Perspiration Guide, Hyperhidrosis treatment methods

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There are different treatment options, in order to come to grips with excessive perspiration. Conservative (non surgical) treatments have to be distinguished from surgical (invasive) treatments.
  
Before surgical measures are considered, the application of antiperspirants and other conservative treatment options must have been fully exhausted.
 

Conservative treatment options:

  • Antiperspirants
  • Iontophoresis
  • Botulinum Toxin
  • Psychotherapy

Surgical treatment options:

  • Local sweat gland removal
  • Sweat gland suction 
  • Surgical nerve block (sympathectomy)
Before deciding in favor of one of these treatment methods, simple preventive measures should be taken, as these frequently provide for a considerable improvement. If these measures are not successful, then an external treatment method may be approached. The application of antiperspirants is especially suitable for this purpose. They are highly efficient (a success rate over 95%), at the same time completely safe to use, cost-efficient and easy to apply.
Thus it is to be recommended to proceed against increased perspiration as follows:
  1. Try out recommended preventive measures
  2. Try out antiperspirants
  3. Consultation for further clarification

Pros & Cons - Overview

 
 
Advantages
 
 
Disadvantages
 
 
 
Suction
 
 
High rate of adoption
 
 Surgical risk, high costs,
  recurrence of slight perspiration after some time
Antiperspirants
Very effective, perspiration is ceased (90-100%), applicable on any part of the skin, low procurement costs, simple and risk-free application
Application on a regular basis,
time the product takes to soak in
Botulinum Toxin
High rate of adoption,
Fast reduction of perspiration 
   Numbing nerve poison, therefore controversial
  (can lead to death in case of oral consumption)
  high costs, treatment must be repeated every 6 months 
 
 
Excision
 
 
Initially good results
 
Surgical risk, adverse effects,
  recurrence of slight perspiration after some time
Iontophoresis
Good results with slight to intense hyperhidrosis,
gentle procedure
High time involved
(20 minutes every 2-4 days),
circumstancial procedure,
only appropriate for
hands and feet
Pharmaceuticals
Easy to take
Proof of success uncertain,
only few respond to treatment,
high adverse effects,
only with medical supervision
Psychotherapie  
No physical strain of any kind at all
Low rate of adoption,
proof of success uncertain
Sympathectomy
High rate of adoption
Surgical risk, 
healing of wound can be problematic and scarring can occur
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