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Pubic lice (Pthirus pubis) are tiny parasitic insects that live in coarse body hair, most often in the pubic area. They spread primarily through close skin-to-skin or sexual contact with an infested person. Less commonly, they can transfer via shared towels, bedding, or clothing.

The most common symptom is intense itching in the pubic and perianal area, often worse at night. You may also notice small brown or tan insects moving in the hair, pale blue spots on the skin from bites, or tiny white or yellowish eggs (nits) firmly attached to hair shafts.

The standard treatment is a topical antiparasitic such as permethrin cream or lotion applied to the affected area and left on for the recommended time before rinsing. Oral ivermectin may be used for cases that do not respond to topical therapy. All sexual partners and close household contacts should also be evaluated and treated.

Yes. Machine-washing all recently used bedding, towels, and clothing in hot water (at least 130 degrees Fahrenheit) and drying on high heat kills lice and nits. Items that cannot be washed should be sealed in a plastic bag for two weeks or dry-cleaned.

Yes. While Pthirus pubis prefers coarse pubic hair, it can also infest other coarse hair on the body, including underarm hair, eyebrows, eyelashes, beard hair, and occasionally chest hair. Treatment should be applied to all affected areas as directed by your physician.

Yes. All sexual partners from the past month should be notified and evaluated for pubic lice. Because pubic lice are often transmitted through sexual contact, your physician may also recommend testing for other sexually transmitted infections.

Doctronic uses an AI-powered evaluation to gather detailed information about your symptoms and health history. A licensed physician then reviews your case, confirms the diagnosis, and creates a personalized treatment plan, which may include a prescription sent directly to your pharmacy.

Yes. Doctronic connects you with fully licensed physicians who are board-certified and practice in your state. All consultations are HIPAA-compliant, and every treatment plan is doctor-reviewed and audited to ensure it meets the highest standards of safety and care.