Midlife Challenges in Managing Hidradenitis Suppurativa Symptoms
Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition that often becomes more challenging to manage in midlife. Dr. Nicole M. Golbari from NYU Grossman Long Island School of Medicine explains that while the disease itself may not change significantly, the context of midlife—characterized by hormonal shifts, increased responsibilities, and stress—can make symptoms feel more disruptive. Midlife brings hormonal fluctuations, particularly during perimenopause, and metabolic changes like increased insulin resistance, which can amplify HS activity. Stress, both emotional and physiological, further exacerbates the condition, making flares more frequent and harder to manage. 
