Syphilis

Syphilis is a bacterial infection that remains present in the blood and can cause serious problems if not treated.

Symptoms of syphilis are often mild to begin with and can be hard to recognise.

Symptoms

Symptoms can change and/or improve over time, or go away completely, but if you have not been treated for the infection, it is still in your body and you can still spread the infection to others.

You’re also at risk of getting serious problems later on if it’s left untreated.

• Small sores on your penis, vagina or anus (usually painless)
• Sores in your mouth, lips, hands or bum
• A rash on the palm of your hands and soles of your feet (not usually itchy)
• White patches in your mouth
• White or grey wart-like growths on your penis, vagina or around your anus
• Flu-like symptoms, such as high temp, headache, tiredness, or swollen glands
• Patchy hair loss on head, beard or eyebrows

Syphilis can
be passed on
through:

• Unprotected sex (vaginal, anal or oral)
• Coming in contact with an ulcer of an infected person
• To an unborn baby during pregnancy
• Sharing dirty needles with an infected person
You will be directed to a trusted website regarding Sexual Health services.

Getting checked
for syphilis

A blood test is necessary to detect whether syphilis is present in the blood.

If you have symptoms of syphilis, your penis, vagina and anus will be checked for syphilis sores (ulcers). If you have sores, they may collect fluid samples using a swab to be sent off for testing.

The rest of your body will also be checked for other signs of syphilis, like a rash, sores or wart-like growths.

It is likely that other STI tests will be carried out at the same time.

If you test positive, your current and any recent sexual partners will need to be tested/treated. Your healthcare provider can advise you about contacting sexual partners though this can be done without naming you.

You can to talk to your GP, school nurse or pastoral officer if you cannot access the sexual health service or go into a pharmacy for advice.

Treatment

Syphilis is treated with a course of antibiotics.

You can have these as injections, tablets or capsules. How long you need treatment for will depend on the stage of your syphilis. You’ll need to be tested again for syphilis between 6-12 weeks after starting treatment.

During that treatment time, make sure you don’t have unprotected sex (vaginal, anal or oral) until you and your partner have finished treatment and repeat blood tests required 3, 6 and 12 months, or six monthly until VDRL test is negative.

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It is recommended that for high-risk young people that there is an annual monitoring for syphilis as well as HIV and hepatitis B and C.

It is also important to continue to use a condom after treatment so that you and your partner don’t get reinfected.

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