Hygiene issues have been an issue most of my life.
I am meticulously clean, but have problems with grooming. Sensory issues interfere with my shaving, haircuts, and so on.
I have never been able to ever get anyone to understand this, as it's "all in my mind," so I choose to be the way that I am.
I've had similar problems with dentists.
A typical cleaning shouldn't be painful, but the noise and vibration are intolerable. I'm often labeled as a drug seeker when I request sedation from a cleaning, and my family challenges my masculinity because I'm a pansy who can't tolerate the normal discomforts that go with everyday life.
So . . . I am hygenic and clean, but I struggle with it.