Can unprotected sex cause sexually transmitted disease?

Question

Hello doctor,

I recently had unprotected sex and have started experiencing some troubling symptoms. I have noticed sores on my genitals, a rash on my hands and feet, and swollen lymph nodes. I am concerned that I might have contracted a sexually transmitted infection, possibly syphilis or gonorrhea. I recently had some blood work done, and the results showed elevated white blood cells, along with a positive VDRL (Venereal disease research laboratory test) test. I am worried about what this could mean and would like to know what steps I should take next to get a confirmed diagnosis and start treatment. Could you also advise on the specific treatments for syphilis and gonorrhea that I should consider?

Thank you.

Answer 1

Hello,

I can understand your concern.

Your symptoms and results strongly suggest that you may have contracted syphilis, a sexually transmitted infection (STI). Elevated white blood cells indicate a disease that could be related to syphilis or another STI, like gonorrhea.

I suggest the following steps to confirm the diagnosis.

Plan for a confirmatory test, such as the TPHA (Treponema pallidum hemagglutination assay), to definitively diagnose syphilis.

Some other tests include:

HBsAg (Hepatitis B surface antigen)
Herpes simplex virus (HSV) 1+2 IgG, IgM,
Chlamydia Trachomatis IgG , IgM (immunoglobulins)
Urine complete
HPV PCR swab test
HIV(human immunodeficiency virus) 4th Gen Antigen/antibody test

If syphilis is confirmed, Penicillin G is the standard treatment. It is usually administered as an injection, and the number of doses depends on the stage of the infection:

For primary, secondary, or early latent syphilis, a single dose of Benzathine penicillin G is suggested.

For late latent syphilis: Three doses of Benzathine penicillin G at weekly intervals is suggested.

If you are also diagnosed with gonorrhea, the standard treatment is a combination of Ceftriaxone (an injection) and Azithromycin (an oral antibiotic). This dual therapy helps address possible co-infection with chlamydia, which often occurs alongside gonorrhea.

Also, consider the following things :

It is essential to inform any recent sexual partners so they can get tested and treated if necessary.

After treatment, follow-up tests are necessary to ensure the infection has been entirely eradicated.

Going forward, consider using protection during sexual activity and getting regular STI screenings to protect your health and that of your partners.

I hope this was helpful.

Thank you.