A 26-year-old cisgender woman who is pregnant with her first child presents to clinic for evaluation of dysuria and painful left-sided inguinal adenopathy. She is pregnant (22 weeks of gestation) and has been healthy and well up to this point. Her symptoms have been present for the past 8 days with progressive adenopathy. A nucleic acid amplification test (NAAT) on a first-catch urine sample is positive for Chlamydia trachomatis; tests for Neisseria gonorrhoeae, herpes simplex virus, and syphilis are all negative. She is diagnosed with probable lymphogranuloma venereum (LGV).