STD DONOVANOSIS: WHAT ARE THE SYMPTOMS?
Symptoms of donovanosis usually appear between eight and eighty days after infection. The most common symptoms are persistent ulcers where infection occurred (genitals, anal area, or mouth), which are dark red and can cover a large area. They usually start as red nodules or bumps under the skin, which then ulcerate. The ulcers can grow together and form even larger ulcers, and the tissue can become thickened and heaped up around the ulcers, which often bleed easily.
The ulcerous lesions are usually mildly tender if tender at all; they may persist and progress over many years and can become infected with skin bacteria. Permanent scarring in areas such as the urethra is common, and the drainage of lymphatic fluid may be obstructed, leading to swelling of the genital tissues, a condition called genital elephantiasis. Without treatment of the infection, the ulcers can become so extensive that they destroy parts of the genitals.
It is possible for the bacteria to spread through the blood to the liver and bones and cause infection there. Women can also have infection on the cervix, which may cause bleeding between periods or after intercourse.
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