Pubic lice

Diagnosing pubic lice 

Where can I find a sexual health clinic?

Sexual health (GUM) clinics are usually located at a hospital or as part of another health centre. Find your local sexual health services. For more information, see the Health A-Z topic on sexual health clinics.

Do I have to pay for tests at sexual health clinics?

Sexual health services are free and available to everyone, regardless of age. 

If you go to your GP, you will probably have to pay a prescription charge for the treatment.

If you think you may have pubic lice, get checked by a healthcare professional as soon as possible. You can go to your GP or visit a sexual health clinic. Sexual health clinics are sometimes called genito-urinary medicine (GUM) clinics.

Your GP or the healthcare professional treating you will look for evidence of pubic lice, including:

  • itchy red spots,
  • dark brown or black powder or specks (louse droppings),
  • blue spots on the skin, or
  • nits (empty egg shells).

Your diagnosis can only be confirmed by finding a live louse or eggs capable of hatching.

Some people will not develop visible signs or symptoms straight away, and you may be asked to come back for another appointment later.

Infestations through sexual contact

As part of the diagnosis, your GP or healthcare professional will ask you whether the infestation has been transferred through close body contact or sexual contact. If the pubic lice were transferred through sexual contact, your GP will recommend that you are screened for other sexually transmitted infections (STIs) as a precaution.

  • show glossary terms

Glossary

Sexual health clinics or GUM clinics
These are usually located at a hospital or as part of another health centre. They provide contraception advice, emergency contraception and testing and treatment for STIs.

Genito-urinary medicine (GUM)
GUM deals with the male and female sexual organs and the urinary system (which produces, stores and removes urine from your body).

Sexually transmitted infections (STIs)
STIs are diseases passed on through intimate sexual contact, such as vaginal, oral or anal sex.

Infestation
An infestation is when someone has a large amount of lice living on their body.

Last reviewed: 04/12/2009

Next review due: 04/12/2011

Save

What happens at a sexual health (GUM) clinic?

  • Some clinics are walk-in clinics, while others require you to book an appointment. Phone the clinic to find out.
  • When you attend a clinic, you will be asked to fill in a form with your name and contact details. You do not have to give your real name or tell staff who your GP is if you do not want to. Any details you give will be confidential. 
  • You will be asked why you have attended the clinic. Do not be embarrassed. Say that you think you may have a sexually transmitted infection (STI). 
  • You will be asked about your sexual history, for example when you last had sex, whether you used condoms and whether you have had an STI before.
  • If you are attending the clinic for pubic lice, you may be offered tests for other STIs. You do not have to agree, though it is recommended. Tests can only be done with your consent.
  • You may need to give a urine or blood sample for other STI tests.
  • Results from tests for STIs are usually available straight away.
  • If you need any treatment, this will be discussed with you.
  • If you have an STI, your partner (and previous partners) will need to be tested and, if necessary, treated to prevent the infection being passed on to anyone else. 
  • Staff at the sexual health clinic will be able to advise you about the sexual partners who will need to be contacted, and may be able to contact them on your behalf. If you wish, your anonymity will be protected when contacting your previous sexual partners.

Will they tell my parents?

Confidentiality and sexual health services for young people, including contraception, STIs and abortion services.