Symptoms:

Symptoms of LGV can begin a few days to a month after coming in contact with the bacteria. Symptoms include:

• Small painless ulcer on the male genitalia or in the female genital tract
• Swelling and redness of the skin in the groin area
• Swollen groin lymph nodes on one or both sides; it may also affect lymph nodes around the rectum in those who have anal intercourse
• Drainage through the skin from lymph nodes in groin
• Blood or pus from the rectum (blood in the stools)
• Painful bowel movements (tenesmus)
• Swelling of the labia

The infection can cause diarrhea and lower abdominal pain. Women may develop abnormal connections called fistulas between the vagina and rectum.

Signs and tests:

The health care provider will perform a physical examination and ask questions about your medical history. It is important to tell your doctor if you had sexual contact with someone who has had lymphogranuloma venereum.

A physical exam may show:

• An ulcer on the genitals
• An oozing, abnormal connection (fisula) in the rectal area
• Swollen lymph nodes in the groin (inguinal lymphadenopathy)
• Drainage through the skin from lymph nodes in the groin
• Swelling of the vulva or labia in women

Tests may include:

• Biopsy of the lymph node
• Blood test for the bacteria that causes LGV
• Laboratory test to detect chlamydia