Pubic
Lice
What are pubic
lice?
Also called "crabs," pubic lice are parasitic insects found in the
genital area of humans. Infection is common and found
worldwide.
How did I get pubic
lice?
Pubic lice are usually spread through sexual contact. Rarely,
infestation can be spread through contact with an infested person's
bed linens, towels, or clothes. A common misunderstanding is that
infestation can be spread by sitting on a toilet seat. This isn't
likely, since lice cannot live long away from a warm human body.
Also, lice do not have feet designed to walk or hold onto smooth
surfaces such as toilet seats.
Infection in a young child or teenager may indicate sexual activity
or sexual abuse.
Where are pubic lice
found?
Pubic lice are generally found in the genital area on pubic hair;
but may occasionally be found on other coarse body hair, such as
hair on the legs, armpits, mustache, beard, eyebrows, or eyelashes.
Infestations of young children are usually on the eyebrows or
eyelashes. Lice found on the head are not pubic lice; they are head
lice.
Animals do not get or spread pubic lice.
What are the signs and symptoms
of pubic lice?
Signs and symptoms of pubic lice include
Itching in the genital area
Visible nits (lice eggs) or crawling lice
What do pubic lice look
like?
There are three stages in the life of a pubic louse: the nit, the
nymph, and the adult.
Nit: Nits are pubic lice eggs. They are hard to see and are found
firmly attached to the hair shaft.
They are about the size of the mark at the end of this arrow . They
are oval and usually yellow to white. Nits take about 1 week to
hatch.
Nymph: The nit hatches into a baby louse called a nymph. It looks
like an adult pubic louse, but it is smaller. Nymphs mature into
adults about 7 days after hatching. To live, the nymph must feed on
blood.
Adult: The adult pubic louse is about the size of this circle and
resembles a miniature crab when viewed through a strong magnifying
glass. Pubic lice have six legs, but their two front legs are very
large and look like the pincher claws of a crab; this is how they
got the nickname "crabs." Pubic lice are tan to grayish-white in
color. Females lay nits and are usually larger than males. To live,
adult lice must feed on blood. If the louse falls off a person, it
dies within 1-2 days.
How is a pubic lice infestation
diagnosed?
A lice infestation is diagnosed by looking closely through pubic
hair for nits, nymphs, or adults. It may be difficult to find nymph
or adult; here are usually few of them and they can move quickly
away from light. If crawling lice are not seen, finding nits
confirms that a person is infested and should be treated. If you
are unsure about infestation or if treatment is not successful, see
a health care provider for a diagnosis.
How is a pubic lice infestation
treated?
A lice-killing shampoo (also called a pediculicide) made of 1%
permethrin or pyrethrin is recommended to treat pubic lice. These
products are available without a prescription at your local drug
store. Medication is generally very effective; apply the medication
exactly as directed on the bottle. A prescription medication,
called Lindane (1%) is available through your health care provider.
Lindane is not recommended for pregnant or nursing women, or for
children less than 2 years old.
Malathion* lotion 0.5% (Ovide*) is another prescription medication
that is effective against pubic lice.
How to treat pubic lice infestations: (Note: see section below for
treatment of eyelashes or eyebrows. The lice medications described
in this section should not be used near the eyes.)
Wash the infested area; towel dry.
Thoroughly saturate hair with lice medication. If using permethrin
or pyrethrins, leave medication on for 10 minutes; if using
Lindane, only leave on for 4 minutes. Thoroughly rinse off
medication with water. Dry off with a clean towel.
Following treatment, most nits will still be attached to hair
shafts. Nits may be removed with fingernails.
Put on clean underwear and clothing after treatment.
To kill any lice or nits (attached to hairs) that may be left on
clothing or bedding, machine-wash those washable items that the
infested person used during the 2-3 days before treatment. Use the
hot water cycle (130°F). Use the hot dryer cycle for at least 20
minutes.
Dry-clean clothing that is not washable.
Inform any sexual partners that they are at risk for
infestation.
Do not have sex until treatment is complete.
Do not have sex with infected partners until partners have been
treated and infestation has been cured.
Repeat treatment in 7-10 days if lice are still found.
To treat nits and lice found on eyebrows or eyelashes:
If only a few nits are found, it may be possible to remove live
lice and nits with your fingernails or a nit comb.
If additional treatment is needed for pubic lice nits found on the
eyelashes, applying an ophthalmic-grade petrolatum ointment (only
available by prescription) to the eyelids twice a day for 10 days
is effective. Vaseline* is a kind of petrolatum, but is likely to
irritate the eyes if applied.
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