Overview

Lymphogranuloma venereum (LGV) is caused by certain Chlamydia trachomatis strains. It can cause genital ulcers, lymph node swelling and rectal symptoms, particularly after certain exposures.

Causes and transmission

  • Transmitted through sexual contact.
  • More commonly reported in certain populations and regions.

How it is assessed

  • NAAT plus LGV-specific testing may be needed.
  • Clinical history and examination guide testing.

Management considerations

  • Longer antibiotic courses are often required under specialist guidance.
  • Follow-up and partner management matter.

Prevention

  • Condoms reduce risk.
  • Prompt evaluation of persistent rectal or genital symptoms helps.

Key points

  • Caused by specific chlamydia strains
  • Can affect rectum and lymph nodes
  • May be asymptomatic early
  • Requires appropriate testing

When to seek care

  • Rectal pain or discharge
  • Genital ulcer
  • Swollen lymph nodes