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Complications following “Brazilian” waxing for pubic hair removal

Published:August 06, 2014DOI:https://doi.org/10.1016/j.ajog.2014.07.063
      To the Editors:
      We read with interest the article by Demaria et al
      • Demaria A.
      • Flores M.
      • Hirth J.M.
      • Berenson A.B.
      Complications related to pubic hair removal.
      as pubic hair removal has gained more popularity in recent years. Various methods of hair removal may also be associated with sexually transmitted diseases. Primary genital herpes from contamination from a waxing salon has been described in the literature.
      • Schmidtberger L.
      • Ladiznski B.
      • Ramirez-Fort M.K.
      Wax on, wax off: pubic hair grooming and potential complications.
      Cases of molluscum contagiosum outbreak and septic shock due to staphylococcal infection are yet other complications of pubic waxing.
      • Desruelles F.
      • Cunningham S.A.
      • Dubois D.
      Pubic hair removal: a risk factor for “minor” STI such as molluscum contagiosum?.
      Contamination of waxing tools such as a spatula from a previously infected patient or the individual performing it rather than the waxing tub are more likely causes of transmission of herpetic infection, or even a shingles outbreak in a patient under significant stress. Although reduction in pubic lice as a benefit of pubic hair removal has been reported in Britain,
      • Desruelles F.
      • Cunningham S.A.
      • Dubois D.
      Pubic hair removal: a risk factor for “minor” STI such as molluscum contagiosum?.
      herpes simplex following Brazilian waxing is an important concern in immunocompromised patients.
      • Dendle C.
      • Mulvey S.
      • Pyrlis F.
      • Grayson M.L.
      • Johnson P.D.
      Severe complications of a “Brazilian” bikini wax.

      References

        • Demaria A.
        • Flores M.
        • Hirth J.M.
        • Berenson A.B.
        Complications related to pubic hair removal.
        Am J Obstet Gynecol. 2014; 210: 528-530
        • Schmidtberger L.
        • Ladiznski B.
        • Ramirez-Fort M.K.
        Wax on, wax off: pubic hair grooming and potential complications.
        JAMA Dermatol. 2014; 150: 122
        • Desruelles F.
        • Cunningham S.A.
        • Dubois D.
        Pubic hair removal: a risk factor for “minor” STI such as molluscum contagiosum?.
        Sex Transm Infect. 2013; 89: 216
        • Dendle C.
        • Mulvey S.
        • Pyrlis F.
        • Grayson M.L.
        • Johnson P.D.
        Severe complications of a “Brazilian” bikini wax.
        Clin Infect Dis. 2007; 45: e29-e31

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