How does pubic lice infection occur?

How does pubic lice infection occur? - briefly

Pubic lice are transmitted mainly by direct skin‑to‑skin contact, especially during sexual activity, and can also spread through sharing infested clothing, bedding, or towels. The insects cling to coarse hair and move to a new host when the host’s clothing or personal items come into contact with another person’s hair.

How does pubic lice infection occur? - in detail

Pubic lice (Pthirus pubis) spread primarily through direct skin‑to‑skin contact that involves the genital region. The insects cling to coarse hair and feed on blood, so any activity that brings infested hair into contact with uninfested hair can transfer the parasites. The most common vectors are:

  • Vaginal, anal, or penile intercourse, where the adult lice or nymphs move from one partner’s pubic hair to the other’s.
  • Oral‑genital contact, which allows lice to crawl onto the mouth or throat and later migrate back to the genital area.
  • Shared personal items that retain viable lice, such as towels, bedding, or clothing, especially when these items are damp and in close proximity to the body.

Lice survive off the host for only a short period—typically 24–48 hours—making prolonged exposure to contaminated objects less likely than direct contact. Transmission can also occur through close, non‑sexual contact, for example, during sexual assault, intimate dancing, or close physical contact in crowded living conditions.

The life cycle supports rapid spread. After a female deposits 8–10 eggs (nits) on each hair shaft, the eggs hatch in 6–10 days. Nymphs mature within another 9–12 days, reaching reproductive age in about three weeks. This short developmental window allows a small initial infestation to expand quickly if new hosts are exposed.

Risk factors include multiple sexual partners, lack of personal hygiene, and environments where clothing or bedding is shared without proper laundering. Preventive measures focus on limiting direct contact with infested hair, using barrier methods (condoms, dental dams) during sexual activity, and avoiding the exchange of personal textiles. Early detection and treatment with approved pediculicides interrupt the transmission cycle and reduce the likelihood of further spread.