Evidence map›Paper›PMID 33898700›Full record

ArticleInternational journal of women's dermatology2020

Menses, pregnancy, delivery, and menopause in hidradenitis suppurativa: A patient survey.

Jennifer M Fernandez, Aleksi J Hendricks, Alyssa M Thompson, Elizabeth M Mata, Erin K Collier, Tristan R Grogan, Vivian Y Shi, Jennifer L Hsiao

Open access · goldAbstract read
In one paragraph

Article in International journal of women's dermatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
2.8field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Menopause and Common Dermatoses: A Systematic Review.American journal of clinical dermatology · 2026
    Pooled it
  2. The Role of Hormones in Hidradenitis Suppurativa: A Systematic Review.International journal of molecular sciences · 2022
    Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Review
  8. Spironolactone in hidradenitis suppurativa: a single-center.International journal of women's dermatology · 2024
    Article
  9. Article
  10. Article
  11. Review
  12. Menopause, skin and common dermatoses. Part 2: skin disorders.Clinical and experimental dermatology · 2022
    Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Jennifer M FernandezUniversity of Arizona, College of Medicine, Tucson, AZ, United States.
Aleksi J HendricksUniversity of Arizona, College of Medicine, Tucson, AZ, United States.
Alyssa M ThompsonUniversity of Arizona, College of Medicine, Tucson, AZ, United States.
Elizabeth M MataUniversity of Arizona, College of Medicine, Tucson, AZ, United States.
Erin K CollierUniversity of California Los Angeles, David Geffen School of Medicine, Los Angeles, CA, United States.
Tristan R GroganDepartment of Medicine Statistics Core, David Geffen School of Medicine, University of California, Los Angeles, CA, United States.
Vivian Y ShiDepartment of Medicine, Division of Dermatology, University of Arizona, Tucson, AZ, United States.
Jennifer L HsiaoDepartment of Medicine, Division of Dermatology, University of California Los Angeles, Los Angeles, CA, United States.
University of Arizona · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHidradenitis suppurativa (HS) is a chronic inflammatory disorder that primarily affects women of childbearing age. There is a paucity of data on HS disease activity during menstruation, pregnancy, and menopause and the potential impact of HS on the method of delivery.

objectiveWe aimed to characterize the natural history of HS symptoms during menses, pregnancy, and menopause. We also sought to evaluate the potential impact of HS on delivery method and whether there were delivery-related healing complications unique to women with HS.

methodsAn anonymous survey was distributed via social media to international HS support groups and patients at three HS specialty clinics in North America. Responses were collected from March to July 2019.

resultsA total of 279 respondents answered questions on disease changes during pregnancy. Menstruation caused worsening of HS symptoms in 76.7%, no change in 22.2%, and improvement in 1.1%. During pregnancy, the distribution between symptoms worsening (34.8%), having no change (28.7%), and improving (36.6%) was relatively even. After menopause, participants typically reported either worsening (39.5%) or no change (44.2%) in HS symptoms. Among respondents with anogenital HS involvement who delivered vaginally, 3.1% believed that HS interfered with vaginal delivery (VD), and 23.5% believed that VD caused an HS flare. Cesarean section (C-section) delivery was reported by 44.2% of participants. Ten participants reported that they were advised by their doctor to have a C-section instead of a VD because of severe anogenital HS. Of those who underwent a C-section, 33.9% reported that HS interfered with incision healing, and 51.2% reported developing new HS lesions in their C-section scar.

conclusionTo our knowledge, this is the first study describing the potential influence of HS on a patient's method of delivery. Multidisciplinary collaboration plays a pivotal role in developing individualized treatment and birth plans for pregnant women with HS.

Indexed as

Cesarean sectionDeliveryHidradenitis suppurativaMenopauseMensesPregnancy

Identifiers

PMID33898700
PMCPMC8060662
OpenAlexW3041666222

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.