What is Lymphogranuloma venereum (LGV)?

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)?

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)

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)?

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)?

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.

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Accessing our service during the COVID pandemic

How to access our service:

We have now implemented a telephone triage system for all of our clinics. This system will be in place for the duration of the pandemic. Please contact our services to access this triage system. Our central telephone number is 0300 303 3989.

If you are experiencing symptoms of Coronavirus please do not attend the clinic. Clear advice for people with symptoms of coronavirus is available at nhs.uk/coronavirus .

Advice from our service:

We have updated information on the provision of routine contraception during this pandemic here.

We are currently prioritising these groups for coil and implant (LARC) fits:

  • Those with vulnerabilities including but not limited to those who are: <18, attending abortion and maternity services, homeless, sex workers, victims of sexual assault, people with language barriers, drug and alcohol problems, learning disability, serious mental illness
  • Those aged <30 years

More details on LARC fittings at our service are found here

There is also specific advice on coronavirus available for People Living with HIV here, and for pregnant women here

Self-requested Sexual Health screening by post is available for for under 25s only - more info here

For others with testing requirements please contact the service on 0300 303 3989.

Information is now also available to advise on sexual contact during a time of social distancing here.

Alternative provision:

Please be aware that we may have to cancel, rearrange or shut clinical services in response to changing clinical and staffing pressures created by the Coronavirus pandemic. 

If you are struggling to access sexual health services, alternatives may be available:

  • Emergency Contraception - at your local pharmacy - more info
  • Contraceptive pills and LARC procedures - obtained from your GP
  • HIV postal testing - available to at-risk groups for a small fee -  more info
  • HIV PEPSE - available via A+E departments - more info
  • Condoms by post (for gay and bisexual men only) - more info