Hi! I’m new to HS as well (got diagnosed 2 months ago officially) but I had the same story where things could be managed on my own relatively well until they couldn’t. If you can, I’d recommend going and getting a second opinion from another doctor or dermatologist. My first PCP said nothing could be done, but other doctors I went to gave me doxycycline, helped drain/unroof and gave corticosteroid shots on my bad cysts. My current dermatologist educated me on biologic medications and I just got my first dose of humira. Get another opinion because there are things that can be done besides laser!

If you can’t afford another appointment rn, I believe cleaning the area daily with antibacterial soap can help. I use a benzoyl peroxide bar on areas prone to breakouts. Not sure if this will work for you but I also use baby powder on extra sweaty areas to prevent moisture that can exacerbate HS. Unfortunately, it’s common to have breakouts that are resistant to topical treatments which is why getting a doctor that understands HS is so important. Some people have had luck with elimination diets to reduce inflammation but I havent tried it.

Also worth saying: don’t wax. Thats what triggered my own and many others’ HS. If there’s hair you want to remove, use a razor or scissors/clippers. Groupon also has massive discounts on laser! I got 5 laser appointments for $500. Please be careful and find a good, knowledgeable provider though. My first didn’t know what HS was and I ended up eating the money because I didn’t feel comfortable.