It is genetic, and it does not mean that you are unclean.
There are, however, steps it’s possible for you to take to avoid frequent HS related outbreaks.
I would like to share everything Ive learned in hopes of helping anyone else suffering from this skin disease.

Especially paired with tight clothing, heat and perspiration allow bacteria to creep into your skin.
This can lead to the inflammation of hair follicles and sebaceous glands, which can in turn cause flare-ups.
For this reason, loose cotton clothing has become my best friend.

God & Man
For females suffering from HS in the groin area, boy shorts are the ideal undergarment.
For guys, boxers or boxer briefs are likely the way to go.
If possible, wearing no underwear at all is also a solid choice.
In general, looser clothing wont irritate your sensitive areas.
During a breakout, it will also help mitigate the pain resulting from rubbing.
From my experience, one surefire way to exacerbate HS is to shave.
Shaving introduces bacteria into your skin and leaves your follicles practically begging to be infected.
Since its fashionable to be bare down there, waxing is a good alternative.
But trimming rather than removing hair is an even safer bet.
Did you know that your overall health also factors into the Hidradenitis Suppurativa breakout equation?
During stressful times, we often dont take care of our bodies.
Since I began minding my health more carefully, I have seen a significant improvement.
Its possible to experience repeat flare-ups in the same areas on your body.
Ive found that visiting a surgeon every year or so is the best way to concur my problem spots.
The lessons Ive learned have come from firsthand trial and error.
Keep in mind that everyone is different, and you must do whatever is best for you.