When do pubic lice appear?

When do pubic lice appear? - briefly

Pubic lice generally become detectable five to seven days after exposure to an infested partner or contaminated bedding. The infestation manifests as itching and the presence of tiny grayish nits attached to coarse body hair.

When do pubic lice appear? - in detail

Pubic lice (Pthirus pubis) are obligate ectoparasites that colonize the coarse hair of the genital region, perianal area, and occasionally other body hair. Transmission occurs primarily through direct sexual contact, but close personal contact or sharing of contaminated textiles can also spread the insects.

The incubation period extends from five to ten days after exposure. During this interval, fertilized eggs are deposited on hair shafts near the skin surface. Eggs (nits) require seven to ten days to hatch, releasing immature nymphs that begin feeding immediately.

Nymphal development lasts approximately five to seven days. After the first blood meal, each nymph molts three times before reaching adulthood. Adult lice survive for about thirty days, continuously laying eggs and perpetuating the infestation.

Factors that influence the timing of visible infestation include:

  • Direct genital contact with an infested partner
  • Prolonged close skin‑to‑skin contact (e.g., co‑sleeping)
  • Use of shared bedding, towels, or clothing contaminated with viable lice or eggs
  • Warm, humid environments that favor lice reproduction

Clinical manifestations appear shortly after nymphs commence feeding. Intense pruritus, caused by an allergic reaction to lice saliva, typically emerges within one to two weeks post‑exposure. Visible lice or eggs become detectable on hair shafts after two to three weeks, when the population has expanded sufficiently for observation.

Diagnosis relies on careful examination of the affected hair region under magnification. Identification of live adult lice, mobile nymphs, or attached nits confirms infestation and guides appropriate treatment.