Lymphogranuloma Venereum (LGV)

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