How to Deal with Pubic Lice: Effective Solutions and Tips - Urology

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My pubic hair is growing?


It seems that I have pubic lice.
Doctor, what should I do about it? I feel very uncomfortable.
After checking, I found and removed two or three of them...
they are very small.
What should I do?

Yiwenren, 10~19 year old female. Ask Date: 2005/08/07

Dr. Xu Weikai reply Urology


Inquirer: Hello, you can magnify the captured specimen; it should have eight legs and a nearly transparent color.
The best treatment methods are: 1.
Shave the pubic hair 2.
Apply an appropriate insecticidal ointment Note: The first method is particularly effective.
Department of Urology, Taitung Hospital, Ministry of Health and Welfare, Taiwan.
Director: Hsu Wei-Kai.
Response.

Reply Date: 2005/08/07

More Info


Dealing with pubic lice, also known as "crabs," can be uncomfortable and distressing, but there are effective solutions and tips to help you manage the situation. Pubic lice are tiny parasitic insects that infest the hair in the pubic area, and they can cause itching and irritation. Here’s a comprehensive guide on how to deal with pubic lice effectively.


1. Confirm the Diagnosis
Before taking any action, it’s essential to confirm that you indeed have pubic lice. Symptoms typically include intense itching in the pubic area, visible lice or their eggs (nits) attached to hair, and sometimes inflammation or secondary infections from scratching. If you’re unsure, consider consulting a healthcare provider for a proper diagnosis.


2. Over-the-Counter Treatments
There are several over-the-counter (OTC) treatments specifically designed for pubic lice. Look for products containing pyrethrins or permethrin, which are effective insecticides. Follow the instructions carefully:
- Apply the treatment to the affected area and surrounding areas as directed.

- Leave it on for the recommended time before rinsing it off.

- Repeat the treatment after 7-10 days to ensure that any newly hatched lice are eliminated.


3. Prescription Treatments
If OTC treatments do not work or if you prefer a stronger option, consult your healthcare provider. They may prescribe stronger medications, such as malathion or ivermectin, which can be more effective in severe cases.


4. Personal Hygiene and Care
While treating pubic lice, maintain good personal hygiene:
- Wash all clothing, bed linens, and towels in hot water (at least 130°F or 54°C) and dry them on high heat to kill any lice or eggs.

- Items that cannot be washed can be sealed in a plastic bag for at least two weeks to ensure any lice die off.

- Avoid sharing personal items like towels, clothing, or bedding during treatment.


5. Avoid Scratching
It can be tempting to scratch the affected area due to itching, but this can lead to skin irritation or secondary infections. Use soothing lotions or antihistamines to help relieve itching. If you notice any signs of infection (such as increased redness, swelling, or pus), seek medical attention.


6. Inform Sexual Partners
It’s crucial to inform any recent sexual partners about your condition, as pubic lice can be transmitted through close physical contact, including sexual activity. Partners should also be treated to prevent reinfestation.


7. Preventing Future Infestations
To reduce the risk of future infestations:
- Practice safe sex by using condoms, although they do not completely prevent the transmission of pubic lice.

- Avoid sharing personal items that may come into contact with the pubic area.

- Regularly check for signs of lice if you are at higher risk.


8. Follow-Up
After treatment, monitor the area for any signs of lice or eggs. If symptoms persist or worsen, consult your healthcare provider for further evaluation and treatment options.


Conclusion
Dealing with pubic lice can be a nuisance, but with the right approach and treatment, it can be effectively managed. Remember to maintain good hygiene, follow treatment instructions, and communicate with your partners. If you have any concerns or if the infestation does not resolve, do not hesitate to seek professional medical advice.

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