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Crab Lice

Also known as:  Pubic Lice

What is it?

Crab lice are very small, wingless insects that primarily infest the genital area. However, crab lice can live in any hairy area of the body, such as the chest, underarms, facial hair, and head.

Who gets it?

Anyone who has close body contact with someone who is infected can get crab lice.

What causes it?

Crab lice are usually spread by sexual contact. This type of lice likes hairy areas of the body. They live by sucking blood from the skin and attaching their eggs to the pubic hair. The eggs are called nits. You can get crab lice from any type of close body contact with an infected person, or by using that person’s sheets, towels, or other personal items that might have contacted the infected area. Crab lice are extremely contagious.

What are the symptoms?

You may have no symptoms if you are infested with only a few lice. As they reproduce, you may notice white flakes at the base of your pubic hair, like dandruff. These are the nits. However, because they are so firmly attached, you cannot brush the flakes off. The growing number of lice cause intense itching. You may develop a bacterial infection if you scratch so hard that you break open the skin.

How is it diagnosed?

To diagnose crab lice, your doctor will take your medical history and perform a physical examination. He or she will check for lice and nits in your pubic hair, as well as other hairy areas of your body. When examined under a microscope, crab lice look like tiny crabs, around one to three millimeters long (less than 1/8 of an inch). Let your doctor know if you are pregnant or breast feeding because some treatments are not recommended for pregnant or nursing women.

What is the treatment?

Crab lice are treated with an over-the-counter shampoo specially designed to kill the lice and their eggs. If this does not work, your doctor may prescribe a stronger treatment. Follow the instructions that come with the product for the best results. You will need to remove the dead nits yourself using a fine-tooth comb or tweezers after treatment. Your doctor may recommend a topical cream to relieve itching, or an antibiotic if you have a bacterial infection. Wash bedding, towels, and clothes in hot water and detergent, and dry them thoroughly at a high heat setting to kill any remaining lice.

Self-care tips

You can prevent a crab lice infestation by avoiding sexual contact altogether, or by having just one sexual partner with whom you share a sexual history. Although your are not likely to get crab lice from a toilet seat, it’s still a good idea to avoid sitting on an uncovered toilet seat in a public areas. Do not share sheets, towels, or clothes with anyone who might have crab lice. Condoms cannot protect you from crab lice because they do not cover the pubic hair.


This information has been designed as a comprehensive and quick reference guide written by our health care reviewers.  The health information written by our authors is intended to be a supplement to the care provided by your physician.  It is not intended nor implied to be a substitute for professional medical advice. 

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This page was last updated on October 31, 2006
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