Hyperhidrosis
We recognize and solve your sweating problem
Erythrophobia? We'll help you out of the blushing trap
Treatment ONLINE or by us in Munich. Get a clear diagnosis. We’ll take you by the hand till we achieve your optimal treatment based on scientific evidence.
Here you can:
- Arrange an initial video consultation appointment, the “Quick-Check.”
- Start an online treatment immediately.
- Plan your specific treatment.
- Book an initial on-site appointment with Dr. Schick.
- Arrange a follow-up appointment.
- Or read a lot in the blog…
The hyperhidrosis app
Your companion on your cell phone. This way you stay up to date on hyperhidrosis therapy and have a direct line to us: appointment booking, prescription ordering, video podcast, treatment videos, feedback, and online treatment. Everything is included.
Quick-Check Video Consultation
Your first video consultation if you are new to us and are looking for advice or orientation: On your cell phone or computer, 10 minutes of intensive exchange, uncomplicated and without additional costs.
Afterwards, you will know what your next step is.
Start immediately with online treatment from home
Fast, simple, and already successful in 8 out of 10 cases:
PIO – the first online treatment for excessive sweating or blushing. You can really get started right away.
On-site treatment at DHHZ
In these cases, you must come to us in Munich in person:
- Miradry/armpits: Permanently dry armpits, bookable immediately, only 1 visit.
- Miradry/torso: Permanently dry on all other parts of the body (except head, hands, feet). First information call, then appointment booking.
- Sympathetic surgery: Permanent elimination of excessive sweating on the head, armpits, hands and/or feet. Permanent elimination of excessive blushing. Simply book an initial examination for suitability for surgery.
- Botox: Temporary shutdown of excessive sweating. Can be booked immediately for all parts of the body except the hands. For Botox on the hands, first arrange an info phone call.
Personal conversation with Dr. Schick
Your first appointment at the DHHZ including a comprehensive diagnosis and jointly developed treatment strategy. After the appointment, you will have clarity, a written report, and a treatment recommendation , where we would be happy to continue to support you. You can book your initial appointment here:
Bye bye sweating!
over 30,000 patients
What our patients say
Are you unsure whether you should do a MiraDry treatment? DO IT!!! I thought about it for ages and was very scared. The anesthesia is strong, afterwards you feel nothing more of the treatment. The week after you feel like you have tennis balls under your arms, but this will pass and just not sweating anymore is incredible. Literally meant: unbelievable!!! My treatment was in Dec19 and I still can't believe it. Yes, I admit I still sweat a little from time to time, but no comparison at all with the past. This usually depends on the menstrual cycle. I still think today: now there's a mega big spot, then I look and see nothing! Anyone who suffers from hyperhidrosis should have the confidence to undergo the treatment. IT CHANGES YOUR LIFE! I wear colorful T-shirts, vests/jackets that fit tightly and I can raise my arms - all things that were not possible for ages without any problems. As I know how difficult it is to find out about this subject, I waited a long time before writing my review so that I could really share my experience. After 1.5 years I can now say: I would do it again in a heartbeat! Everyone in the DHHZ is super nice and funny, you feel very comfortable. In the pharmacy below you can buy cooling pads, which you need if you have a long journey home. I live over 2 hours away from Munich. A big THANK YOU to the team for a new attitude to life 🙂
A very nice doctor I can only recommend you to go to him if you have a problem with excessive sweating he will change your life. Everyone at the clinic is also very nice and takes good care of you Once again, a big thank you to Dr. Schick
I have turned to so many doctors to solve the permanent sweating of my mom no one could find out the cause of it the lady really suffered a lot thanks to Dr. Schick her burdens were lightened I thank Dr. Schick from the bottom of my heart ♥️ my mother always prays still for him he is a very good person and a very good doctor which unfortunately no longer exist in this day and age hetakes time to listen to solve the cause and the problem thanks again and to the super team of Dr. Schick you are simply great God bless you all.
The Axhidrox cream that I found via the DHHZ is worth its weight in gold. Fully effective for me with no side effects. Best development to date in my view. Thank you for the support of Dr. Schick and his team!
Initial consultation through to surgery for hyperhidrosis on the hands. Friendly and understanding treatment of me as a patient. Questions were always answered and I was always given individual time. I would do the surgery again and again! The attitude to life has increased 100%! Finally shake hands and touch things like normal people. Highly recommended! Many thanks again to the team and to Dr. Schick.
I am pleasantly surprised by the friendly and competent staff. I went there for a miraDry treatment and can say that I can really recommend the DHHZ. As a little tip, if no one is available by phone, write an e-mail and ask for a call back.
I can only recommend this team to anyone who has problems with hyperhidrosis! Starting with the super nice medical assistants up to Dr. Schick! Super nice, relaxed, answers all your questions and explains it to you clearly and with a calmness that takes away any tension. I can only recommend going there to anyone!
The surgery for my sweaty feet changed my life. Thank you for your great work!!!
The entire team is very warm and helpful. Dr. Schick is an experienced doctor who makes you feel that you are in good hands. E-mails are answered promptly or calls are returned. Satisfied all round 😊👍 …
I’m really speechless. Finally a doctor who knows about hyperhidrosis and explains each treatment / the exact process in the body that triggers sweating in an understandable way. I can only recommend it. It’s worth the long journey from the north. 😇 …
About the DHHZ
Medical Director: PD Dr. Schick, Your Hyperhidrosis Specialist, is one of the world’s leading experts in the treatment of hyperhidrosis and erythrophobia. He is Past President of the International Society of Sympathetic Surgery ISSS.
For 20 years, he has dedicated his professional career exclusively to the conservative and surgical treatment of people who sweat or blush excessively. Dr. Schick treats patients from all over the world in the German Hyperhidrosis Center DHHZ – which he founded in 2005 – on a diagnostic, outpatient and inpatient basis. He develops new treatment procedures himself and supports the industry in the development of new drugs and methods.
Dr. Schick is the author of numerous studies and publications and, as a university lecturer, trains surgeons and students.
Popular posts
Erythrophobia - blushing
Excessive blushing can be eliminated with a high degree of probability. Either by conservative methods or, as a last resort, by surgery to block the nerve impulses responsible for the blushing. However, such an “endoscopic thoracic sympathetic block (ETS)” also leads to a change in sweating regulation, so-called “compensatory sweating”, and should therefore only be considered if drug treatment is unsuccessful.
If you are affected by excessive blushing, you can also immediately take advantage of systematic drug treatment under our care online. Book our online coaching and treatment program “PIO Erythrophobia”.
With “Pio Ery” you will either find a solution for your blushing issue or possibly create the conditions for your health insurance to cover the hospital costs of the operation.
Any questions?
Yes, primary hyperhidrosis is genetic. You will find other affected people in your extended family,even if you may have to search longer.
Hyperhidrosis is caused by a disorder in the control of sweating, which we can detect using neurophysiological tests. Then it is also clear whether the hyperhidrosis is primary or secondary.
No, you can start online immediately. If we do not obtain sufficient clarity about your status within the PIO online treatment, we’ll recommend a visit.
You have chosen an “expensive” disease. Only some of the possible measures are covered by public health insurance: Iontophoresis, Axhidrox and any necessary surgeries. This leaves medication, which was not developed for hyperhidrosis and therefore has to be paid for privately, but is generally not very expensive. Expect to pay one euro per day for drug treatment. German private health insurance companies usually cover everything, including neurophysiological testing and PIO.
You may find differing philosophies regarding ETS or ELS operations elsewhere, so let’s be clear about our position here:
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Before the operation, you absolutely need a prognosis regarding the expected “compensatory sweating”. Many patients come to us who regret their operation because they were not properly informed.
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Compensatory sweating ALWAYS occurs after the operation. It is therefore necessary to test what can be done about this beforehand.
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Easier measures often lead to success. This is why health insurance companies only cover the costs of the operation if other measures have been tried without success.
For you, this means that you first need a diagnosis appointment, then a treatment phase lasting several weeks (ideally via PIO) and then the surgery appointment.
A first attempt at treatment often leads to good results and considerable relief. However, this does not necesserely mean that you have already reached your optimum treatment level. You will only know if this is the case once you have tried alternatives. To enable you to do this “from the comfort of your own sofa”, we offer the online coaching and treatment program “PIO”.
- You can easily book MiraDry for the armpits online. Examination, information, and treatment then take place at the same appointment.
- MiraDry for other parts of the body requires preparation. Send us this form and we will plan the treatment.
- Botox treatments are available at short notice. Send us this form and we will plan the treatment.
This is very easy in our “Quick-Check“, a 10-minute video consultation that creates clarity about what your next step should be to get rid of your hyperhidrosis or erythrophobia. Quick-Check appointments are confidential and free of charge. They are activated 3 weeks in advance. To the Quick-Check video consultation go here.
Hyperhidrosis - excessive heavy sweating
German Hyperhidrosis Center DHHZ Munich
Sweating is a natural function of the body. However, excessive sweating can become a severe emotional and physical burden, as hyperhidrosis significantly restricts those affected in their everyday lives.
If you too suffer from excessive sweating, you should finally find understanding on the pages of the German Hyperhidrosis Center DHHZ in Munich. We offer all those affected who suffer from excessive sweating detailed information on the subject of hyperhidrosis and a contact point for exchange and help.
You are not alone with your problem, because in Germany alone around 1 million people suffer from hyperhidrosis.
Find out more about “Excessive Sweating / Hyperhidrosis”. You are welcome to contact us directly by e-mail.
Hyperhidrosis - Why do we sweat?
Everyone sweats. Sweating is essential, because sweat helps the body regulate its temperature. If we didn’t sweat, we would suffer heatstroke, because the heat can no longer be dissipated from the inside of the body to the outside.
We sweat in high temperatures, when we exert ourselves, with spicy foods, with fever, when we are dressed too warmly, have to take certain medications, or when we have drunk alcohol.
Strong emotions can also trigger sweating, for example, when we are very excited, afraid, feel intense anger and other stressful situations.
Sweat glands are located almost everywhere on the skin. There are particularly many sweat glands on the palms of the hands and under the soles of the feet, but also on the armpits and forehead. These sweat glands produce the liquid that evaporates on the surface and cools the skin.
When and which sweat glands become active is controlled by the autonomic nervous system. The mostly unconsciously occurring body functions pass signals to the nerve network, which then decides which sweat glands become active. Not all people sweat the same. Some people sweat quickly, others hardly at all. The triggers also vary from person to person.
Hyperhidrosis - When excessive sweating becomes a burden
Doctors refer to excessive sweating as hyperhidrosis. Normal sweat production is temporarily or permanently disrupted. The problems often occur in childhood or adolescence. The sweat breaks out even if those affected do not feel any recognizable cause. Those affected do not have to exert themselves physically, it does not have to be hot and there is no other cause for excessive sweating.
A distinction is made between primary hyperhidrosis and secondary hyperhidrosis. In primary hyperhidrosis, the palms of the hands, soles of the feet, forehead, head and/or armpits are particularly moist to very wet. However, the entire body can also sweat excessively.
In secondary hyperhidrosis, the body zone sweats most frequently and here, too, the expression ranges from moist to sometimes even dripping wet. Secondary hyperhidrosis can have various causes, which we will discuss in more detail below.
When do we speak of excessive sweating?
How do you define excessive sweating? Typical symptoms of heavy sweating are persistent or eruptive, but always very intense sweat production that can no longer be controlled with normal measures such as washing and the use of deodorant or special clothing.
Excessive sweating is also referred to when you sweat heavily frequently, even when it is not hot and there are no other recognizable causes. Do you sweat even in winter? That’s almost the diagnosis of hyperhidrosis.
You are already soaking wet at the slightest excitement and this is to be taken literally. Palms and soles of the feet or the armpits, scalp and forehead are so wet that sweat glistens or even drips – that is excessive sweating, that is hyperhidrosis.
How many people suffer from hyperhidrosis?
There are not many studies on the frequency of hyperhidrosis. Studies have found that 1 to 2.8% of all people suffer from their sweating. These numbers are independent of region, skin color or climate.
For Germany, one must assume a good one million hyperhidrosis sufferers, about half of whom have a desire for treatment. That’s a lot.
Primary hyperhidrosis - excessive sweating because nerves malfunction
In primary hyperhidrosis, those affected suffer from a disturbance of the control nerves responsible for sweating. The extremely heavy sweating can break out from one minute to the next and puts a lot of strain on those affected, because this constantly leads to unpleasant situations in everyday life. The sweat glands suddenly produce large amounts of sweat, more than can evaporate. Sometimes there are no recognizable triggers at all, sometimes warm temperatures (not hot) or emotional states are enough, but they do not consciously trigger any excitement.
Those affected sweat in episodes, usually several times a week, very often daily, perhaps even several times a day. At night, those affected by primary hyperhidrosis usually have no complaints. These occur especially during the day when the autonomic nervous system is active. Excessive sweating can lead to depression and anxiety, because those affected often begin to withdraw more and more in order to avoid situations in public.
Secondary hyperhidrosis - diseases trigger heavy sweating
In secondary hyperhidrosis, those affected suffer from heavy sweating as a result of another disease or medication. In the majority of cases, secondary hyperhidrosis can also be treated. Known underlying diseases can be treated, medications can be changed, so that excessive sweating also improves here.
Diagnosis and therapy of hyperhidrosis
We will first ask you about your complaints, family history, living conditions and your personal medical history. Then the affected areas are localized, for this there are special test procedures. We measure your amount of sweat or display the affected areas with color tests. And we can take a look at the sweat control and see if your sweat nerves are working normally or are faulty.
The therapy for primary hyperhidrosis is always individual and depends on your personal complaints and wishes. It usually starts with sweat-stopping agents such as deodorants with aluminum chloride, the antiperspirants. Electrotherapy, tap water iontophoresis, can help. Here, a weak electric current flows through the skin of the hands, feet, armpits or other parts of the body.
Prescription medications are also possible, for example as a cream, tablets or drops. Botulinum toxin may be suitable for circumscribed zones (Botox®, Dysport® or others). More and more often we can use MiraDry thermotherapy, the treatment of the sweat glands with heat. And if nothing helps, an operative nerve blockade of the sympathetic nerve may help to stop the sweating.
We will be happy to advise you personally on the various therapy options. And if you want it to be quick, also via “Quick-Check” video consultation.
Isn't sweating healthy and should not be changed at all?
The sentence “Sweating is healthy”, which is considered a folk “wisdom”, has already been heard dozens of times by all those affected by increased sweating. It shows how the problem of excessive sweating – hyperhidrosis – is ultimately dealt with. Sweating is a body function, like breathing. Would you say to someone: Breathing is healthy? Conclusion: Those affected can hardly find a contact person for their problem – a problem that they seek to avoid and hide.
Sweating is a body function and serves in particular for cooling. Sweaty hands from excitement? Everyone has experienced that. In hyperhidrosis sufferers, however, sweating occurs very strongly and eruptively – like from zero to one hundred. The fear of not being able to control the sweating intensifies the effect. Reducing this sweating does not hurt, because it is actually pointless. You don’t have to live with excessive sweating.
German Hyperhidrosis Center DHHZ - We help
For more than 20 years, we at DHHZ have been helping those affected who suffer from excessive sweating and offer you all sensible, scientifically proven therapies against hyperhidrosis in addition to diagnosis. We offer you therapy with externals (antiperspirants, aluminum chloride), iontophoresis, botulinum toxin, miraDry thermotherapy and operative sympathetic nerve blockade. We know all the medications that help against sweating and know how they can be used effectively.
Which form of therapy is suitable for you, we will clarify with you after a thorough examination on site at the DHHZ in Munich, or as part of our online program “PIO”.
PD Dr. Christoph Schick is a pioneer in the treatment of hyperhidrosis (excessive sweating). Since the mid-1990s, Dr. Schick has been dedicated to researching, diagnosing and treating this disease, which makes life so difficult for so many sufferers.
We offer help at the highest medical level at the DHHZ. Treatment at our center in Munich is open to all those affected.
Anyone looking for initial orientation can simply arrange a "Quick-Check" video consultation. Anyone who wants to get started immediately can start directly with "PIO", our online program for treatment from home. No one has to live with hyperhidrosis.
We ask for prior appointment, so that we can take enough time for you and your questions. You are welcome to make an appointment online.
You can reach us by e-mail at post@dhhz.de
Opening hours: Monday to Friday 9:30 a.m. – 3:30 p.m.
We are happy to be there for you and look forward to you placing your trust in us.
Excessive sweating – Hyperhidrosis . Erythrophobia – excessive blushing – Axhidrox – MiraDry
