Lymphogranuloma Venereum (LGV): Symptoms, Stages & What to Expect

Symptoms

The signs and symptoms of lymphogranuloma venereum (LGV) vary, depending on the stage of the infection:

- Stage 1: Primary

- Usually occurs within 3 to 30 days after exposure

- At the site of infection (usually the genitals or rectum), you might experience:

- A small, painless skin ulcer with sharply defined edges

- A small blister surrounded by redness

- A painless, firm bump

- Stage 2: Regional

- Occurs one to four weeks after the primary lesion resolves

- May include signs and symptoms such as:

- Swollen lymph nodes, usually in the groin or lower abdomen

- Fever

- Chills

- Headache

- Aching

- Fatigue

- Rash

- Genital or rectal ulcers

- Pain in the rectum or pelvis

- Stage 3: Chronic

- Develops if stage 2 isn't treated

- May include scarring that causes:

- Genital or rectal pain or discomfort

- Problems passing urine or stool

- Swollen genitals

- Drainage from persistent sores

- Recurrent symptoms

- Symptoms can recur even if the initial infection is treated if any causative organisms remain after the initial treatment.

When to see a doctor

If you have any of these symptoms — especially if you've recently had unprotected sex — see your doctor right away so that treatment can begin as soon as possible. Early treatment can help prevent complications of lymphogranuloma venereum.