&lt;h2&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;Genital Ulcers, Groin Swelling or Anal Pain After Sex &amp;ndash; Could It Be LGV?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #000000;&quot;&gt;If you&amp;rsquo;ve noticed &lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;genital sores, swollen lumps in the groin, bleeding from the anus, mucus during bowel movements, or pain when passing motion&lt;/strong&gt;&lt;/span&gt;, it may be more than irritation or piles.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #000000;&quot;&gt;One possible cause is &lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;Lymphogranuloma Venereum (LGV)&lt;/strong&gt;&lt;/span&gt; &amp;mdash; a more aggressive type of chlamydia that can affect the genital area, anus and lymph nodes. Because LGV symptoms often look like &lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;herpes, syphilis, haemorrhoids or common infections&lt;/strong&gt;&lt;/span&gt;, many people in Malaysia don&amp;rsquo;t realise they have it until symptoms get worse.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #000000;&quot;&gt;The good news?&lt;/span&gt;&lt;br /&gt;&lt;span style=&quot;color: #000000;&quot;&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;LGV is fully treatable&lt;/strong&gt;&lt;/span&gt;, especially when diagnosed early with the right test.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #003366;&quot;&gt;We accept&lt;/span&gt; &lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://www.pulse-clinic.com.my/contact-us&quot;&gt;Walk-ins&lt;/a&gt;&lt;/span&gt;&amp;nbsp;&amp;amp;&amp;nbsp;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://www.pulse-clinic.com.my/booking&quot;&gt;appointments.&lt;/a&gt;&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;(For Walk-ins, please WhatsApp us or give us a call in advance at&amp;nbsp;before your visit.)&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #003366;&quot;&gt;Bukit Bintang:&lt;/span&gt; &lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://wa.me/601165388678&quot;&gt;+60 11-6538 8678&lt;/a&gt;&lt;/span&gt;&lt;/strong&gt;&amp;nbsp;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #003366;&quot;&gt;Bangsar:&lt;/span&gt;&amp;nbsp;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://wa.me/60137818678&quot;&gt;+60 13-781 8678&lt;/a&gt;&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #003366;&quot;&gt;Penang:&lt;/span&gt;&amp;nbsp;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://wa.me/60138039693&quot;&gt;+60 13-803 9693&lt;/a&gt;&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #003366;&quot;&gt;Damansara&lt;/span&gt;:&amp;nbsp;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://wa.me/60162814335&quot;&gt;+60 16-281 4335&lt;/a&gt;&lt;br /&gt;&lt;br /&gt;&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #000000;&quot;&gt;&lt;strong&gt;&lt;br /&gt;&lt;br /&gt;&lt;span style=&quot;color: #003366;&quot;&gt;What Is Lymphogranuloma Venereum (LGV)?&lt;/span&gt;&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #000000;&quot;&gt;LGV is caused by &lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;L1, L2 and L3 strains of &lt;em&gt;Chlamydia trachomatis&lt;/em&gt;&lt;/strong&gt;&lt;/span&gt;.&lt;/span&gt;&lt;br /&gt;&lt;span style=&quot;color: #000000;&quot;&gt;These strains behave differently from regular &lt;span style=&quot;text-decoration: underline; color: #003366;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com.my/chlamydia-in-malaysia&quot;&gt;chlamydia&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;.&lt;/span&gt;&lt;/p&gt;
&lt;h3&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;Regular Chlamydia&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Usually mild or silent&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Affects the penis, cervix or urethra&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Causes discharge or burning&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;h3&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;LGV (More Serious)&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Invades deeper tissues and lymph nodes&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Causes ulcers, swelling, pain and fever&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Can affect the anus, rectum and bowel&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Needs stronger and longer treatment&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Can lead to long-term complications if untreated&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Because LGV penetrates deeper into the lymphatic system, it causes symptoms beyond the genital surface.&lt;/span&gt;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #000000;&quot;&gt;&lt;strong&gt;&lt;br /&gt;&lt;br /&gt;&lt;span style=&quot;color: #003366;&quot;&gt;How LGV Spreads&lt;/span&gt;&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #000000;&quot;&gt;LGV can spread through:&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Vaginal sex&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Anal sex&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Oral sex&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Skin-to-skin genital contact&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Sharing sex toys without proper cleaning&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Contact with infected fluids&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;span style=&quot;color: #000000;&quot;&gt;It is possible to transmit LGV even when no symptoms are visible.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;/span&gt;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;Symptoms of LGV in Malaysia (Men and Women)&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #000000;&quot;&gt;LGV typically progresses through &lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;three stages&lt;/strong&gt;&lt;/span&gt;, although not everyone experiences all stages.&lt;/span&gt;&lt;/p&gt;
&lt;h3&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;Stage 1 &amp;ndash; Early Signs (Often Missed)&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;p&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Occurs 3&amp;ndash;30 days after exposure.&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Small, painless ulcer on the penis, vulva, vagina, cervix or anus&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;May look like a tiny cut or mosquito bite&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Heals quickly&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Often unnoticed by both men and women&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;h3&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;Stage 2 &amp;ndash; Lymph Node Infection &amp;amp; Rectal Symptoms&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;p&gt;&lt;span style=&quot;color: #000000;&quot;&gt;This is when symptoms become more obvious.&lt;/span&gt;&lt;/p&gt;
&lt;h4&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;Symptoms in Men&lt;/strong&gt;&lt;/span&gt;&lt;/h4&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Painful swollen groin lymph nodes (buboes)&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Tender lumps that feel warm or firm&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Fever, fatigue, chills&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Penile discharge (if another STI is present)&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Anal/rectal symptoms:&lt;/span&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;bleeding&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;mucus discharge&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;pain when passing motion&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;pressure or sharp pain&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;feeling of incomplete emptying&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;/li&gt;
&lt;/ul&gt;
&lt;h4&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;Symptoms in Women&lt;/strong&gt;&lt;/span&gt;&lt;/h4&gt;
&lt;p&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Women may experience deeper internal symptoms.&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Pelvic or lower abdominal pain&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Tender lymph nodes (may not be visible)&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Pain during intercourse&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Abnormal vaginal discharge&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Fever, chills, body aches&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Cervical inflammation&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Same rectal symptoms as men:&lt;/span&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;bleeding&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;mucus discharge&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;pain during bowel movements&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Women may mistake LGV for:&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;UTIs&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;text-decoration: underline; color: #003366;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com.my/vaginal-yeast-infection&quot;&gt;yeast infections&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;pelvic infections&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;haemorrhoids&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;h3&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;Stage 3 &amp;ndash; Long-Term Complications (If Untreated)&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Rectal strictures (narrowing)&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Chronic constipation or pain&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Persistent inflammation&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Fistulas&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Genital swelling from lymph blockage&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Pelvic inflammatory disease (women)&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Potential fertility issues&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;span style=&quot;color: #000000;&quot;&gt;These complications are preventable with early diagnosis and treatment.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;/span&gt;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;How LGV Is Diagnosed in Malaysia&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #000000;&quot;&gt;LGV &lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;cannot&lt;/strong&gt;&lt;/span&gt; be diagnosed by looking at symptoms alone. The most reliable method is &lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com.my/pcr-dna-testing-for-men-women-std-testing&quot;&gt;PCR DNA testing&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;&lt;/span&gt;, which detects the exact strain.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #000000;&quot;&gt;LGV often appears together with:&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com.my/herpes-in-malaysia&quot;&gt;Herpes (HSV-1/HSV-2)&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com.my/syphilis-testing-symptoms-treatment-malaysia&quot;&gt;Syphilis&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com.my/cytomegalovirus-symptoms-testing-treatment-malaysia&quot;&gt;Cytomegalovirus (CMV)&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Chancroid&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com.my/gonorrhoea-testing-and-treatment-malaysia&quot;&gt;Gonorrhoea&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Other chlamydia strains&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Because symptoms overlap, PULSE Clinic uses &lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;span style=&quot;color: #003366;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com.my/multiplex-pcr-std-testing&quot;&gt;multiplex PCR panels&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;&lt;/span&gt; that test multiple pathogens from one sample.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #000000;&quot;&gt;Testing may include:&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;penile swab&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;vaginal swab&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;anal/rectal swab&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #000000;&quot;&gt;urine sample&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;

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