daily using an antibacterial soap, as this will reduce any odor associated with this condition. Retin-A cream, a prescription, helps some people. Accutane, a drug for severe acne, offers modest help for moderately bad cases. There is medical control, but not cure for hidradenitis.
Someone with the condition will post I'm sure, but meanwhile I would try and see a derm ASAP.
Bunnie
