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Do I Have Syphilis? Signs and Symptoms of Syphilis
Hi, my name is Dr. Rebecca Kuhn. I'm an ***/AIDS clinician. Welcome to "Do I
Have Syphilis? Signs and Symptoms of Syphilis." Syphilis is a common sexually transmitted
infection that can cause serious illness. Having
an active syphilis infection increases the risk you will get *** or give *** to someone
else. *** is incurable and can be fatal. If you are a pregnant woman, syphilis increases
the risk that the pregnancy will end in miscarriage, death of the baby at birth or in
infancy, or permanent disabilities for your baby. Fortunately, syphilis can be diagnosed
with a blood test and cured with antibiotics. You can have syphilis without knowing it.
The symptoms are not always noticeable. If you think you may have been exposed to or
infected with any sexually transmitted infection, see a doctor and get tested whether
or not you have any symptoms. All pregnant women should be checked for syphilis,
***, and other sexually transmitted infections.
How Is Syphilis Transmitted? Syphilis is usually transmitted by vaginal,
oral, or *** *** contact. The second most common way syphilis is transmitted is from
mother to child during the pregnancy, or during delivery. You can also get syphilis
by kissing on or near a syphilis sore or by touching an infected area on the person.
Symptoms of Syphilis Soon after infection, a sore develops that
is usually round, hard, raised, and painless. Usually the sore is on the genitals, hands,
or mouth. Usually, there is just one, but sometimes there can be multiple sores. Without
treatment, the sore will usually heal within three to six weeks.
In many people with syphilis, lymph nodes near the sore will swell up, especially if
the sore is near the genitals. Lymph nodes are
small balls in your neck, underarms, groin, and knees that help fight infections. Even
after the initial sore has healed, your lymph nodes may stay enlarged.
Without treatment, the infection will usually develop into secondary syphilis between
three and six weeks after the sore appears. At this stage, you may have flu-like
symptoms, a sore throat, feel tired, lose your appetite, or have swollen lymph nodes.
Most commonly, you will have a rash of red or pink spots on your body. The spots may
become similar to a pimple or a mark. The spots will often appear on the sides of your
body, your arms, or your genitals or on the palms of your hands or the soles of your
feet. You may also get white or gray spots on your mouth or genitals.
A few people will lose patches of hair from their scalp, beard or eyebrows. You may also
develop problems with your kidneys, eyes, liver, bones, or joints; meningitis; or
deafness. In the final stage of syphilis, you may develop
spots on your body, most commonly on the skin, bone, or liver. The skin spots may
turn into ulcers. You may also develop dementia, paralysis, and damage to the spinal
cord and brain. At any stage of syphilis, you may also develop
meningitis, headaches, nausea, vision and hearing
problems, dizziness, memory and speech problems, irritability, and delusions.
Syphilis in Pregnant Women If you are a woman who is pregnant or who
may become pregnant, it is vital that you be
tested for syphilis. The United States Centers for Disease Control and Prevention
recommends that all pregnant women be tested for syphilis and other sexually
transmitted infections including ***, chlamydia, and Hepatitis B. The World Health
Organization recommends that all pregnant women be tested for syphilis the first time
they visit their doctor and a second time in the third trimester as well as tested for
*** and checked for symptoms of other sexually
transmitted infections. If you are pregnant, have syphilis, and don't
get treated, more than two-thirds of the time, your pregnancy will have a poor outcome. Without
treatment, there is a one in four chance that you will have a miscarriage or
that your baby will be born dead, and more than one chance in ten that your baby will
die as an infant. Even if your baby survives, it may have syphilis and may be permanently
disabled even after it is treated. By getting tested for syphilis and treated if you need
it, you can protect your own health and your baby's health too. So if you are pregnant,
talk to your doctor right away, get tested for
syphilis and ***, and follow the doctor's instructions.
Syphilis Treatment If you have syphilis, your doctor will give
you antibiotics. Do not have sex until your doctor says you are cured.
Getting Your *** Partners Tested and Treated for Syphilis
If you have a sexually transmitted infection, it is important that all of your current and
recent *** partners be tested and treated as well. If you aren't comfortable telling
a current or past *** partner that you were
diagnosed with a sexually transmitted infection, in many places, you can give the
public health service the names and contact information of your partners and the public
health service will ask your partners to get tested without revealing your name.
Preventing Syphilis The ways to reduce your risk of syphilis include:
abstaining from sex being mutually faithful with a partner who
has been tested and is known not to have syphilis
using a *** correctly every time you have sex, every way you have sex.
Using a *** is always a good idea and can greatly reduce the risk of transmitting
many sexually transmitted infections. However, syphilis can occur in and be transmitted
from parts of the body that are covered by a *** as well as parts of the body that
are not covered by a ***. Using a *** can
only reduce the risk of transmitting syphilis if the infected part of the body,
or the part of the partner's body that touches it,
are covered by the ***. See a Doctor
Watching a video is no substitute for seeing a doctor and being evaluated in person. If
you are feeling ill, have any signs or symptoms
of disease, or think you may have been exposed to a sexually transmitted infection,
see a doctor and be evaluated in person. For AIDSvideos.org, this is Dr. Rebecca Kuhn.