Sexual Health & Disorders
Question #8987
19 days ago
48

syphilis symptoms - #8987

Anonymously

A couple of weeks ago, I noticed a small sore on my genitals, and at first, I thought it was just a minor irritation from friction or shaving. However, after a few days, it didn’t go away, and I started to feel worried. The sore didn’t hurt, but it looked a bit like an ulcer, and I thought it might be an ingrown hair or something like that. I didn’t want to jump to conclusions, but after some research, I started to get concerned it might be related to syphilis symptoms. I’ve heard that syphilis symptoms can start with a painless sore, and from what I’ve read, it might even go away on its own after a while, but that doesn’t mean it’s not serious. I’ve never had any other symptoms like fever or swollen lymph nodes, so I wasn’t sure whether to worry. However, I’ve been sexually active recently, and I think it’s a good idea to get tested just in case, but I’m still unsure about what exactly I’m looking for. I went to my doctor to get a check-up and mentioned the sore, and they said it could very well be syphilis symptoms, but they also pointed out that the sore could be from other conditions, like herpes or other STDs. My doctor recommended I get tested, but I’m curious about how common syphilis symptoms are and how long they last. If it turns out I have syphilis, what happens next? I’ve heard about treatment, like antibiotics, but I’m wondering how soon after treatment the symptoms will disappear and if I need to worry about any long-term damage. I’m also worried about how I could have contracted syphilis. I’ve had unprotected sex with a partner who I know has had a few sexual partners recently, but they haven’t had any noticeable symptoms. Can syphilis symptoms be hidden for a long time, or can you catch it without any obvious symptoms showing up in your partner? I’ve heard that syphilis can be passed even without symptoms showing, and I’m wondering how I can protect myself in the future to avoid this kind of situation again. One last thing—I’ve read that syphilis symptoms can come in different stages, and I’m not sure how that would affect me. If I get treated now, will I be cured of syphilis, or could there be lasting effects if it goes untreated for too long? Also, how often should I get tested after this, especially if I continue to have sexual partners?

Syphilis symptoms
Painless genital sore
Syphilis treatment
Syphilis stages
Sexual health
Std symptoms
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Doctors’ responses

Dr. Evgeny Arsentev
I am a highly qualified medical professional with over 15 years of experience in General Medicine. My expertise spans diagnosing and treating a wide range of conditions, providing evidence-based care, and mentoring junior doctors. I am dedicated to ensuring patient well-being through a combination of clinical skills and compassionate care.
18 days ago
It's good that you're seeking clarity about the sore and considering getting tested, as this is an important step in maintaining your sexual health. Based on your description, a painless sore that looks like an ulcer on the genitals is a symptom that can indeed align with primary syphilis, which typically presents as a painless chancre. It's also true that other conditions, including herpes and other sexually transmitted infections (STIs), can cause similar sores. While syphilis can be asymptomatic in some individuals, meaning they don’t show signs but can still be contagious, your situation warrants prompt attention. Regarding syphilis specifically, once contracted, if left untreated, the infection can progress through primary, secondary, latent, and tertiary stages, each with different symptoms. For primary syphilis, symptoms can resolve on their own in a few weeks, but the infection persists and can lead to more serious complications if not treated. Your testing will typically involve blood tests to check for syphilis-specific antibodies, and depending on findings, your doctor may also conduct additional testing for other STIs. If you receive a positive diagnosis for syphilis, the standard treatment is benzathine penicillin G, which is an antibiotic. Once treated, individuals usually see symptoms resolve within a few days to weeks, and immediate follow-up is common to ensure the treatment was effective. Generally, if syphilis is treated in its early stages, the long-term complications are greatly reduced or avoided altogether. However, untreated syphilis can lead to significant health issues in the future, including damage to organs and systems. Regarding your concerns about transmission, it’s accurate that syphilis can be transmitted even when the infected person does not exhibit noticeable symptoms. Therefore, consistent use of protection, such as condoms, and regular STI screenings are critical preventive measures, especially when engaging with new or multiple partners. After treatment, it is advisable to retest for syphilis and other STIs. The frequency of testing will depend on your sexual activity and number of partners; many health professionals recommend testing every 3 to 6 months if you are in a high-risk category or occasionally engaging in unprotected sex with new partners. My clear recommendation is to follow through with the testing as discussed with your doctor and ensure you keep an open line of communication regarding the results and any further necessary precautions or treatments. Prioritizing preventive measures in the future will help reduce the risk of contracting STIs again. If you experience worsening symptoms, or if the sore changes, seek medical attention promptly.
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