Reading Time: <1 minute Many patients come to consult about the odor of the delicate zone of the vulva, which is caused by genetic development of apocrine sweat glands. This is commonly known as "groin odour" or "groin odour". The odor of the delicate zone, especially in the area under the abdomen where pubic hair is present, is caused by secretions from the apocrine sweat glands. Apocrine sweat glands are found in the subcutaneous tissue, not in the dermis, making treatment a little tricky. The odor does not come directly from the apocrine sweat glands, but rather the secretions that cause the odor are secreted and broken down by a bacterium called Propionibacterium acnes, which is a common resident of the skin, causing the odor. For this reason, appropriate treatment is effective. Treatments for groin and underarm odor include:

1. External medicine
2. Botulinum toxin injection
3. EL method　　　　　　　　　　　　　　　　　　　　　　　These methods are recommended as they are highly effective, have no downtime, and are highly safe.Treating groin odor with MiraDry carries significant risks, with fatal accidents occurring, and safety and effectiveness cannot be expected.  [Fatal accidents involving the treatment of genital body odor using MiraDry] In May 2022, the following case was reported in the medical journal Legal Medicine of the Japanese Society of Legal Medicine: A healthy woman in her 5s developed necrotizing fasciitis and streptococcal toxic shock syndrome after receiving MiraDry treatment on her genital area (VIO) at a beauty clinic, and died six days after treatment. MiraDry is a medical device originally developed to treat severe axillary hyperhidrosis and is not intended for use on the genitals.In response to this accident, the cosmetic surgery industry issued a statement calling for proper use,Problems with treatment in areas not suitable for the procedure and treatment by nursesIt has been pointed out that such accidents may not have become public without the police's consultation, highlighting the reality of health damage and information sharing issues in cosmetic medicine. Those considering using MiraDry for groin treatment should carefully consider the applicable areas, the qualifications of the practitioner, and the postoperative care system. Problems in Nagoya City Unfortunately, some cosmetic surgery clinics that have recently opened in Nagoya Sakae are attracting customers by advertising and promoting the effectiveness of MiraDry on groin and groin odor. The director of this clinic only has about 1-2 years of experience in cosmetic surgery and cosmetic dermatology treatment, and is a former internist with no experience in the treatment or surgery of underarm odor. Furthermore, he does not appear to be a licensed specialist. In addition, the clinic is operated by nurses who are said to have falsely told patients that MiraDry is the most effective treatment and other treatments are ineffective. Impact on MiraDry Victims I treat patients who have been victims of MiraDry almost every day. Symptoms reported after miraDry procedure include:
   • Severe pain that lasts for a long time
   • Severe swelling continues for a long period of time, interfering with daily life
   • Reduces sweating but doesn't improve odor
   Since it is originally a device for treating hyperhidrosis, it is often ineffective in terms of odor. Safe and reliable treatment: "EL method" Despite this situation, if MiraDry is truly effective for groin and underarm odor, has no downtime, and can be confirmed as safe, I am even determined to quit being a doctor. However,The only safe and effective treatment is the "EL method," which is performed directly by a specialist, not a nurse.I can say with confidence that this is the case. I sincerely hope that those reading this blog will not choose MiraDry treatment for any other reason than to treat underarm sweating, known as primary axillary hyperhidrosis.