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Diagnosing Hyperhidrosis

For many people, especially those plagued by excessive sweating for years, it is usually a welcome relief to learn that effective treatment is available. A diagnosis from a sweat management specialist (hyperhidrosis doctor) can help to determine your best treatment for excessive sweating.

Take control of your excessive sweating. To learn out about the treatments that can help you, find a sweat management specialist in your area.

Medical Screening

During your initial consultation, your sweat management specialist will conduct a medical exam, and review the medical history for both you and your family.

While hyperhidrosis doctors routinely use the Hyperhidrosis Disease Severity Scale1 (HDSS) during diagnosis, you can assess your sweating with our online tool on your own in advance and bring the results to your consultation.

Score - 1 My sweating is never noticeable and never interferes with my daily activities
Score - 2 My sweating is tolerable but sometimes interferes with my daily activities
Score - 3 My sweating is barely tolerable and frequently interferes with my daily activities
Score - 4 My sweating is intolerable and always interferes with my daily activities

This quick, simple tool provides you a qualitative measure of the severity of your sweating based on how it affects your daily activities. Patients select the statement that best reflects their experience with sweating. Simply choose the statement that best reflects your experience with sweating. A score of 3 or 4 indicates severe hyperhidrosis, whereas a score of 1 or 2 indicates mild or moderate primary hyperhidrosis. Your doctor can use your results to identify the degree to which sweating interferes with your daily activities. If there is no change in HDSS score after 1 month of treatment, or the treatment is not tolerated, it is considered to have failed.

Screening for Primary Hyperhidrosis

A sweat management specialist can offer treatment for primary hyperhidrosis. Secondary hyperhidrosis must be addressed indirectly through treatment for the primary condition. If you have been bothered for at least 6 months by visible, excessive sweating that affects 1 or more specific body parts (such as the hands, feet, or forehead), you could have primary hyperhidrosis.

By preparing for your appointment in advance, you can help your doctor make the most accurate diagnosis for your excessive sweating and help you with appropriate treatment.


1 Solish N, et al. A Comprehensive Approach to the Recognition, Diagnosis, and Severity-Based Treatment of Focal Hyperhidrosis: Recommendations of the Canadian Hyperhidrosis Advisory Committee, p 908 - 923.

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