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Painful swollen lymph nodes occur in 30–60% of patients. Dysuria (pain with urination) and dyspareunia (pain with intercourse) in females; About half of infected men have only a single ulcer. Women frequently have four or more ulcers, with fewer symptoms. The ulcers are typically confined to the genital region most of the time. [3]
A different serovar of Chlamydia trachomatis is also the cause of lymphogranuloma venereum, an infection of the lymph nodes and lymphatics. It usually presents with genital ulceration and swollen lymph nodes in the groin, but it may also manifest as rectal inflammation, fever or swollen lymph nodes in other regions of the body. [29]
Additional symptoms vary based on sex. [1] Men may experience blood in the urine or semen, itching, tenderness, or swelling of the penis, enlarged lymph nodes in the groin area, and/or pain with intercourse or ejaculation. Women may experience abdominal pain, pelvic pain, pain with intercourse, or vaginal discharge. [6]
Systemic signs which can appear include fever, decreased appetite, and malaise. Diagnosis is more difficult in women and men who have sex with men (MSM) who may not have the inguinal symptoms. [citation needed] Over the course of the disease, lymph nodes enlarge, as may occur in any infection of the same areas as well. Enlarged nodes are called ...
Genital herpes ulcers. A genital ulcer is an open sore located on the genital area, which includes the vulva, penis, perianal region, or anus. Genital ulcers are most commonly caused by infectious agents (fungal infections, secondary bacterial infections, or sexually transmitted infections such as genital herpes, syphilis or chancroid).
Other common symptoms include pain, itching, and burning. Less frequent, yet still common, symptoms include discharge from the penis or vagina, fever, headache, muscle pain , swollen and enlarged lymph nodes and malaise. [9] Women often experience additional symptoms that include painful urination and cervicitis.
Symptoms of orchitis are similar to those of testicular torsion. These can include: [citation needed] hematospermia (blood in the semen) hematuria (blood in the urine) severe pain; visible swelling of a testicle or testicles and often the inguinal lymph nodes on the affected side.
Most infected men with symptoms have inflammation of the penile urethra associated with a burning sensation during urination and discharge from the penis. [19] In men, discharge with or without burning occurs in half of all cases and is the most common symptom of the infection. [22] This pain is caused by a narrowing and stiffening of the ...
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