Pubic lice

Also called Crabs

Pubic lice are tiny insects that live in coarse human body hair, such as pubic hair. They can also be found in underarm and leg hair, chest hair, beards, eyebrows and eyelashes. They are usually spread through close body contact, most often during sex. They are not linked to poor hygiene.

Last updated Nov 9, 2026

What it is

They are treated with an insecticide cream, lotion or shampoo, usually repeated after a week.

Sexual partners should also be treated, and a check for other sexually transmitted infections is recommended.

Common signs

  • Itching in the affected area, often worse at night
  • Tiny eggs (nits) on hair
  • Small lice moving in hair
  • Small blue spots or specks of blood on skin
  • Black powder in underwear

How it is usually diagnosed

  • Looking for lice and eggs, sometimes with a magnifying glass

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Sexual health clinic notes
  • STI test results
  • Prescriptions

Questions to ask your doctor

  • Which treatment should I use?
  • Do my partners need treatment?
  • Should I be tested for other infections?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Lice in the eyelashes with sore, red or swollen eyes: see a doctor the same day

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources