Quick read
Key points
- 1
Pubic lice, sometimes called 'crabs', are tiny insects that live in coarse body hair, most commonly pubic hair, though they can also be found in underarm hair, eyelashes, or eyebrows. They spread through close bodily contact, most often sexual contact.
- 2
Topic-specific prevention and risk reduction will be added during the article-specific evidence audit.
- 3
Itching persists despite treatment
01 · Know
What is Pubic lice (crabs)?
Pubic lice, sometimes called 'crabs', are tiny insects that live in coarse body hair, most commonly pubic hair, though they can also be found in underarm hair, eyelashes, or eyebrows. They spread through close bodily contact, most often sexual contact.
The main symptom is itching in the affected area, particularly at night, along with tiny blue or grey marks on the skin from bites. Lice or their eggs (nits) may sometimes be visible attached to hairs.
02 · Understand
Clinical context
Self-care advice
Visit a pharmacy or sexual health clinic for advice on the most suitable treatment and to discuss testing for other infections.
03 · Act
When to see a doctor
- 1Itching persists despite treatment
- 2You notice lice in your eyelashes or eyebrows
- 3You develop signs of skin infection from scratching, such as redness or pus
- 4You're unsure how to use lice treatment correctly
- 5You'd like advice on testing for other sexually transmitted infections
04 · Prevent & manage
Practical steps
Take these self-care steps
These measures can help ease symptoms, support recovery, and reduce the chance of things worsening — but they don't replace medical advice if symptoms are severe or persistent.
- 1Use a specific lice treatment lotion.Pharmacy-available treatments designed for pubic lice should be applied exactly as directed, usually covering all affected hairy areas.
- 2Treat sexual partners at the same time.This prevents reinfection between partners.
- 3Wash bedding and clothing on a hot wash.This helps remove any lice that may have transferred to fabric.
- 4Avoid sexual contact until treatment is complete.This reduces the risk of spreading lice to others or catching them again.
- 5Consider an STI check.Since pubic lice spread through close contact, it's worth getting screened for other sexually transmitted infections.
Evidence
References
BarnMD Health Intelligence uses authoritative and clinically relevant sources appropriate to the topic. References are shown so readers can inspect the evidence directly.
- HSE: Pubic lice (crabs) ↗
Medical information notice
Health education, not individual medical advice
BarnMD Health Library provides general health education for public health literacy. Reading this article does not establish a doctor-patient relationship and this information is not a diagnosis, prescription, or personalised treatment plan. If you have symptoms or concerns about your health, seek appropriate advice from a qualified healthcare professional. If you develop emergency warning signs, seek urgent or emergency medical attention.
BarnMD Bottom Line
Pubic lice are easily treated with an appropriate lotion, and treating partners at the same time prevents the cycle of reinfection.
Because pubic lice usually spread through sexual contact, it's a good idea to get a wider sexual health check at the same time.