Pilonidal disease is a recurring skin infection that develops in the crease of your buttocks near your tailbone. It affects about 70,000 Americans annually, and it’s three times more common in men than women.
At his practice in Los Angeles and Glendale, California, board-certified colon and rectal surgeon Robert G. Yavrouian, MD, specializes in diagnosing and treating pilonidal disease. In honor of Men’s Health Month in June, we’re explaining why men are more likely to develop pilonidal disease and what you can do to protect yourself.
Men are more susceptible to pilonidal disease for several reasons, including:
Men in their late teens and early 20s are more likely to develop pilonidal disease than those in their 30s or 40s. The main reason for this is the hormonal changes that occur in and after puberty.
During this time, sex hormone production surges, stimulating your hair follicles and sweat glands. This can irritate hair follicles in certain areas, like the upper buttocks, increasing the risk of cyst formation.
Men typically have thicker, more abundant body hair than women, especially in areas like the underarms, buttocks, and genitals. This natural trait contributes directly to pilonidal cyst formation. For example, if hair gets trapped under the skin near your tailbone, the follicle can become infected and cause an abscess to form.
Many men work jobs that involve long hours of sitting. For example, truck drivers and pilots often spend extended periods in one position, increasing pressure and irritation on the tailbone. Similarly, hobbies like cycling and swimming often involve wearing tight, moisture-trapping clothing, which can cause friction and prevent hairs from breaking through your skin.
A family history of pilonidal disease significantly increases your risk of experiencing the condition yourself. Experts don’t know why this is, but certain physical features, like a deep natal cleft (buttocks crack), may contribute to cyst formation. Hair biology also plays a role. Some men have naturally thicker hair, more likely to get trapped inside the follicles.
Despite these risk factors, you can take steps to prevent pilonidal disease from developing. Simple lifestyle changes like keeping your buttocks clean and dry, shaving or waxing the area to prevent ingrown hairs, and avoiding periods of prolonged sitting can help. So too can wearing underwear that lets your skin breathe, and maintaining a healthy weight.
If you’re struggling with the effects of pilonidal disease, it’s important to seek treatment early. Lifestyle changes and in-office procedures, like incision and drainage, can reduce pain, treat the cyst, and lower your risk of infection. Contact Robert G. Yavrouian, MD, by calling the nearest office or booking an appointment online today.
