What are the treatments for a pubic lice infection and how can you prevent it?


Jojo Ming (Image: Pubiclice.se)

Treating a pubic lice (Pthirus pubis) infection involves various approaches aimed at eliminating the lice infestation and preventing its recurrence. Additionally, preventive measures play a crucial role in minimizing the risk of contracting pubic lice. Here’s an in-depth exploration of treatments and prevention methods for this condition.

Treatments for Pubic Lice Infection:

1. Topical Medications:

  • Over-the-Counter (OTC) Products: Lotions or shampoos containing permethrin or pyrethrins are commonly used to kill pubic lice. These are applied directly to the affected areas according to the product instructions.
  • Prescription Medications: In cases of resistance or severe infestations, healthcare providers may prescribe stronger medications like malathion or ivermectin.

2. Manual Removal:

  • Use a fine-toothed comb or tweezers to carefully remove the lice and eggs from the pubic hair. This process may need to be repeated to ensure complete removal.

3. Washing Clothing and Bedding:

  • Launder all clothing, bedding, and towels used by the infected person in hot water followed by drying on high heat to kill any lice or eggs.

4. Environmental Cleanliness:

  • Thoroughly clean combs, brushes, and any personal items that may have come into contact with the affected area.

5. Avoiding Reinfestation:

  • Avoid sexual contact or close personal contact until the infestation is resolved to prevent spreading the lice to others.
  • Treat all individuals who have had close contact with the infected person.

6. Follow-Up Care:

  • It’s essential to follow up with healthcare providers as advised to ensure the treatment was successful. Repeat treatments may be necessary in some cases.

Prevention of Pubic Lice Infection:

1. Safe Sexual Practices:

  • Use condoms during sexual activity to reduce the risk of contracting sexually transmitted infections (STIs).

2. Personal Hygiene:

  • Maintain good personal hygiene by regularly washing and cleaning the pubic area.
  • Avoid sharing personal items such as towels, clothing, or bedding.

3. Routine Checks:

  • Perform routine checks of the genital area for any signs of lice or nits (eggs) to detect any infestation early.

4. Educational Awareness:

  • Educate oneself and others about the causes, symptoms, and preventive measures for pubic lice to raise awareness and promote early detection and treatment.

5. Seeking Treatment Promptly:

  • If an infestation is suspected, seek medical advice promptly to initiate appropriate treatment and prevent the spread of lice.

6. Screening and Treatment of Contacts:

  • If diagnosed with pubic lice, inform and encourage close contacts to seek screening and treatment to prevent further spread.

7. Environmental Precautions:

  • Cleanse personal items and environments regularly to minimize the risk of lice transmission.

8. Healthcare Professional Guidance:

  • Follow guidelines and advice provided by healthcare professionals for preventive measures, especially after a known exposure.


Pubic lice infestations are treatable conditions, and several approaches, including topical medications, hygiene practices, and preventive strategies, are available to manage and prevent them. Early detection, prompt treatment, and adherence to preventive measures play pivotal roles in controlling pubic lice infestations and reducing their recurrence.