A person who has been infected in the anal area through receiving anal intercourse may develop rectal ulcers with pain and discharge. Even if a person has not received anal intercourse but has an LGV infection in the genital area, it is possible for the infection to spread to the anal and rectal area and cause bleeding and pain with bowel movements.
If LGV is not treated with antibiotics at the second stage, the symptoms will often resolve on their own, usually over weeks to months, but scarring and chronic genital or anal ulcers can occur later, even after years have passed: this is the third stage of infection. Scarring in the rectum can cause strictures that may be so severe that they block the passage of stool. If inflammation and scarring interfere with the drainage of the lymph nodes in the genital area, significant enlargement of the genital tissues, called genital elephantiasis, can occur. Surgical repair of the scarring may be necessary under these circumstances.
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