What is Lymphogranuloma venereum (LGV)?
LGV is a sexually transmitted infection caused by rare type of chlamydia. It used to be unusual outside of tropical countries until 2003, since when it has made a sustained comeback in European countries, particularly amongst Men who have Sex with Men (MSM).
What are the symptoms (signs) of Lymphogranuloma venereum (LGV)?
LGV can have no symptoms, although this is less common than for the standard type of chlamydia. Some may notice an ulcer or lump (papule), usually on the genitals, at the site of intercourse (sex), but this is often missed. The most common symptom among men who have sex with men is ‘procitis’ – inflammation of the rectum (bum) causing pain, rectal bleeding, mucous and blood-stained discharge as well as constipation. It can go on to cause swelling of the lymph nodes in the groin and less often can cause serious rectal problems.
Treatment for Lymphogranuloma venereum (LGV)
This is usually a course of antibiotics similar to what is given for treating the standard type of chlamydia, but it will be a 3 week course.
What should I do if I think I have Lymphogranuloma venereum (LGV)?
If you have any of the symptoms described above, or if you have had unprotected sex with someone whose sexual history you are unsure of then come and see us. Come along to one of our Devon Sexual Health clinics where you will be offered testing for a number of STIs, including chlamydia. If you have symptoms, it is important to make the doctor or nurse aware of these as different tests may be done.
How can I avoid getting Lymphogranuloma venereum (LGV)?
Condoms provide very good protection against most STIs, including LGV. We would recommend using condoms for all types of sexual activity, including oral sex.
Frequently asked questions about
Lymphogranuloma Venereum (LGV)
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Have I got Lymphogranuloma venereum (LGV)?
If you have a swollen rectum (bum), bleeding, discharge or lumps then come and see us. A lot of sexually transmitted infections don’t have any symptoms so if you have had unprotected sex with someone then come along to one of our clinics for a check-up with one of our experienced clinicians. We see lots of people every day. Our staff are kind, non-judgemental and very well qualified to get you better.
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Can Lymphogranuloma venereum (LGV) heal itself?
Very rarely. We would always recommend treatment to protect against the risk of complications and to prevent onwards transmission to sexual partners. Delaying treatment usually makes it worse and complications can develop.
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Can Lymphogranuloma venereum (LGV) make me infertile?
In women, potentially, yes. However the majority of infections in the UK have been in MSM, in whom the long term complications mainly affect the anus and rectum. Effects of STIs on fertility in men are less well understood.
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How soon after treatment can I start having sex again?
We would recommend waiting until you and you partner have completed treatment and had a follow-up examination.
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How do you get tested for Lymphogranuloma venereum LGV?
We currently only test MSM for rectal chlamydia, via a rectal swab that can be self-taken or done by the clinician. If the test is positive, additional testing is done to see if it is the type that causes LGV.
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What is the incubation period for Lymphogranuloma venereum LGV?
Ranges from 3 to 30 days, but the time to symptoms can be longer if the primary ulcer is not noticed.