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Syphilis

The Facts

  • Syphilis is spread through direct contact with a syphilis sore during vaginal, anal, or oral sex.

  • A mother with syphilis can spread it to her unborn baby.

  • You should get tested every year if you are sexually active and:​​

    • have HIV​

    • are taking pre-exposure prophylaxis (PrEP) for HIV

    • have a partner who has tested positive

    • If you are pregnant at your first prenatal visit, during the third trimester, and at delivery

  • There are four stages of syphilis (primary, secondary, latent, and tertiary). 

1. Primary Stage

  • Single or multiple sores at the location where syphilis entered your body, including: 

  • vagina

  • anus

  • rectum

  • lips or in the moth

  • Sores are usually firm, round, and painless, which may go unnoticed and last 3 to 6 weeks.

  • Treatment will stop the infection from moving to the secondary stage.

3. Latent Stage

  • There are no visible signs or symptoms, and without the proper treatment, you can continue to have syphilis in your body for years.

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How to Lower Your Risk?

  • Refrain from having sex

  • Only have sex with someone who's not infected and only has sex with you.

  • Use condoms, if used the correct way and if sores are covered. 

2. Secondary Stage

  • Skin rashes when your primary sore is healing or sores in your mouth, vagina, or anus.

  • The rash can be on the palms of your hands or the bottoms of your feet and can look: 

    • rough, faint, red, or reddish-brown

  • Other symptoms

    • Fever, swollen lymph glands, sore throat, patchy hair loss, headaches, weight loss, muscle aches, and fatigue

  • Treatment will stop the infection from moving to the latent stage.

4. Tertiary Stage

Untreated syphilis can affect many other different organ systems, including: 

  • heart and blood vessels

  • brain and nervous system

  • internal organs may be damaged and can result in death

  • Very serious and would occur 10-30 years after the infection began

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