Health conditions

Pubic lice

What are pubic lice?

  • Pubic lice (Phthirus pubis) are small parasites found in the pubic hair.
  • Some people have mild or no symptoms
  • It can be treated with topical insecticide shampoos.

How do you get pubic lice?

  • Pubic lice are usually spread by direct skin-to-skin contact (through sexual activity) and through contact with an infected person’s towels, bed linen and underwear. 
  • While condoms are essential for safe sex they will not protect you from getting pubic lice.
  • If you get pubic lice, it’s a good idea for you and your most recent sexual partners to be tested for other sexually transmissible infections (STIs).

What are the signs and symptoms?

Some people have mild or no symptoms and may be unaware they have pubic lice.

Symptoms of pubic lice are:

  • itching in your pubic area
  • visible lice or eggs clinging to body hair
  • a fine gritty debris from the lice is sometimes seen on the underwear.

How do I know I have pubic lice?

Pubic lice are diagnosed by careful inspection of the affected area.

Your doctor can check for pubic lice and any other sexually transmitted infection (STI), provide a diagnosis and treatment.

How is pubic lice treated?

Your doctor or pharmacist will prescribe topical insecticide lotions or shampoos. You will not need to shave your pubic hair.

The treatment should be reapplied again in a week to kill any newly hatched lice.

Your bed linen, towels and clothing must be thoroughly machine-washed and sterilised with detergent and hot water to ensure infestation does not spread.

Don’t have sex until the pubic lice have been treated.

How can pubic lice be prevented?

  • Avoid sharing bedding, towels or clothing with others.
  • Machine wash bedding, towels and clothes in a hot water cycle. 
  • Talk to your sexual partners about sexual health. 

 

Where to get help

Remember

  • You can reduce the risks of getting pubic lice by practising safe sex, and limiting your sex partners.
  • Don’t have sex until the pubic lice are treated.
  • Condoms and dental dams do not protect you against pubic lice.

Acknowledgements
Public Health

This publication is provided for education and information purposes only. It is not a substitute for professional medical care. Information about a therapy, service, product or treatment does not imply endorsement and is not intended to replace advice from your healthcare professional. Readers should note that over time currency and completeness of the information may change. All users should seek advice from a qualified healthcare professional for a diagnosis and answers to their medical questions.

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