Is syphilis serious if left untreated?

Question

Hello doctor,

I am a 35-year-old male. I am concerned about STIs (sexually transmitted infections), particularly syphilis. I recently read a WHO (World Health Organisation) report suggesting a rise in cases across Europe, which was backed up by data from the ECDC. This has me worried as I have had unprotected sex with a new partner. What are the early symptoms I should watch for? How soon after exposure can I get tested reliably? I have heard syphilis can be serious if left untreated - what are the long-term risks? Is it true that it can be cured completely with antibiotics if caught early? Also, how do I approach the conversation with my partner about getting tested? I am feeling anxious and would appreciate your advice on prevention and the testing process.

Kindly suggest.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com

I understand your concern.

Here is what you need to know. Syphilis symptoms can appear in stages:

In the Primary stage- A painless sore or ulcer (chancre) at the site of infection, usually the genitals, anus, or mouth can occur.
Secondary stages include skin rash, mucous membrane lesions, flu-like symptoms (fever, sore throat, swollen lymph nodes), and hair loss.
Latent and tertiary stages- If untreated, syphilis can progress to more serious stages, affecting the heart, brain, nerves, and other organs.

When to test:

It is recommended to get tested three weeks to three months after potential exposure for reliable results, as this is when antibodies typically develop. Blood tests like RPR (rapid plasma reagin) and VDRL (venereal disease research laboratory) can detect syphilis.

As a treatment:
1. Syphilis can be cured with antibiotics, usually Penicillin, if detected early.
2. If untreated, syphilis can lead to severe complications, including neurological issues, heart problems, and blindness. It can also be transmitted from mother to child during pregnancy (congenital syphilis).
3. It is important to test with your partner.
4. Approach the conversation calmly and directly. Explain your concerns about sexual health and the importance of both getting tested. Normalize it by always supporting her.
  
  Precautions to be taken:
  1. Consistently and correctly use condoms during sexual activity to reduce the risk of STIs.
  2. Get tested regularly, especially after new sexual partners or potential exposure.
  3. Consider vaccination against HPV (human papillomavirus), which can reduce the risk of some STIs.
    
    Conclusively, being proactive about your sexual health is essential. If you suspect you may have been exposed to syphilis or any STI, seek testing promptly. Remember, early detection and treatment can prevent complications.
    
    I hope this helps.
    
    Kindly follow up if you have more concerns.
    
    Regards.
    
    Thank you.

Is syphilis serious if left untreated?

Concerned about syphilis?