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Is Your Armpit Smell Out of Control? Here’s How to Treat Bromhidrosis

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If you’ve detected an unpleasant odor from your armpits, it could be a condition known as bromhidrosis. Let’s explore the treatment options available to manage this issue.

Image courtesy of tone kale-shutterstock.com
Image courtesy of tone kale-shutterstock.com

Bromhidrosis is characterized by an unusual and often unpleasant odor originating from the armpits, which can be a source of discomfort or embarrassment. In addition to the odor, you might notice unsightly yellow stains on your white shirts in the underarm area.

The cause lies in the composition of sweat. While typical sweat is primarily composed of water, individuals with bromhidrosis produce sweat containing a combination of lipids, triglycerides, fatty acids, cholesterol, iron, and even fluorescent substances. This unique composition contributes to the distinctive and persistent odor.

A simple self-assessment can provide initial insights if you suspect you may have bromhidrosis. Take a shower, wait two hours, then give your dominant armpit a good rub with a gauze pad. Now, take a whiff from about a foot away. If present, it is advisable to consult a healthcare professional to discuss potential treatment options.

Treatment Options for Bromhidrosis

The first line of treatment for bromhidrosis typically involves topical medications. Most doctors start with antiperspirants—they’re safe and effective for controlling sweat gland activity. Medicines such as antioxidants, antibiotic ointments, deodorants, and even ion exchange resins might appear in your pit-perfecting routine.

Electrolysis is available for those wanting a more intensive approach. This hair removal technique doesn’t just remove hair—it targets apocrine glands, too, eliminating a key factor in odor production. However, if your bromhidrosis is severe, this might not be your best bet.

Surgical Treatment for Severe Cases

In more serious cases, surgical intervention could be the most definitive option. This procedure involves making a tiny 4 cm (1.57 inches) incision along your armpit to remove troublesome hair roots and apocrine sweat glands. Recovery requires limited arm movement for approximately a week, but the likelihood of the odor returning is significantly reduced. In particularly challenging cases, surgeons may also remove sebaceous glands to enhance the effectiveness of the treatment.

According to the Korea Centers for Disease Control and Prevention’s National Health Information Portal, surgically removing the apocrine glands is the most effective way to address bromhidrosis permanently.

Patients typically experience hairless underarms after surgery, but even without surgery, maintaining well-trimmed underarm hair is essential for controlling odor and ensuring freshness.

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