➤ Can oral medications be used for treating pubic lice-related vulvovaginitis?
Yes, oral ivermectin can be used as an alternative when topical therapy fails or in extensive infestation. Typical dosing is two doses of 200 µg/kg given one to two weeks apart. Avoid ivermectin in pregnancy and weigh benefits with a clinician. Topical treatment and partner management remain first-line for most cases.
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