LYMPHOGRANULOMA VENEREUM (LGV)

• Lymphogranuloma venereum (LGV) is a sexually transmitted disease caused by L1-3 serotypes of Chlamydia trachomatis
• It is an uncommon STD characterized by inguinal lymphadenopathy
• Patients initially develop a small, painless papule in the genital region that may ulcerate but will heal and disappear within one week
• 2-4 weeks after the initial lesion, patients present with painful, suppurative, bilateral inguinal lymphadenopathy and systemic symptom such as fever, malaise, chills, and/or myalgia

• Causative organism: Chlamydia trachomatis
• The disease is acquired during intercourse or through contact with contaminated exudate from active lesions
• The bacteria enter through a moist mucosal surface – most commonly, the rectum or vagina, but infections in the penis or mouth are also possible
• Incubation period : 3- 30 days

• Primary lesion – small painless papulo vesicular lesion on external genitalia
• Secondary stage– After 2 weeks, lymphatic spread to draining lymph nodes. Nodes enlarge, suppurate, become adherent to the skin and break down to form discharging sinuses
• ‘Groove sign’ – A depression between the groups of inflamed nodes
• Tertiary stage – Chronic, lasts for several years; scarring and lymphatic blockage

• Microscopy/identification
• Culture and Isolation
• ELISA method, PCR
• NAAT
• LGV complement fixation test
• Intradermal Frei test

• Preventive Treatment – Use of condom, or to avoid intercourse with a suspected infected partner
• Definitive Treatment – Doxycycline 100 mg BID for at least 21 days

Ayurvedic Treatment

Internal Medicines

• Aragwadhadi Kashaya
• Punarnavadi Kashaya
• Guggulu Panchapala choorna
• Triphala Guggulu 
• Vilwadi gutika
• Chandraprabha Vati
• Punarnavaasava
• Gandhaka rasayana

 External Procedures

• Yoni Kshalana - Triphala Kashaya
• Avagaha Sweda - Triphala Kashaya