Pubic lice are usually spread through sexual contact. Rarely, infestation can be spread through contact with an infested person's bed linens, towels, or clothes. A common misunderstanding is that infestation can be spread by sitting on a toilet seat. This isn't likely, since lice cannot live long away from a warm human body. Also, lice do not have feet designed to walk or hold onto smooth surfaces such as toilet seats.
Infection in a young child or teenager may indicate sexual activity or sexual abuse.
Itching in the genital area
Visible nits (lice eggs) or crawling lice