Pubic lice are small parasitic insects, usually found in the pubic hair area, which spread very uncomfortably and cause embarrassing moments. Though mostly transmitted by sexual contact, they may be passed through intimate close contact by sharing towels or bedding. While not resulting in any severe illness, pubic lice really contribute to an irritating and pervading itch or soreness; thus, they are an inconvenience one needs to get rid of. This paper will discuss pubic lice by emphasizing symptoms, diagnosis, and treatment of the disease.
Symptoms:
Intense itching in the pubic area is typically the most widespread symptom of an infestation of pubic lice. This itching is due to the lice biting and feeding on the skin. In addition, red bumps or sores may appear in the affected area as a result of the bites. It is even possible for the bites to become infected, which can lead to further symptoms like fever, swollen lymph nodes, and a general feeling of being unwell.
Other signs of pubic lice infestation include the presence of nits (eggs) or lice on the pubic hair. Nits are small, oval-shaped, and yellowish-white in color, while adult lice are about the size of a pinhead and have a grayish-white color. They are most commonly found in the pubic hair, but can also be found in other areas with coarse hair, such as the armpits, chest, and eyelashes.
Diagnosis:
If you suspect you may have pubic lice, it is important to seek medical advice for a proper diagnosis. Your doctor will conduct a physical examination of the affected area and may also use a magnifying glass to look for nits or lice. They may also ask about your sexual history and any recent close personal contact to determine the likelihood of an infestation.
In some cases, your doctor may also conduct a skin scraping test to confirm the presence of pubic lice. This involves taking a small sample of skin from the affected area and examining it under a microscope for the presence of lice or their eggs.
Treatment:
Medications:
Over-the-counter (OTC) or prescription medications are the primary treatment for pubic lice. These medications come in the form of shampoos, creams, or lotions and contain insecticides that kill the lice and their eggs (nits). Some of the commonly used medications include:
Permethrin: Permethrin is an OTC cream that contains a synthetic insecticide. It is applied to the affected area and left on for 10 minutes before rinsing off. A second treatment may be necessary after seven to ten days.
Pyrethrins: Pyrethrins are natural insecticides derived from chrysanthemums. They are available in OTC shampoos and lotions and should be left on for 10 to 20 minutes before rinsing off. A second treatment may be needed after seven to ten days.
Malathion: Malathion is a prescription lotion that contains an organophosphate insecticide. It is applied to the affected area and left on for eight to 12 hours before rinsing off. A second treatment may be required after seven to ten days.
Ivermectin: Ivermectin is a prescription oral medication that kills lice and inhibits their reproduction. It is taken as a single dose and repeated after seven to ten days if necessary.
It is essential to follow the instructions carefully and complete the full course of treatment, as lice can be resistant to some medications. If the infestation persists after the initial treatment, consulting a healthcare provider is necessary to consider other treatment options.
Environmental Measures:
In addition to medication, environmental measures are also important to prevent the spread of pubic lice. It is necessary to wash all clothing, bedding, and towels in hot water (at least 130°F) to kill any lice or eggs that may be present. It may also be necessary to vacuum carpets, furniture, and any other fabrics or surfaces that may have come into contact with the infested area.
When it comes to items that cannot withstand hot water washing, like stuffed animals, it is advisable to place them in a plastic bag and seal it for a period of two weeks to effectively eradicate any lice or eggs. In the case of combs and brushes, they should be submerged in hot water, with a temperature of at least 130°F, for a duration of 10 minutes, or as an alternative, you may discard them.
Prevention:
Practicing Safe Sex
One of the most effective ways to prevent the spread of pubic lice is by practicing safe sex. Using condoms during sexual intercourse can significantly reduce the risk of transmission. However, it is important to note that condoms do not provide complete protection as lice can also be found outside the protected area. Therefore, it is crucial to conduct a visual inspection of the pubic area before and after sexual contact to detect any signs of infestation.
Avoiding Sharing Personal Items
Pubic lice have the ability to live for up to 24 hours without a human host, allowing for the possibility of transmission through the sharing of personal items like towels, bedding, and clothing. To stop the transmission of public lice, it is crucial not to share these items with others, particularly those who have recently had lice infestations. Additionally, washing all possibly contaminated items in hot water and drying them on a high heat setting is recommended to eliminate any residual lice or nits.
Seeking Immediate Treatment
If you suspect that you have been exposed to pubic lice, it is crucial to seek immediate treatment to prevent the infestation from spreading. Topical creams, lotions, or shampoos that contain permethrin or pyrethrins and are available over-the-counter are successful in eliminating lice and their eggs. It is important to follow the instructions carefully and repeat the treatment as directed to ensure that all lice and eggs are eliminated. In some cases, prescription medication may be necessary, especially if the infestation is severe or does not respond to over-the-counter treatments.
Conclusion:
Pubic lice might be among the most common and embarrassing problems, but they can be treated and, at best, avoided. In case you develop symptoms related to pubic lice, seek medical advice for an actual diagnosis and proper treatment. With proper medication and precautions, pubic lice can be completely cleared, and one is sure to avoid further discomfort and embarrassment.
