Itching in the pubic area
Seeing tiny crab-like insects in pubic hair
Finding small white or yellowish eggs attached to hair shafts
Red or blue spots on the skin from bites
Irritated or inflamed skin in the genital area
Feeling crawling or movement sensations in pubic hair
Itching that gets worse at night
Crabs on other coarse body hair, such as armpits, chest, beard, or eyebrows
Small dark specks in underwear from lice droppings
A healthcare provider confirming pubic lice with an exam