Shaving pubic hair offers a handful of perceived benefits and one measurable health advantage, but the picture is more complicated than most people assume. Large surveys consistently find that the top reasons people shave are feeling cleaner, feeling more comfortable, and looking better in swimwear. The single well-documented medical benefit is a reduced risk of pubic lice. Beyond that, the evidence tilts more toward trade-offs than rewards, with skin injuries, ingrown hairs, and even a possible link to certain infections on the other side of the ledger.
What People Say They Get Out of It
When researchers ask women why they remove pubic hair, the answers cluster around three themes: hygiene, comfort, and appearance. In a nationally representative U.S. survey, roughly 83% of women who removed pubic hair said feeling cleaner was a top motivator, about 83% cited being more comfortable, and around 72% mentioned looking better in a swimsuit.1PubMed Central. Pubic hair removal practices among women: Findings from a U.S. nationally representative survey A separate study comparing men and women found that women reported stronger associations with feelings of cleanliness, comfort, and sex appeal as reasons for their grooming choices.2The Journal of Sexual Medicine. Pubic Hair Preferences, Reasons for Removal, and Associated Genital Symptoms: Comparisons Between Men and Women
These motivations are real and valid, but they are perceptions rather than clinical outcomes. Pubic hair does not make the vulva or groin “dirty” in a medical sense. The hair itself serves a biological function, acting as a barrier against friction, trapping bacteria and debris away from mucous membranes, and helping regulate temperature and moisture. So while many people genuinely feel fresher after shaving, there is no evidence that a shaved groin is healthier than an unshaved one from a pure hygiene standpoint.
The One Clear Health Benefit: Fewer Pubic Lice
If you are looking for a concrete medical upside, this is it. Pubic lice need coarse hair to cling to and lay their eggs. As pubic hair removal became widespread in the 2000s and 2010s, rates of pubic lice fell dramatically. Researchers in one study found an extremely strong statistical link between the rising popularity of pubic hair removal and the declining incidence of pubic lice, with the correlation nearing the maximum possible strength.3PubMed. Pubic lice: an endangered species? A clinical review of pubic lice history echoed this, noting that modern pubic hair grooming has reduced the incidence of the parasite in recent years.4Clinical and Experimental Dermatology. A clinical review and history of pubic lice
Some dermatologists have half-jokingly called pubic lice an “endangered species.” While that overstates the case, clinicians report seeing far fewer cases than they did two decades ago, and widespread grooming is the leading explanation. If you live with or frequently encounter someone who has pubic lice, removing the hair is one of the standard clinical recommendations for treatment. So on this front, shaving does provide a real, measurable health benefit.
Comfort During Physical Activity
Athletes, especially cyclists, swimmers, and runners, sometimes shave the pubic area to reduce chafing and friction against tight-fitting clothing. The comfort angle is subjective but widely reported. Among female competitive cyclists, for example, saddle sores caused by friction and moisture are a frequent complaint, and consultants in the field have identified maintaining good hygiene and wearing appropriate clothing as key prevention strategies. Some athletes find that trimming or removing pubic hair reduces the irritation that comes from hair being pulled or pressed against skin during repetitive motion.
That said, the relationship cuts both ways. Freshly shaved skin can be more sensitive to friction than hair-covered skin, and stubble regrowth creates its own irritation. Many athletes who have experimented with full removal eventually settle on trimming rather than shaving to the skin, which reduces bulk without creating the razor-sharp regrowth that causes itching and bumps.
What Shaving Does to Your Skin
Here is where the “benefits” conversation has to contend with the costs. A study of women who removed pubic hair found that 60% had experienced at least one complication, with the most common being skin abrasion and ingrown hairs. Among those who experienced complications, over 90% had used a razor. Specific issues reported across the study included skin abrasion in about 37% of participants, ingrown hairs in about 33%, severe itching in about 21%, and cuts in about 18%.5PubMed Central. Complications related to pubic hair removal
The same study found that women who were overweight or obese were almost twice as likely to report complications, with skin abrasion and ingrown hairs being especially common. The pubic region is uniquely prone to these problems because the skin folds, sweats, and rubs against clothing all day. Hair in this area also tends to be coarse and curly, which makes it more likely to curl back into the skin after shaving and cause ingrown bumps.
Emergency department data tells a starker story. Between 2002 and 2010, there were over 11,700 emergency visits in the United States for grooming-related genital injuries, with an approximate fivefold increase over that period. Razors accounted for 83% of those injuries.6Elsevier (Nursing for Women’s Health). Prevention and Treatment of Injuries and Infections Related to Pubic Hair Removal Most of these were minor cuts and abrasions, but some required medical treatment for infection or laceration repair.
Genital itching is also extremely common among groomers. One large study found that about 80% of people who groomed their pubic hair had experienced itching at least once, making it the most frequently reported side effect.7Oxford Academic. Pubic Hair Preferences, Reasons for Removal, and Associated Genital Symptoms: Comparisons Between Men and Women For many people, this is a nuisance. For some, the itching and irritation become chronic enough to stop grooming altogether.
The Link Between Grooming and Sexually Transmitted Infections
One of the more counterintuitive findings in the research is that frequent pubic hair grooming is associated with a higher risk of certain sexually transmitted infections. A nationally representative probability study in the U.S. found that “extreme groomers” who removed all pubic hair more than 11 times per year had over four times the odds of cutaneous STIs like herpes, HPV, and molluscum compared with non-groomers. High-frequency groomers who trimmed daily or weekly had about 3.5 times the odds.8PubMed. Correlation between pubic hair grooming and STIs: results from a nationally representative probability sample
The suspected mechanism involves microtrauma. Shaving strips away skin’s outer layers and can create tiny cuts or abrasions that are too small to see but large enough for pathogens to enter. Researchers studying female university students noted that stripping away pubic hair could cause microtrauma in the skin’s barrier, potentially facilitating pathogen entry and transmission.9PLOS ONE. Association between pubic hair grooming and prevalent sexually transmitted infection among female university students
This does not mean shaving causes STIs. There are obvious confounding factors: people who groom more frequently may also have more sexual partners or be more sexually active. But the association has held up across multiple studies and is strong enough that some sexual health clinicians now recommend waiting at least 24 to 48 hours between shaving and sexual contact, to give the skin a chance to heal from any micro-abrasions. It is also worth noting that the same nationally representative study found non-extreme groomers actually had about twice the odds of pubic lice compared to extreme groomers, which lines up with the protective effect discussed earlier.
Vulvodynia and Chronic Pain
A less well-known risk involves chronic vulvar pain, or vulvodynia. In a study that compared women with and without vulvodynia, those who removed hair from the mons pubis (the mound above the genitals, as opposed to just the bikini line) were 74% more likely to have vulvodynia. Women who removed hair from this area weekly or more were nearly twice as likely to be affected compared with women who only removed bikini-area hair less than once a month.10PubMed Central. Exploring Hygienic Behaviors and Vulvodynia
The researchers proposed that repeated microabrasions in this sensitive area could set off an immune-inflammatory response that eventually becomes self-sustaining. This finding does not prove shaving causes vulvodynia, and the condition has many contributing factors, but it suggests that aggressive, frequent removal over the mons pubis carries more risk than occasional trimming of the bikini line. For women who already experience vulvar discomfort, this is worth knowing.
Does Shaving Improve Your Sex Life?
Many people believe that going bare feels better during sex, and anecdotal reports of increased sensation have been circulating for years. An early review of the topic noted that pubic hair removal may carry benefits regarding increased sexual sensation and satisfaction, though at the time no quantitative research existed on the subject.11The Journal of Sexual Medicine. Pubic Hair and Sexuality: A Review
Since then, researchers have tried to measure the effect. A systematic review and meta-analysis looking at whether pubic hair grooming affected women’s sexual satisfaction found no meaningful difference between women who groomed and those who did not.12PubMed Central. Effects of pubic hair grooming on women’s sexual health: a systematic review and meta-analysis That doesn’t mean individuals can’t feel a personal difference. Sexual preference is deeply individual, and if you or your partner prefers the look or feel of shaved skin, that preference alone can enhance the experience. But the idea that shaving delivers a measurable boost to sexual function or satisfaction doesn’t hold up when studied across populations.
Body Image, Social Pressure, and Why You Might Feel Like You “Should”
The benefits people report from shaving are tangled up with cultural expectations in ways that are worth examining. Research has found that greater appearance concerns, including how much a woman has internalized thin-body ideals and how much she invests in her appearance, predict how important she rates her reasons for removing pubic hair. Women who removed more hair also reported higher levels of appearance investment and thin-ideal internalization.13PubMed. Risky business: is pubic hair removal by women associated with body image and sexual health?
This doesn’t mean everyone who shaves is doing it for unhealthy reasons. But it does suggest that for some people, the “benefit” of feeling cleaner or more attractive is at least partly driven by social pressure rather than genuine personal preference. If removing pubic hair makes you feel good because you genuinely prefer it, that is a real benefit. If it makes you feel good primarily because you worry about what a partner or peers would think if you didn’t, the calculus is different. Being aware of the distinction can help you make the choice on your own terms.
Shaving vs. Other Methods
Shaving with a razor is by far the most common removal method, used by about 82% of women and nearly half of men who groom. It’s also the method most closely linked to complications. If you decide the benefits of going bare outweigh the risks for you, the method you choose makes a difference.
Razors create the sharpest cut edge on the hair shaft, which is why they cause the most ingrown hairs and skin abrasion. Electric trimmers that cut hair close to the skin without touching it reduce the risk of cuts, ingrown hairs, and micro-abrasions considerably. Waxing and sugaring pull the hair from the root, which means smoother results for longer, but they come with their own risks: folliculitis, burns from hot wax, and irritation from the pulling itself. Laser hair reduction and electrolysis offer longer-lasting results but are expensive and require multiple sessions. Depilatory creams dissolve the hair chemically but can cause allergic reactions and chemical burns in the sensitive genital area.
For anyone choosing to shave specifically, a few practices reduce the risk of complications: using a sharp, clean razor rather than a dull or old one, shaving in the direction of hair growth, moisturizing afterward with a fragrance-free product, and avoiding shaving immediately before sexual activity to let the skin recover.
What Surgeons Have Learned About Shaving
Interestingly, the medical world’s own experience with hair removal offers a useful lesson. For decades, patients were routinely shaved before surgery to reduce infection risk at the incision site. That practice has been largely abandoned. A Cochrane review of seven trials involving over 3,700 patients found that shaving with a razor before surgery probably increased the risk of surgical site infection compared with using clippers.14PubMed Central. Preoperative hair removal to reduce surgical site infection The reason is the same microtrauma mechanism: razor blades create microscopic nicks that become entry points for bacteria. Most surgical guidelines now recommend clipping hair short rather than shaving it off, or leaving it alone entirely.
This finding from surgery does not translate directly to cosmetic pubic shaving, since most people are not heading into a sterile operating field. But the underlying biology is the same. A razor against skin creates tiny wounds, and those wounds carry consequences whether they are on your abdomen before surgery or on your bikini line before a beach trip.
Pubic Hair as a Biospecimen
One genuinely unexpected angle: pubic hair is increasingly valuable in forensic science and precision medicine. Researchers have found that pubic hair can be used as an alternative to scalp hair in toxicology testing, since it avoids interference from the chemical treatments (dyes, relaxers, keratin treatments) that people commonly apply to head hair. The same genetically variant peptide markers that allow individual identification from head hair remain consistent in pubic hair.15PubMed Central. The multifaceted role of hair as a biospecimen: recent advances in precision medicine and forensic science None of this means you should keep your pubic hair for future forensic purposes, but it is a reminder that the hair is not biologically useless. It is a functional tissue with diagnostic potential that science is only beginning to tap.