k212310

So I have had some hiccups with my health. I’m in my mid 40s and the family medical history genes are starting to kick in. Growing up I never really had acne on my face but on my back and upper chest and forearm like a cape so to speak. But there is some scarring and an occasional break out looking like a small rash from scratching. Well the family stalker of hereditary diabetes kicked in as did the hidradenitis suppurativa (HS aka acne inversa) diagnosis as with others in my family. I’m lucky, it’s in its earliest stage (Stage I) and only recurring on my buttocks (others have it worse in growing and arm pits) and no tunneling. For me basically large PAINFUL boils (nodules) that look and feel like cysts or ‘really big pimples’ that never pop (only inflamed tissue usually) so nothing to ‘drain’ like a usual cyst or break the skin and deeper and flare up. So metformin and doxycycline for life as a profilaxis but I got some war scars from many surgeries on my keister that may flare up again (in addition to the acne scars on my back). I’ve seen providers especially those who provide sensual to erotic to thereaputic massages or combo escort providers “no open wounds, skin conditions, etc.” So how do I explain ‘sorry for being unsightly or textured scarred up but I’m not contagious it’s just bad genes.’ I was diagnosed about 7 months ago and have not engaged any type of provider as I’m nervous how to bring it up. To any providers out there or clients who might have similar issues (like eczema) any tips on how broach the subject so I avoid any awkward looks had I not disclosed? Thank you all for your continued courtesy and input.