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My HS whole-health discussion sheet

Select whatever applies to you and take a short summary to your next appointment. Nothing is scored and no result is produced.

My HS whole-health discussion sheet

Nothing is preselected, nothing is required, and every section can be skipped. Even with no selections at all you get a usable sheet with questions for the conversation.

Your selections are never assessed. There is no “flagged” and no “clear” — the sheet only records what you want to raise yourself.

Step 1 / 4

Regular review, because HS affects more than skin

The 2026 European HS guideline recommends raising these three areas at the first visit and then at least once a year. Select whether that has happened for you recently.

Heart and cardiovascular risk

First visit + at least yearly

The European S2k guideline (Part 1) recommends a cardiovascular-risk assessment at the first visit and then at least once a year.

That can include a history-taking conversation, a blood-pressure check and laboratory tests the clinician selects. It does not mean everyone needs the same tests or a referral to cardiology.

Do you remember cardiovascular risk or blood pressure being reviewed in the past year?

Mental health

First visit + at least yearly

HS can have a substantial psychological impact. The guideline recommends addressing mental health at the first visit and then at least once a year.

That means a structured conversation — not an automatic conclusion that HS causes a mental-health condition, and not a questionnaire this page would score.

Do you remember your mood or mental health being discussed in the past year?

Diabetes & endocrine health

First visit + at least yearly

The guideline recommends assessment for diabetes and endocrine disorders at the first visit and at least once a year.

Which history, examination or laboratory testing is appropriate depends on the individual and is a clinical decision — not something that follows from having HS.

Do you remember diabetes, metabolism or hormone health being reviewed in the past year?

None of these apply? Then simply skip this section.

Step 2 / 4

Symptoms that deserve a thought of their own

Select only what you actually notice in yourself. Each of these has many possible causes and does not mean that any particular condition is present.

Worth keeping on the radar at follow-up visits

Joints and back at follow-up visits

First visit + follow-up visits

Inflammatory joint disease, including spondyloarthritis, occurs more frequently in people with HS. The guideline recommends keeping it in view at the first visit and at follow-up visits, without a fixed yearly rhythm. Persistent joint or back symptoms are easily dismissed as ordinary aches and stiffness.

Joints and back at follow-up visits

Why this is worth a thought

Inflammatory joint disease, including spondyloarthritis, occurs more frequently in people with HS, and the guideline names it explicitly for first and follow-up visits. Persistent symptoms therefore deserve to be looked at in their own right rather than assumed to be ordinary wear and tear. This is not an indication that you have such a condition.

Other skin changes

First visit + follow-up visits

The guideline recommends keeping psoriasis in mind at the first visit and at follow-up visits, alongside HS itself. This is not an indication that you have psoriasis, and no image is shown here for comparison.

Other skin changes

Why this is worth a thought

Psoriasis is named in its own right for first and follow-up visits in HS comorbidity-assessment recommendations. Such a skin change does not mean you have psoriasis — it is worth being looked at in dermatology in its own right, rather than being filed under HS.

Some checks depend on symptoms or findings

Digestive health

Inflammatory bowel disease, particularly Crohn’s disease, occurs more often in people with HS than in comparison groups. The guideline treats this differently from cardiovascular or mental health: it does not recommend routine assessment for everyone, but names persistent digestive symptoms — and particularly perianal tunnels — as the reason to consider inflammatory bowel disease.

Digestive health

Why this is worth a thought

HS is associated with inflammatory bowel disease, particularly Crohn’s disease — the guideline names persistent digestive symptoms and perianal tunnels specifically as the reason to consider it. These symptoms have many possible causes and do not mean you have Crohn’s disease — but they are worth raising rather than attributing everything to HS. Whether any further assessment is appropriate is for your treating clinician to decide.

Other health topics that may matter depending on symptoms

Menstrual and hormonal health

Polycystic ovary syndrome (PCOS) is described alongside HS more often than expected, but it is not part of the 2026 guideline's formal table of recurring review. HS is not an indication of PCOS, though, and this section asks nothing about fertility or family planning.

Menstrual and hormonal health

Why this is worth a thought

PCOS is described alongside HS more often than expected — but HS on its own neither establishes a PCOS diagnosis nor makes any particular investigation necessary. If menstrual or androgen-related symptoms concern you, raise them; which assessment is appropriate is for the relevant clinician to decide.

Step 3 / 4

My routine preventive care in Germany

These are routine adult health topics — separate from HS and a different system from the guideline recommendations above. Select whatever you would like to sort out at your next appointment.

My routine preventive care in Germany

The HS guideline and the health check-up are two different systems. The guideline describes what should routinely be considered in the medical care of people with HS regardless of age — for example, cardiovascular risk every year. The check-up is a statutory preventive benefit with its own age rules. The two complement each other, but neither replaces nor creates an entitlement to the other.

None of these apply? Then simply skip this section.

Step 4 / 4

Your discussion sheet

The sheet is built only from what you selected. You can copy it, print it or save it as a PDF.

Use this sheet

There is deliberately no share link: nothing you select here is ever given an address on the internet.

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My questions

  • Does any of this suggest that further assessment would be appropriate?
  • Is my routine cardiovascular and metabolic preventive care up to date?
  • Could these symptoms relate to conditions that occur more often alongside HS?
  • Should another specialty be involved in any of this?
  • Would an associated condition affect which HS treatment options are suitable for me?

This sheet contains only information the patient selected themselves. It is not a screening result, a diagnosis or a recommendation for specific investigations.

Evidence and editorial review

Last editorially reviewed: · Next review:

Preventive-care details checked:

That certain metabolic, gastrointestinal, joint and mental-health conditions occur more often in HS is described in clinical recommendations and systematic reviews. These are group-level associations, not statements about individuals.

Reported frequencies differ substantially between regions and study populations. That is why we deliberately quote no percentages here and derive no personal risk from them.

Whether screening every person with HS for every associated condition is worthwhile is not settled. These pages therefore keep routine preventive care and symptom-triggered assessment explicitly apart.

The statements about the German health check-up reproduce official federal information and are re-checked more often than the rest of the text.

Editorial policy and review process

Sources

  1. Jemec GBE et al. European S2k guidelines for hidradenitis suppurativa/acne inversa Part 1: Epidemiology, diagnosis and clinical assessment — the chapter on comorbidities and their assessment Journal of the European Academy of Dermatology and Venereology (JEADV), 2026 · Link checked: 2026-09-13
  2. Gesundheits-Check-up — age limits, intervals and contents of the general preventive examination gesund.bund.de (German Federal Ministry of Health) · Link checked: 2026-09-13
  3. Health Examination Directive — the legal basis of the check-up for people with statutory insurance Federal Joint Committee (G-BA), Germany · Link checked: 2026-09-13
  4. Evidence-based recommendations for comorbidity assessment in hidradenitis suppurativa PubMed, US National Library of Medicine · Link checked: 2026-09-13
  5. Global patterns of comorbidities in hidradenitis suppurativa, including substantial regional variation PubMed, US National Library of Medicine · Link checked: 2026-09-13
  6. Cardiovascular comorbidity in hidradenitis suppurativa — systematic reviews PubMed, US National Library of Medicine · Link checked: 2026-09-13
  7. Hidradenitis suppurativa and inflammatory bowel disease PubMed, US National Library of Medicine · Link checked: 2026-09-13
  8. Hidradenitis suppurativa and inflammatory joint disease including spondyloarthritis PubMed, US National Library of Medicine · Link checked: 2026-09-13
  9. Hidradenitis suppurativa and polycystic ovary syndrome PubMed, US National Library of Medicine · Link checked: 2026-09-13
  10. Hidradenitis suppurativa, depression and anxiety — psychological burden PubMed, US National Library of Medicine · Link checked: 2026-09-13
  11. Hidradenitis suppurativa — general patient overview NHS (United Kingdom) · Link checked: 2026-09-13