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Lymphogranuloma Venereum: Learning About This Genital Lesion

Lymphogranuloma Venereum or LGV is one of the viruses that may affect the genital areas. This genital lesion has been typically associated with the disease. Learn about its symptoms, diagnosis, treatments and preventive measures.

Lymphogranuloma Venereum (LGV) is a contagious destructive venereal disease caused by a virus.  The characteristic of the initial lesion is a small papule or ulcer on the penis or vulva about a week after intercourse.  It is followed by a swelling in the groin 10-30 days after exposure, due to infection of the local lymph nodes.  LGV is hard and about the size of a walnut. 

By looking at the trait of this genital lesion, one would tend to preclude that it is really associated with genital warts.  What are the symptoms of LGV?  How can it be diagnosed for proper treatment?  Are there any preventive measures one may undertake due to the disease’s eruption?  Here are some of the answers to these questions.

Symptoms of LGV

The most common symptoms of LGV are indicated as follows;

•    Females and homosexual males can experience rectal or anal irritation, wounds, and thinning the in the area which can result to numerous tiny bowel movements and a feeling of dissatisfaction when passing stool.

•    It may also include irregular drainage from the anal area or glands in the groin.

•    Initial infection is typified by an open sore or inflammation in the genital area which happens 3 to 12 days after the contamination.  While in secondary infections, the contamination can widely spread over the lymph nodes resulting to soft and swollen lymph nodes in the groin.

•    The wound usually happens after the LGV develops and if the contamination is not properly treated during its early stage.

Diagnosis and treatments of LGV

The diagnosis is confirmed by a Frei test.  This is a process wherein a small amount of the sample tissue obtained from an inflammatory swelling of one or more lymph nodes are injected into the person’s forearm.  This is to check for an allergic reaction.   When the inflammatory swelling forms pus, it is aspirated with a needle. 

As soon as LGV is established, it is commonly treated with doxycycline which is prescribed at 100 mg to be taken orally two times a day for a period of 21 days.  If the patient has intolerance for this antibiotic, erythromycin-based antibiotic is given as a substitute.  This can be administered in 500 mg to be taken orally four times a day for a period of 21 days.

Preventive measures for LGV exposure

It is always required for an individual who has been exposed to LGV to submit himself for proper assessment by a physician.  He must be examined for possible signs of LGV and Chlamydia contamination of the urethra. These two strains of Chlamydia trachomatis can affect a contaminated individual.  The individual must seek treatment at once if exposed to the disease of their sexual partners.

Females are said to be carriers of LGV.  In this light though, it is advised that both gender groups should still undergo the proper diagnosis to treat the condition.  It is better to take the precautionary measures than suffer the disease at its worst later on.  Instead of being a carrier to the disease, be a better person by stopping the spread of the disorder.

Tags: doxycycline, Frei test, genital lesions, genital warts, Lymphogranuloma Venereum (LGV)

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