[Question #3568] Chlamydia/LGV

34 months ago
Hello,
I am  a 30 year old female and recently heard about LGV and not can’t stop wondering about it. I have only ever had sex with my husband, we have been married for 5 years. About 10 years ago I was with a guy from Brazil and we just made out, and we cuddled naked and I am 100% sure he never penetrated me. My concern is that when we were both naked, his bare penis could have very briefly brushed up against the outside of my vagina. I do not remember this happening, but it was a long time ago. I am concerned about LGV because I read it is common in South America. 
I have never had any symptoms of LGV whatsoever, and neither has my husband. Last year I gave birth to my daughter and was tested for STD’s and everything came back negative, including a urine NAAT test for Chlamydia. My questions are:
1. Did I put myself at risk for LGVwith this brief exposure?
2. Would my negative chlamydia NAAT urine test from my Prenatal visit rule out LGV? 
3. I have always been very good about my annual checkups with my gynecologist. Would she have noticed if I had LGV? 

Thank you. I think my biggest worry is that a stupid
mistake I made when I was 20 would negatively affect my family now.
Edward W. Hook M.D.
Edward W. Hook M.D.
34 months ago
Welcome to our Forum.  It will be my pleasure to comment and to provide you with assurance that you did not get an STI from the encounter you have describe.  I will provide some general comments and then address your specific questions.  General comments.  LGV is caused by a strain of chlamydia infections which can cause more symptoms than other types of chlamydia.  The good news is that LGV chlamydia strains are detected by standard chlamydia tests.  For more than a decade, it has been recommended that women under 26 get tested at their prenatal visits and well as annually, irrespective of risk factors.  Thus, your providers should have tested you for infection and would have detected LGV if present.  Finally and most importantly, the snuggling and any genital rubbing that you did without penetration is completely risk free in tests of chlamydia (as well as gonorrhea.  Hence, I am confident you do not have LGV at this time and would put the risk of you having chlamydia (LGV or otherwise) from the encounter you describe as zero.  I urge you not to worry. 

In answer to your specific questions:
 1. Did I put myself at risk for LGVwith this brief exposure?
No, no genital-genital penetration, no risk no matter what sort of rubbing or touching was going on.

2. Would my negative chlamydia NAAT urine test from my Prenatal visit rule out LGV? 
Yes, any prior chlamydia tests you have had would have detected LGV strains of chlamydia as well.

3. I have always been very good about my annual checkups with my gynecologist. Would she have noticed if I had LGV?
Some LGV infections can be asymptomatic but with regular check ups and testing, I would have expected LGV or chlamydia to have been detected if present.

I hope this information is helpful.  You did not do anything stupid, you are human- don't beat yourself up.  Further, your responsible practice of routine sexual health check-ups should assure that you were not infected.  EWH

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34 months ago
Dr Hook,

Thank you very much for your quick response and reassurance. You have definitely put my mind at ease.  Prior to finding this site, anything I read on this subject seemed to change based on the website I read. It is very comforting to hear the facts straight from the specialist. 

I just have one question from your response. When you say “genital rubbing,” do you mean any rubbing of our genitals together, with the exception of actual penetration?

Thank you!
Edward W. Hook M.D.
Edward W. Hook M.D.
34 months ago
Correct.  There is no risk from all forms on non- penetrative contact including rubbing and mutual masturbation.  It is only penetrative sexual contact that leads to STI transmission.  EWH---
34 months ago
Thank you Dr Hook. One more question-I also recently heard about Mycoplasma Genitalium and just wanted to know if I could have put myself at risk for that from the situation I described in my original post. Thank you, that is my final question.
Edward W. Hook M.D.
Edward W. Hook M.D.
34 months ago
Good question. there has been a lot of interest in Mycoplasma genitalium as a relatively recently recognized potential pathogen (it's role in causing disease and as an STI is currently a topic of vigorous research.  Mycoplasma genitalium appears to be transmitted in a manner similar to gonorrhea and chlamydia and so the activities that you describe do not put you at risk for this infection.  I should also mention that while some laboratories offer tests that they have developed for Mycoplasma genitalium, there are no currently FDA approved tests.  I would not worry about Mycoplasma genitalium in your situation at all.

I hope this comment helps.  As you note, we provide up to three responses to client questions.  As this is my 3rd response, this thread will be closed later today.  Take care.  Please do not worry about the encounter you described above.  EWH
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