How can pubic lice be removed? - briefly
Apply a pediculicide such as 1 % permethrin cream or 0.5 % pyrethrin lotion to the genital area, leave it on for the recommended duration, then rinse thoroughly; afterwards, comb the hair with a fine-toothed lice comb to extract any remaining nits. Wash all clothing, bedding, and towels in hot water (minimum 130 °F/54 °C) and dry on high heat to prevent re‑infestation.
How can pubic lice be removed? - in detail
Effective elimination of pubic lice requires a combination of pharmacologic treatment, personal hygiene measures, and environmental decontamination.
First‑line therapy consists of topical pediculicides approved for the genital area. Permethrin 1 % cream rinse applied to the affected skin for ten minutes, then washed off, achieves high cure rates. Alternative agents include pyrethrins combined with piperonyl butoxide, and malathion 0.5 % lotion left on for eight to twelve hours before removal. Prescription options such as ivermectin 1 % lotion or oral ivermectin (200 µg/kg, single dose) are reserved for cases resistant to over‑the‑counter products or for patients with extensive infestation.
Application instructions must be followed precisely: clean the area with mild soap, dry thoroughly, apply the medication to all hair-bearing regions, and repeat the treatment after seven days to eradicate newly hatched nymphs.
Adjunctive measures enhance success. Trim or shave pubic hair to reduce habitat and facilitate medication penetration. Wash clothing, bedding, and towels in hot water (≥ 60 °C) and dry on high heat; items that cannot be laundered should be sealed in plastic bags for two weeks. Sexual partners require simultaneous treatment to prevent reinfestation.
Monitor for adverse reactions such as skin irritation, itching, or rash. If symptoms persist beyond ten days, reassess diagnosis, consider alternative agents, and consult a healthcare professional.
Regular follow‑up ensures complete eradication and addresses potential secondary bacterial infection, which may require topical or oral antibiotics.