How to get rid of the pubic flea? - briefly
Apply a topical insecticide, such as permethrin cream, to the infested region and launder all clothing, bedding, and towels in hot water. Seek medical advice for prescription treatment and confirmation of complete elimination.
How to get rid of the pubic flea? - in detail
Eliminating the parasite that infests the pubic region requires a systematic approach.
First, confirm the presence of the organism. Look for small, crab‑shaped insects attached to hair shafts, along with itching or a thin grayish discharge. If uncertainty remains, seek a medical examination for microscopic verification.
Second, apply a topical pediculicide. Over‑the‑counter products containing 1 % permethrin or 0.5 % pyrethrin are effective when applied to dry hair, left for the recommended duration (usually 10 minutes), and then rinsed thoroughly. For resistant infestations, a prescription cream with 5 % malathion or a single dose of oral ivermectin (200 µg/kg) may be required; both options should be prescribed by a healthcare professional.
Third, treat the partner(s). Simultaneous application of the same medication to all sexual contacts prevents reinfestation. Abstain from sexual activity until treatment is completed and symptoms have resolved.
Fourth, cleanse the environment. Wash all clothing, bedding, and towels used within the previous 48 hours in hot water (≥ 60 °C) and dry on high heat. Items that cannot be laundered should be sealed in a plastic bag for two weeks or discarded.
Fifth, monitor and repeat treatment if necessary. A second application of the topical agent after 7–10 days eliminates newly hatched lice that survived the initial dose. Persistent symptoms after two cycles warrant a follow‑up appointment.
Finally, adopt preventive measures. Limit close skin‑to‑skin contact with infected individuals, maintain regular personal hygiene, and avoid sharing personal items such as towels or razors.
Following these steps reliably eradicates the infestation and minimizes the risk of recurrence.