Causes of pubic itching and Itchy Pubic Hair

There are a number of reasons for an itchy pubic area. At times, it is a normal result of dry skin or skin irritation from sweating, using certain skincare products, or wearing tight clothing. Not every itch in the groin area occurs on the penis or vagina. Conditions that can cause itching in this area include:

Razor Burn

Razor burn is a common cause of itchiness in the groin area. One study found that 80% of people who groom their pubic hair themselves have experienced genital itching on at least one occasion.

That's because shaving (or waxing) creates tiny tears in the skin and causes inflammation of the hair follicles. This can lead to the development of ingrown hairs, skin lesions, or small pimples in the pubic area that may burn or itch.

To reduce the risk of razor burn when grooming your pubic hair, use clean materials and a lubricant, like soap or shaving cream, to minimize irritation. Moisturizing after shaving can also help prevent razor burn and its associated itching.

Tinea Cruris (Jock Itch)

jock itch is fungal infection of the skin in the genital area. Jock itch is a contagious rash that is caused by a fungus known to grow and spread in the groin area. It is especially common in athletes, particularly adolescent boys and young men.

This condition can develop due to friction from clothing, continuous sweating, or moisture in the groin area. It can also be spread to the groin from the feet, or from person to person if there is contact with unwashed clothing or direct skin-to-skin contact.

Symptoms include raised scaly patches with defined edges that are also known to blister. Sometimes, the patches can change the color of the affected skin.6 Keeping the area dry and using an over-the-counter (OTC) jock itch cream should relieve the itching. If symptoms persist, see your healthcare provider for additional treatment options.

Crabs (Pubic Lice)

Pubic lice (crabs) are tiny parasitic insects that attach to the hair and skin in the pubic region. Pubic lice, or crabs, are tiny insects that live on the pubic hair around the genitals. They can also live in the armpits, beard or mustache, eyebrows, eyelashes, and chest hair.

These insects are typically spread through sexual contact, but you can also catch crabs by sharing clothes or linens with another person who has the condition. Pubic lice is not the same as the lice that are found on the head and scalp. Head lice are a different breed of insect, which is more easily spread.

It's important to avoid scratching if pubic lice are the cause of your genital itchiness. Scratching can cause tiny tears in the skin, which can allow bacteria to enter the bloodstream and cause an infection.7 Pubic lice can be treated with OTC topical creams or anti-lice shampoos.

Candidiasis (Yeast Infection)

Yeast infections are very common in women. Approximately 75% of women will experience a yeast infection at some point in their lifetime.1 When a yeast infection occurs, you may experience genital itching as well as burning, discoloration, and discharge from the vagina.

This condition is caused by an overproduction of a type of yeast called candida. This yeast buildup often occurs due to a pH imbalance in the vagina. Taking medication such as antibiotics, consuming too much sugar, and having a weakened immune system can also cause yeast infections.

OTC yeast infection treatment usually clears up this condition and relieves itchiness within a few days. However, it is important to see a healthcare professional for diagnosis and treatment, as the symptoms can mimic other conditions such as sexually transmitted infections (STIs).

Folliculitis

Folliculitis is a condition in which the hair follicles become inflamed or blocked. This condition can occur due to shaving, exposure to fungus, ingrown hairs, or friction from clothing. Lycra and tight-fitting blue jeans can irritate the area.

When a person has folliculitis, they develop crusty sores or acne pimples with white tips or small itchy blisters that can pop.12 The damaged or blocked follicles often become infected with bacteria. If an infection occurs, you'll need to see a healthcare provider for diagnosis and treatment, which may include a topical antibiotic cream.

At-Home Treatment

The treatment of genital itching depends on the specific condition. If the cause of the itching is minor, it most likely will clear up on its own. Some ways to prevent genital itching include:

• Keep the genital area clean and dry.
• Thoroughly wash clothing, towels, and bed linens regularly.
• Avoid wearing tight-fitting clothing.
• Wear breathable underwear.
• Avoid fragrances, harsh cleaners, and other irritating chemicals.

If itching persists, you should consult your healthcare provider for a diagnosis. Depending on the condition, your healthcare provider may recommend one of the following OTC medications:

• Antibiotic ointments
• Anti-itch creams (corticosteroid)
• Antifungal cream (terbinafine)
• Hydrocortisone cream

Prescription Treatment

Depending on the specific condition, your healthcare provider may prescribe a medication to treat the cause of your genital itchiness. Common prescription medication used to treat genital itching include the following:

• Eurax (crotamiton): an antifungal cream for scabies
• Nix Creme Rinse (permethrin) for pubic lice and scabies
• Antibiotics (oral or topical)
• Prednisone (steroid)

When to See a Doctor

If your genital area itching is severe or painful and the rash is bothersome, make an appointment to see your healthcare provider, especially if the itching or rash persists longer than a few days. It's important to get an accurate diagnosis, so you can treat the right condition and find relief from the itching.

There is no need to feel embarrassed. Your healthcare provider is there to help you find the appropriate treatment plan and inform you of ways to prevent the condition in the future.

Summary

Itchiness in the genital region is common and is often easily treatable, but it's important to determine the cause of the itchiness to ensure the right treatment. Common causes of genital itching include contact dermatitis, jock itch, scabies, yeast infection, and folliculitis. Your healthcare provider can help you determine the cause and point you to the best treatment and prevention strategies.