[Help - Feeling of Intermittent Itching Inside Pubic Hair]

Patient's question:

It seems like there are bugs crawling inside the pubic hair—could it be pubic lice?
How can I diagnose whether it is pubic lice?
How should I treat it?
It’s incredibly itchy, and throughout the day, I can’t help but feel itchy about 10 times, especially in public places where I can’t scratch. It’s truly frustrating. I hope an expert can help.
First follow-up question: I’ve recently been experiencing intense itching in my pubic area, suspecting it might be pubic lice. Additionally, today, large patches of red blood spots have appeared on my underwear for no apparent reason. I shower every day and change my underwear daily, yet this still happens. Is this related to pubic lice?
If

Doctor's answer:

Hello, I wonder if you can observe pubic lice. If you accidentally get annoying pubic lice, don't be afraid. And don't suffer from itching just because you feel embarrassed to go to the hospital. Now, Xiunan will teach you a good self-treatment method for pubic lice:
1. Generally, you can buy sulfur ointment at a pharmacy. This stuff will make your underwear greasy when you apply it, but for the sake of treatment, just use it. At the same time, some pharmacies also sell a product called sulfur ointment, which is a liquid like shampoo. Using it in combination works well.
2. Clinically, a common method for removing lice and nits is to use a bupleurum tincture containing acid. However, you can't buy this ready-made bupleurum tincture, so here's a homemade method: Go to a pharmacy and buy 30 grams of Chinese medicine bupleurum, add 100 milliliters of 50% alcohol (or 65-degree liquor), and then add 1 milliliter of pure acetic acid (if you don't have it, add some edible vinegar). Seal it for 48 hours, then it's ready to use. The method is to apply it to the affected area.

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