LGV (Lymphogranuloma Venereum)

In the UK since 2003, there has been an epidemic of Lymphogranuloma venereum (LGV) amongst men who have sex with men (MSM).  LGV, a sexually transmitted infection caused by the L serovars of Chlamydia trachomatis, had been rare in Western Europe.  LGV is highly prevalent in parts of Africa, Asia, and South America.

Latest LGV surveillance data

Summary information of recent trends for the countries of the UK together with English Strategic Health Authorities is given in the table below.  Detailed information concerned with trends in diagnoses and those at risk is presented in the Health Protection Report.

LGV Diagnoses in the United Kingdom (Excel Spreadsheet, 100 KB)

Key Messages

Good sexual health is a key component of the prevention of LGV infection.  In particular, people at risk should be encouraged to:

• Use a condom during sexual intercourse.
• Change condoms between sex partners.
• Have fewer sexual partners and avoid over-lapping sexual relationships.  This reduces the risk of becoming infected with an STI.
• Be aware of the symptoms of infection and seek early medical advice.
• Get tested regularly.  Consulting clinical services regularly increases the chances that infection can be identified, even if there are no symptoms.

Terrence Higgins Trust has launched an LGV awareness campaign which includes the distribution of information leaflets and web resources.

Published report

Syphilis and Lymphogranuloma Venereum: Resurgent Sexually Transmitted Infections in the UK: 2009 report

Since 2003 the epidemiology of LGV in the UK has changed from being a rarely diagnosed infection with a small number of sporadic, imported infections to a sustained outbreak. Enhanced surveillance of LGV was undertaken between 2004 and 2010. The general diagnostic profile has been consistent over time, most cases being seen in HIV-positive white MSM. Most cases have presented with a florid proctitis. The cases are geographically dispersed although the epidemic is focused on London.