Hyperhidrosis: Types, Causes, Symptoms & Treatment

Excessive sweating can be frustrating, uncomfortable, and—for many men—deeply embarrassing. But if you’re sweating through shirts even when it's cool outside or avoiding handshakes due to damp palms, it may be more than just nerves or heat. You could be dealing with hyperhidrosis, a medical condition that causes excessive sweating beyond the body’s normal needs.

At Two Palms, we specialize in discreet, science-backed treatments for men’s health issues—including hyperhidrosis. In this guide, we’ll cover everything you need to know about hyperhidrosis: its types, causes, symptoms, and the latest treatment options tailored specifically for men.

What Is Hyperhidrosis?

Hyperhidrosis is a condition where your sweat glands go into overdrive—even when you’re not hot, nervous, or physically active. Unlike typical sweating, hyperhidrosis can soak your clothes, affect your daily routines, and impact your self-esteem.

Men often suffer in silence, thinking it's “just the way they are.” But hyperhidrosis is treatable—and you don’t have to accept it as normal.

At Two Palms, we treat this condition with proven medical approaches and offer personalized support designed with men in mind. Learn more about our philosophy on our About Us page.

Types of Hyperhidrosis

There are two main types of hyperhidrosis:

1. Primary Hyperhidrosis

This type is usually inherited and not caused by another condition. It typically begins in childhood or adolescence and affects specific areas like:

  • Underarms
  • Palms
  • Feet
  • Face or scalp

It’s often symmetrical, meaning both sides of the body are affected equally.

2. Secondary Hyperhidrosis

This form is caused by another underlying condition or medication. It tends to start in adulthood and may result in full-body sweating. Common causes include:

  • Diabetes
  • Thyroid issues
  • Obesity
  • Infections
  • Certain medications

Primary hyperhidrosis is far more common—and more treatable—than many men realize.

Causes of Excessive Sweating

While sweating is the body’s way of regulating temperature, hyperhidrosis is triggered by overactive nerves signaling the sweat glands unnecessarily. Some men may sweat excessively due to:

  • Genetic predisposition (family history)
  • Overactive sympathetic nervous system
  • Hormonal fluctuations
  • Side effects of medications
  • Stress or anxiety
  • Obesity or underlying illness

Understanding your specific cause helps us tailor your treatment plan effectively—whether your case is primary or secondary.

Symptoms and Impact on Men

Hyperhidrosis is more than a physical condition—it can affect every aspect of your life. Common symptoms include:

  • Visible sweat patches, even in cold weather
  • Wet palms or soles that interfere with work or workouts
  • Skin irritation or infections from damp clothing
  • Strong body odor from bacteria interacting with sweat
  • Embarrassment in social, romantic, or professional settings

Men may feel self-conscious about shaking hands, dating, or public speaking. You’re not alone—and your symptoms are valid.

Want to see real results? Browse our Before & Afters for men who’ve regained confidence through custom sweat solutions.

Diagnosis & When to Seek Help

If sweating interferes with your daily life—even slightly—it’s worth getting checked. A medical provider can diagnose hyperhidrosis through:

  • Physical exams
  • Sweat tests (starch-iodine or thermoregulatory tests)
  • Lab work to rule out secondary causes
  • A thorough discussion of your history and symptoms

Many men wait years to seek help, believing there’s no solution. But effective options are available—and often life-changing.

At Two Palms, our private consultations make it easy to talk about issues like sweat without shame or stigma.

Treatment Options for Hyperhidrosis

Men have more treatment options than ever before—ranging from topical to minimally invasive to permanent. Your treatment will depend on your sweat zones, medical history, and lifestyle.

Here are the top hyperhidrosis treatment options we offer at Two Palms:

1. Prescription Antiperspirants

Stronger than store-bought deodorants, these can block sweat glands chemically. Best for mild underarm or hand sweating.

2. Oral Medications

Anticholinergics can reduce sweat production systemically. These are useful for those with generalized or full-body sweating.

3. Iontophoresis

This non-invasive technique uses water and mild electrical currents to reduce sweating on hands and feet. Ideal for tech users or athletes.

4. Botox (Bro-tox) for Hyperhidrosis

Botulinum toxin injections block nerve signals to sweat glands. A favorite for underarms, palms, or scalp.

Our Bro-tox - Botox for Men page breaks down how this quick treatment can deliver months of dryness with no downtime.

5. miraDry®

This device uses microwave energy to permanently destroy sweat glands in the underarms. Fast, safe, and effective.

6. Surgical Options

In extreme cases, Endoscopic Thoracic Sympathectomy (ETS) may be considered. It’s more invasive but can be highly effective for palm sweating.

We offer a wide variety of Treatments for men, each tailored to your body, budget, and personal goals.

Living With Hyperhidrosis: Practical Tips

Alongside clinical treatments, small changes can make a big difference in daily life. Here are some practical tips for managing excessive sweating:

  • Wear breathable, sweat-wicking fabrics
  • Bring a spare shirt or hand towel
  • Avoid caffeine and spicy foods, which may trigger sweating
  • Manage stress with breathing exercises or therapy
  • Use absorbent underarm pads in dress shirts
  • Choose shoes and socks made of natural fibers

Lifestyle habits can support medical treatment and help you stay comfortable and confident throughout the day.

Why Choose Two Palms?

Men’s health is our specialty—and we don’t just treat symptoms. At Two Palms, you’ll find:

  • Board-certified providers focused on discreet, effective care
  • Individualized treatment plans for real-world results
  • A team that understands men’s unique concerns and goals
  • Support for confidence-boosting add-ons like Gynecomastia Removal Surgery and 360 Liposuction for Men

We also understand that cost matters. That’s why we offer Payment Plans to help make expert care more accessible and affordable for every patient.

Final Thoughts

Hyperhidrosis is more common than most people think—and it’s more treatable than ever. Whether your sweating is mild, moderate, or severe, you don’t have to power through it. Real solutions exist, and we’re here to help you find the one that fits your life.

Don’t let excessive sweating hold you back. From prescription solutions to Bro-tox, miraDry, and lifestyle upgrades, our customized approach gets results. If you’re also dealing with other concerns, like Hair Loss Medication or body contouring, we can support your full health journey in one place.

Ready to get started? Book a private consultation today and take the first step toward a drier, more confident you.

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