Pubic lice can be cured at home. You need insecticidal lotion or cream which is applied once and reapplied after one week.
If insecticidal cream does not destroy pubic lice, the reason might be that they are resistant to this cream and you should try to eliminate them with a different one. Your physician can recommend what is the most effective cream for treating pubic lice. Read all the instructions on how to use the lotion carefully.
There are two sorts of creams for destroying pubic lice that people use the most:
• Malathion which everybody can use who are above six months old
• Permethrin which people can use who are above 18 years old. Pregnant or breastfeeding women should avoid this cream.
General advice is to take a shower, dry yourself and then apply the cream. You need to apply it on your whole body including the scalp, face, neck and ears. Cover your beard, mustache, and eyebrows. The pubic area is to be covered too. Make sure the cream does not come in touch with your eyes (if it does you need to rinse your eyes thoroughly with water). Malathion lotion is usually left overnight while permethrin 5% cream can be left even longer (about 24 hours). Do not wash the parts that are covered with cream until you are sure that the cream stayed on long enough. If for any reason you need to wash yourself, apply the cream again. Next treatment will be after a week. You should use the same cream for three weeks the most.
If you have lice in the eyebrows it is better to use eye ointment.
The reason why you need to repeat the treatment after a week are because of lice eggs. Although you probably destroyed all the lice after the first application, lice eggs could have survived and therefore need to be destroyed again.
After you have completed two treatments, visit your doctor who will check if all the lice are eliminated. Bear in mind that nits can be still visible on your hairs which is a sign that you need another treatment. Maybe lice became resistant on your cream and you need to change it.
Other insecticide creams available are phenothrin or carbaryl.
If you got pubic lice after having sexual intercourse with someone, a good idea would be to check whether you got any other sexual transmitted diseases such as chlamydia.
You need to take care of the health of other people too therefore it is advisable to inform all sexual partners in last three months so that they can treat themselves too on pubic lice even if they do not show any symptoms.
If you feel angry or embarrassed to inform other people about pubic lice treatment, your clinic can provide a so called contact slip.