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Unprotected receptive anal sex is the key risk factor for rectal Lymphogranuloma venereum (LGV) infection. LGV is a bacterial STI caused by strains of Chlamydia; associated with invasive, ulcerative disease. MacDonald N et al. Sex Transm Infect, online edition ahead of print, doi: 10.1136/sextrans-2013-051404.

Lymphogranuloma venereum (LGV), previously rare sexually transmitted infection, has almost tripled in one year among gay men. Health Protection Agency, UK, 2011 report
 
Lymphogranuloma venereum (LGV) is caused by specific strains of Chlamydia and mainly transmitted during unprotected anal intercourse. LGV presents as proctitis (inflammation of the anus or rectum). Health Protection Agency, UK, 2011 report
 
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