What are the methods for diagnosing and treating pubic lice?

Patient's question:

[Condition Description: Got pubic lice last February, treated for a period of time, but the effect wasn't very good.
Later, I stopped taking medication, and there has been persistent itching, but no lice were found. It's still like this now. Occasionally, there are a few itchy moments in a day. I want to ask if the lice are still there? But why can't I find them?
Treatment history and effectiveness: There was a period without itching, then occasionally itchy again, but no lice were found.
What help do you want: Inquire if there are still lice and why they can't be found.]

Doctor's answer:

Hello, if you are diagnosed with pubic lice, first try to shave off the pubic hair as much as possible and burn it. Then, you can apply Kwell to the affected area, 2-3 times a day, for 3-5 consecutive days to ensure that both the lice and their eggs are completely removed.
If you do not shave the pubic hair, mix Kwell with shampoo and wash the affected area. Leave it on for about 20 minutes, then rinse it off with clean water. Do this 2-3 times a day for more than 5 consecutive days to completely eliminate the lice and their eggs.
Additionally, you should boil or iron close-to-the-skin items such as underwear, pants, bed sheets, pillowcases, and towels for a few minutes. It is also important to trace the source of infection, especially sexual partners and pets, to prevent reinfection.
If you have had pubic lice for a long time, complications may occur. Even after the lice and eggs are completely removed, itching may persist due to these complications. In such cases, you can apply topical erythromycin ointment.

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