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Do VDLR and FTA-ABS test results with reactive IgG for syphilis require treatment?

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Patient's Query

Hello doctor,

I recently took the VDLR test, which was reactive to 1:1 and non-reactive to 1:2. So I took the FTA-ABS test. The result was reactive for IgG and non-reactive for IgM. Every year I do the rapid blood tests (those that prick my finger to take a drop of blood), and they always come back non-reactive. I have been in a relationship for eight years and asked my partner to get tested. The results were: non-reactive VDLR, reactive IgG, and non-reactive IgM. Neither my partner nor I ever had any visible symptoms, and we also never had treatment for syphilis. Should we go through the treatment? Could it be some cross-immunity? I talked to a doctor, and he said it looks like we may have a serological mark. He told us to repeat the VDLR every three months and follow along. I want a second opinion.

Kindly suggest me.
Answered by Dr. Samer Sameer Juma Ali Altawil

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

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Hello,

Welcome to icliniq.com.

I read your query and understand your concern. No, it would be best if you do not seek any treatment now. The serological tests showed no active disease as IgM is negative. IgG is positive because you got this infection before. It is recommended to have this test done once every three to six months. Treatment should be started only if IgM is positive. If you have any more questions, please let me know.

Thank you.

Medically reviewed by Dr. Chithranjali Ravichandran
Published At July 22, 2022
Reviewed At August 23, 2023

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Chithranjali is a passionate and skilled Dentist specializing in preventive care, restorative treatments, cosmetic dentistry, and oral health education. She excels in managing dental conditions with precision and compassion, ensuring patient comfort and positive outcomes. Committed to promoting long-term oral wellness, Dr. Chithranjali combines advanced dental techniques with personalized care, empowering patients to maintain healthy smiles and achieve optimal overall dental health.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Samer Sameer Juma Ali Altawil
Dr. Samer Sameer Juma Ali Altawil

Urology

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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