A War on Hair

I missed the declaration of war on pubic hair. It must have happened sometime in the last decade because the amount of time, energy, money and emotion both genders spend on abolishing hair from their genitals is astronomical.

But why pick on the lowly pubic hair? A few sociological theories suggest it has to do with cultural trends spawned by bikinis and thongs, certain hairless actors and actresses, as well as a misguided attempt at hygiene or being more attractive to a partner. Surely human beings are not so naive as to be so susceptible to fashion trends and biases that they actually cause harm to themselves.

It is a sadly misconceived war. Long ago, surgeons figured out that shaving a body part prior to surgery actually increased, rather than decreased, surgical site infections. No matter what expensive and complex weapons are used — razor blades, electric shavers, tweezers, waxing, depilatories — hair, like crabgrass,  always grows back and eventually wins. In the meantime, the skin suffers the effects of the scorched battlefield.

Pubic hair removal naturally irritates and inflames the hair follicles left behind, leaving microscopic open wounds. Rather than suffering a recurring comparison to a bristle brush, frequent hair removal is necessary to stay smooth, causing regular irritation of the shaved or waxed area. When that irritation is combined with the warm, moist environment of the genitals, it becomes a happy culture media for some of the nastiest of bacterial pathogens, namely group A streptococcus, staphylococcus aureus and its recently mutated cousin methicillin-resistant staph aureus (MRSA). There is an increase in staph boils and abscesses, necessitating incisions to drain the infection, resulting in scarring that can be significant. It is not at all unusual to find pustules and other hair follicle inflammatory papules on the shaved areas.

Additionally, it can cause cellulitis (a potentially serious soft tissue bacterial infection without abscess) that can spread, sometimes necessitating hospitalization and intravenous antibiotics.

Some clinicians theorize that freshly shaved pubic areas and genitals are also more vulnerable to herpes infections due to the microscopic wounds being exposed to viruses carried by mouth or genitals. It follows that there may be vulnerability to spread of other sexual transmitted infections as well.

Pubic hair does have a purpose, providing cushion against friction that can cause skin abrasion and injury, as well as protection from bacteria and other unwanted pathogens. It is time to declare a truce in the war on pubic hair and allow it to stay right where it belongs.

In the words of the hairy Fab Four of yesteryear:  “Let it be.”

8 thoughts on “A War on Hair

  1. Loved this blog! I can predict the “hair status” of my patients by their age.

    I respect the desire of all to embellish and enhance and improve their bodies by any means which are not harmful.
    But wonder about the financial values when Thousands are spent to laser hair, and implant breasts, when the money could pay for college educations….

    Also think it is interesting that natural hair is able to move and reduce friction of skin on skin in the natural skin folds of groin and axilla….and wonder if fewer issues if we left it alone?

    Having lived in a number of other countries and cultures, it is interesting to see how “this” western culture abhors anything resembling the resilient, primal, prehistoric, extremely durable body status which served us so well for over three million years.

    As an OB/GYN practitioner, wonder if genital warts were as prevalent when hair protected the genitals?


  2. While I agree the war on hair has taken over, some things may remain a personal choice. The war on hair is on and probably won’t ever stop. Our job as doctors is to educate our patients on how to safely remove hair.

    I agree that removing hair can lead to disastrous consequences because it happened to me. It was a waxing accident that still makes me cringe. I was also victim of ingrown hairs which is very painful.

    Offering alternatives like trimming may satisfy people’s aesthetic aspirations when removing hair. However, I believe starting a second war against hair removers will lead us nowhere.


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