STD Toolkit

Pubic Lice


  • Pruritus
  • Visible lice or nits in pubic hair

Definitive Diagnosis:

Visualization of louse in pubic hair (or other body hair)

N/A - no tests for pubic lice

First Line Treatment

Permethrin 1% creme rinse: Apply to affected areas and wash off after 10 minutes.
Pyrethrins with piperonyl butoxide applied to the affected area and washed off after 10 minutes.

Alternative Treatment


Malathion 0.5% lotion applied for 8-12 hours and washed off
Ivermectin 250 µg/kg orally, repeated in 2 weeks

For more information on pubic lice, see CDC's Sexually Transmitted Diseases Treatment Guidelines, 2015