Unwanted Hair and Skin Issues: When to See a Dermatologist

Issues related to pubic hair?

I have a situation in the area where I grow pubic hair.
Sometimes it itches, and sometimes it doesn't.
I’ve looked at it, but there’s no redness or any noticeable growths.
I’m wondering why this is happening and if I should see a doctor.
Recently, I pulled out some hair to examine it and noticed something unusual.
About 0.4 to 0.8 centimeters from the hair root, there’s a small oval object measuring approximately 0.1 to 0.2 centimeters.
It looks like a mature blackhead, yellowish-white and somewhat transparent, resembling a pimple.
I tried to remove it, but it was very tightly attached and difficult to get off; it took a lot of effort.
Some of the ones closer to the root were even more yellow and looked a bit disgusting.

I’ve been experiencing these symptoms for about two weeks.
I also pulled out another pubic hair and found a small, somewhat transparent, yellowish bug at the base.
It seemed to have either six or eight legs, which was quite frightening.
What is this? What might happen to me? Should I see a doctor? Help! I haven’t had any sexual intercourse, so how could I have gotten this? Also, does it only occur in the pubic area? Could the bug crawl to other parts of my body? I’m really worried about it spreading.

Will the bug survive after leaving my body? Could it crawl onto someone else? I’m afraid it might infest my room with these creepy bugs.
If I need to see a doctor, should I go to a dermatologist, or can I just buy something from a pharmacy to handle it myself? If so, please advise me on how to manage this.

Wúgū de xiǎohái, 10~19 year old female. Ask Date: 2005/08/21

Dr. Jiang Zheen reply Dermatology

You may have contracted pubic lice.
First, you should shave the pubic hair, and then shave again in 3-4 weeks.
Apply a topical lice treatment; it is a contagious condition, so consider whether your sexual partner has a similar issue.
Wishing you well.

Reply Date: 2005/08/21

More Info

It sounds like you're experiencing a concerning issue with your skin and hair in the pubic area, and it's understandable to feel anxious about it. Based on your description, it seems you may be dealing with a few potential issues, including possible folliculitis or an infestation of parasites such as pubic lice (also known as "crabs").
Folliculitis is an inflammation of the hair follicles that can occur due to various reasons, including bacterial or fungal infections, irritation from shaving or waxing, or even blockage from products. The small, pimple-like bumps you described, especially if they are yellowish or white, could be indicative of this condition. The presence of a small, oval-shaped object near the hair follicle could also suggest a clogged pore or a more serious issue, depending on its characteristics.

On the other hand, the "transparent" and "yellowish" creature you mentioned could potentially be a pubic louse. These tiny parasites are typically found in the pubic hair area and can cause itching and irritation. They are usually transmitted through close physical contact, but they can also be spread through infested clothing or bedding. It's important to note that pubic lice do not necessarily indicate poor hygiene; they can affect anyone.

Given the symptoms you are experiencing, it is advisable to see a dermatologist or a healthcare provider. They can conduct a thorough examination and possibly perform tests to determine the exact nature of your condition. This is crucial because self-diagnosing can lead to inappropriate treatment, which may exacerbate the problem.

When you visit the dermatologist, be prepared to discuss your symptoms in detail, including when they started, any changes in your hygiene routine, and any other relevant health information. The doctor may perform a physical examination and, if necessary, take samples for further analysis.

In terms of treatment, if it is indeed pubic lice, over-the-counter treatments are available, such as topical insecticides specifically designed to eliminate lice. However, it is essential to follow the instructions carefully and ensure that all infested areas are treated, including bedding and clothing, to prevent re-infestation. If the issue is folliculitis, treatment may involve topical antibiotics or antifungal medications, depending on the underlying cause.

As for your concerns about the potential spread of lice or other parasites, it's important to maintain good hygiene practices. Regularly washing your bedding and clothing in hot water can help eliminate any potential pests. If you are worried about the possibility of spreading lice to others, it is best to avoid close contact until you have been treated and cleared by a healthcare professional.

In summary, while it may be tempting to try to manage this issue on your own, seeking professional medical advice is the best course of action. A dermatologist can provide you with a proper diagnosis and an effective treatment plan tailored to your specific needs. Don't hesitate to reach out for help; your health and peace of mind are worth it.

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