How is pubic lice transmitted?

Patient's question:

The doctor felt like something had bitten his legs and they were itchy two nights ago. At first, he thought it was mosquitoes, but the red spots didn't look like them. After asking, he found out it was lice. He doesn't know why he got them and wants to ask a few questions. How is pubic lice spread?

Doctor's answer:

Scabies is primarily spread through sexual contact or staying in unclean hotels, leading to indirect transmission. It manifests as intense itching and papules on the pubic hair roots, which are relieved at night. For relief, pubic hair should be removed locally, and lindane cream or sulfur ointment can be applied externally. Additionally, corticosteroid creams such as clobetasol can be used. A topical anti-inflammatory and analgesic lotion can also be applied to the affected area.

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