Transmission

• Insertive and receptive oral and anal sex

Symptoms

• Small ulcers on penis or inside anus
• Inguinal lymphadenopathy or anal inflammation causing pain, constipation, anal discharge and/or bleeding.

Testing

• LGV is caused by a more virulent strain of Chlamydia known as the L serovar. Detection is as for typical forms of Chlamydia with nucleic acid amplification (NAAT).
• Urethra: collect first voided urine (20-60mL), not midstream
• Rectum: swab. First moisten the swab with tap water. Then insert 4 cm into the rectum.

* If positive for Chlamydia, request the lab send the samples to the National Laboratory in Winnipeg for testing for serovar L Chlamydia Treatment

• Doxycycline 100mg BID for 3 weeks