Groin Sweating – Causes and Treatments Available

Groin Sweating Defined:
Another area of isolated excessive sweating (focal hyperhidrosis) can happen in the groin area. This is an area rich with sweat glands apocrine and eccrine. For those affected patients this can be a bothersome and embarrassing site for sweating. Because of the location sometimes an odor can accompany this excessive sweating. The exact number of patients afflicted with this problem is very difficult to ascertain.

Groin Sweating Causes
No specific cause can be identified currently. Groin sweating has to do with the specific physiological build of the person. Obviously obesity can contribute to this and weight loss is an obvious first step to try and eliminate the problem. Another possible reason for patients to develop groin sweating without having it before may be the side effect known as compensatory sweating from ETS. So groin sweating after ETS can be related to ETS itself. The exact mechanism is related to the development of compensatory sweating.

Groin Sweating Treatment
Conservative methods to treat this problem should start with the application of antiperspirants. Commercially available lotions such as Maxim can be obtained via the Internet. Medically prescribed antiperspirants such as Drysol are available with a doctors prescription. If those do not give any relief then BOTOX® Cosmetic injections can be applied to those affected areas providing temporary relief (About 2 to 6 months). The last option for those resistant cases could be with retrodermal suction curettage. In this procedure, which is done under mild anesthesia, the area of sweat can be scraped and removed through small holes. This particular procedure, retro dermal suction curettage has not yet prove itself as a reliable procedure. The last surgical option is excision of the skin in that region which is a more extensive operation with associated side effects. To evaluate ones condition please talk with your surgeon about it. This particular procedure, the excisional one, is good for those patients who suffer from hydro hidradenitis suppurativa which is a different entity from focal sweating or focal hyperhidrosis.

ELS and Groin Sweating
From accumulated clinical information and observation we have seen some improvements with groin and buttocks sweating after doing ELS for severe medically resistant plantar hyperhidrosis which did not get any improvement after ETS. Some of our patients who came for ELS after ETS (which did not improve their plantar sweating) reported to us that they experienced improvement with their groin and buttocks sweating after the ELS procedure. When the data was reviewed it became obvious to us that under certain favorable anatomical configurations improvement with groin / buttocks sweating can be improved by the ELS procedure. What does this mean? It is very difficult to explain this without going into a huge amount of detail. Each patient should discuss this with an appropriate experienced surgeon in this field before they make any decisions.

Those suffering from Isolated Groin and Buttocks Sweating
This brings us to those patients who suffer from severe isolated groin and buttocks sweating. There is not enough surgical data at this point whether to recommend ELS specifically for these isolated areas of the body. In order to give some answers to patients suffering from this condition we would say there is a chance of trying to do a chemical lumbar sympathectomy to see if any temporary relief can be obtained. Chemical sympathectomy is a non surgical option with limited temporary relief, but if it happens then one should consider doing ELS for this problem. It behoves the patient to discuss this option extensively with the appropriate surgeon.


  1. Kaleb  February 16, 2018

    I currently have excessive sweat in the groin and butt area I’m on rubinol it works good on my armpits and a little for my hands but my groin butt and feet are still really bad what can I do I’ve been dealing with this for years and I’m ready for this to stop I can not be doing anything and I’m sweating and if I start moving it becomes noticable it is literally killing me inside please someone help

    • Center For Hyperhidrosis  February 16, 2018

      Groin sweating and butt will not improve by doing ETS. Excessive sweating in those areas should be dealt with local conservative methods. The success rate is limited.

  2. Tom  November 24, 2015

    I would like to know if the suction curettage could be used for groin sweating. Please let me know! Thank you

    • Center For Hyperhidrosis  November 24, 2015

      This method was applied in a very small amount of cases to try and help with excessive groin sweating. It is a challenging site and the results are mixed.

  3. Tin  August 29, 2015

    I too sweat excessively in the groin and butt area! I am desperate for relief as I am only 24 years old and can not picture having to live this way forever. I have been dealing with this issue for a year now which is extremely embarrassing and uncomfortable as it can lead to chafing and rashes. I would really like to end this problem. Please help!!!

  4. Jake Ronald  April 28, 2015

    i have very excessive sweating in my groin, what should i do? iv tried everything. I dont leave the house much anymore, i only perfer to walk at night so no one sees my sweat, i need help any surgical treatments??

    • Center For Hyperhidrosis  April 28, 2015

      I guess you live down under. The issue of excessive groin sweating is a difficult one to solve. If you tried all local lotions(aluminum contains salts)Botox with a temporary relief than the possibility of suction curettage which can be tried but we do not have enough cases to draw a meaningful statistical results. Also being in Australia consult there with a plastic surgeon who can give you better ideas what is available there. Thanks

  5. luis molina  January 13, 2015

    I have exsessive groin sweat that causes a bad odor. I’m been medicated by my deem as he found a negative gram bacteria In this area. Currently was on 2 meds rifamptin and clindamycin in which helped with the order but the sweating still continues. I’m 42 years old and not sure what else to try. My dermatologist gave me botox but that did not stop the sweating. Please help.

    • Center For Hyperhidrosis  January 17, 2015

      Thank you for the comment. Groin sweating is a difficult problem as evident from your comment. Not to many solutions are available besides the one you are getting. Surgically there is not much to be offered at this time but in order to give you some sort of a educated answer you should see a physician / surgeon who is familiar with this subject.

      • Jeremy Stewart  April 26, 2015

        Hello- I too have excessive sweating in the groin area. I have tried Glycopyrrolate pills, Glycopyrrolate cream, Hypercare solution, (many other wipes, soaps, sprays, etc.) and also had Botox injections but the sweating continues to get worse. I see that the recommendation for Luis was to seek physician/surgeon that is familiar with the subject- is there anywhere that you would suggest to start looking/contacting? It appears that the sweating in the groin area is a tough location to help with and not a whole lot of research is available on this type of hyperhidrosis. Any recommendation would be greatly appreciated.
        Thanks, Jeremy

        • Center For Hyperhidrosis  April 27, 2015

          The only surgical option that currently is on the horizon is suction curettage of those areas of excessive sweating. It is not a 100% solution but if you want it can be discussed over the phone or if you are in Southern California I can do it in the office. You can call us at 310 557 3037. Thanks