1. How does the illness develop during pregnancy?
There is often an improvement during pregnancy, but this is not always the case.
2. Is there a risk to the baby during birth?
The risk is practically nonexistent. There may be a risk of bacterial infection if there is serious and persistent suppuration at the time of delivery. But in this case a caesarean delivery is always an option, or otherwise it is possible to prevent the infection of the child with antibiotics. In any event there is no serious risk.
3. Is it possible to breast-feed the baby? Isn't there a risk that the disease can appear in the region of the breasts?
It is perfectly all right to breast-feed. There is no reason why this should provoke an outbreak of lesions in the region of the breasts.
4. Is sterilization advisable? No.
5. Is the disease related to hormonal abnormality (irregularity?)
6. What type of contraceptive pill is best-suited if one has this disease?
In some cases treatment with very big doses of cyproterone acetate (Androcur 100/mg per day) leads to an improvement, but firstly these cases are rare and secondly it is difficult for the patient to tolerate heavy doses for very long. The use of the pill Diane® (which contains 2 mg cyproterone acetate) is felt to be beneficial by some women: there is no harm in trying. As a general rule, however, the fact that you have HS should not affect your choice of pill.
3. Has a gene responsible for the disease been found?
7. Does the disease disappear with the menopause?
Normally it does, but there is no guarantee.
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