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Syphilis is a sexually transmitted infection (STI) caused by the bacterium Treponema pallidum. It can spread through direct contact with a syphilis sore during vaginal, anal, or oral sexual contact. Syphilis can affect different parts of the body and progresses through stages if it is not treated.
The infection is treatable and curable, particularly when diagnosed early. However, untreated syphilis can remain in the body for years and may eventually cause serious complications involving the brain, nerves, eyes, heart, and other organs.
Because symptoms can sometimes be mild or go unnoticed, testing is important when there has been a potential exposure or when symptoms suggest an STI.
If you have symptoms of syphilis or think you may have been exposed, consult a gynaecologist in Gurgaon at Miracles Healthcare for timely testing and treatment. Early diagnosis can help prevent complications and reduce the risk of passing the infection to others.
Syphilis typically develops through different stages. Symptoms can vary at each stage, and there may also be periods when no noticeable symptoms are present.
Primary Syphilis: The first sign is often a painless sore, known as a chance, at the site where the bacteria entered the body. The sore may heal on its own, but the infection remains without treatment.
Secondary Syphilis: A rash may develop, often involving the palms of the hands or soles of the feet. Other symptoms can include fever, swollen lymph nodes, sore throat, fatigue, or muscle aches. These symptoms may also disappear without treatment.
Latent Syphilis: During this stage, there may be no visible symptoms, but the infection remains in the body. Latent syphilis can last for years and may be detected through blood testing.
Tertiary Syphilis: This is a late stage that can develop years after an untreated infection. It may cause serious damage to organs such as the heart, brain, nerves, eyes, and blood vessels.
Early testing and treatment are important because syphilis can be cured with appropriate antibiotics, particularly before serious complications develop.
The symptoms of syphilis can vary depending on the stage of infection. Some people may have mild symptoms or no noticeable symptoms at all, which is why testing can be important after potential exposure.
Common symptoms may include:
Painless sore (chancre): A small, usually painless ulcer may appear on the genitals, anus, rectum, lips, or mouth during the primary stage.
Skin rash: A rash may develop during secondary syphilis, often affecting the palms of the hands and soles of the feet.
Swollen lymph nodes: Lymph nodes in the neck, groin, or other areas may become enlarged.
Fever and fatigue: Some people may experience fever, tiredness, headache, or a general feeling of being unwell.
Sore throat: Throat discomfort may occur, particularly during secondary syphilis.
Muscle aches and joint pain: Generalised body aches can accompany the infection.
Patchy hair loss: Some people may develop areas of hair thinning or hair loss.
Mouth or genital lesions: Sores or patches may occur in or around the mouth or genital area.
Symptoms can disappear even when the infection is still present. If you notice symptoms or have had a potential exposure to syphilis, consult a gynae near you and consider appropriate STI testing rather than waiting for symptoms to resolve.
Syphilis is caused by the bacterium Treponema pallidum. The infection spreads primarily through direct contact with an infectious syphilis sore or lesion, which may not always be visible.
Common ways syphilis can be transmitted include:
Sexual contact: Syphilis can spread through vaginal, anal, or oral sex when there is contact with an infectious sore or lesion.
Skin-to-skin contact with a sore: Transmission can occur when an infectious lesion comes into direct contact with another person’s skin or mucous membranes.
Mother-to-baby transmission: An infected pregnant person can pass syphilis to the baby during pregnancy or, in some cases, around the time of delivery. This is known as congenital syphilis.
A doctor may diagnose syphilis based on symptoms, sexual history, physical examination, and laboratory testing. Diagnosis may include:
Blood tests: Commonly used to detect antibodies associated with syphilis.
Sore examination: If a visible sore is present, a sample may sometimes be tested.
Physical examination: The doctor checks for sores, rashes, swollen lymph nodes, and other signs.
Additional testing: Depending on symptoms and stage, further evaluation may be recommended, particularly if there are neurological or eye-related symptoms.
Syphilis is treatable and curable with appropriate antibiotics. The recommended treatment depends on the stage of infection, medical history, presence of complications, and other individual factors. Penicillin is the preferred treatment for many cases, particularly during pregnancy.
Treatment may include:
Antibiotic therapy: A doctor may prescribe penicillin or another appropriate antibiotic based on the stage and clinical situation.
Stage-specific treatment: The number of doses and duration of treatment can vary depending on whether the infection is early, latent, or associated with complications.
Partner evaluation: Recent sexual partners may need testing and treatment to reduce the risk of reinfection and further transmission.
Follow-up testing: Blood tests may be recommended after treatment to monitor the response and confirm that appropriate follow-up care is completed.
Treatment of complications: If syphilis has affected the nervous system, eyes, or other organs, additional specialist evaluation and treatment may be required.
It is important to complete the prescribed treatment and attend recommended follow-up appointments, even if symptoms improve or disappear. Treatment cures the infection but does not provide immunity, so a person can become infected again after successful treatment if exposed in the future.
The risk of syphilis may be higher in people who:
Have unprotected vaginal, anal, or oral sex
Have multiple or new sexual partners
Have a sexual partner diagnosed with an STI
Have another sexually transmitted infection STI
Have sex with a partner whose STI status is unknown
Do not undergo recommended STI screening
Steps that can help reduce the risk of syphilis include:
Using condoms consistently and correctly
Limiting exposure to new or multiple sexual partners
Getting regular STI testing when at risk
Discussing STI status and testing with sexual partners
Avoiding sexual contact with someone who has an active syphilis sore
Ensuring sexual partners are evaluated and treated when necessary
Pregnant women should undergo recommended syphilis screening to reduce the risk of transmission to the baby
Condoms reduce the risk but may not provide complete protection because syphilis sores can occur in areas not covered by a condom.
Timely evaluation is important because syphilis can sometimes cause mild symptoms or remain unnoticed. Consider consulting a gynaecology doctor near you if you have:
A painless sore: A painless ulcer or sore on the genitals, anus, rectum, lips, or mouth.
An unexplained rash: Particularly a rash involving the palms of the hands or soles of the feet.
Swollen lymph nodes: Unexplained swelling in the neck, groin, or other areas.
Other possible symptoms: Fever, sore throat, fatigue, muscle aches, or unusual hair loss.
Known exposure: Sexual contact with someone who has been diagnosed with syphilis.
Pregnancy: Pregnant women should undergo recommended syphilis testing and seek prompt treatment if diagnosed to reduce the risk of passing the infection to the baby.
Previous treatment: If you have been treated for syphilis but are concerned about persistent symptoms or possible re-exposure.
When dealing with a sexually transmitted infection such as syphilis, timely testing and appropriate treatment are important. Miracles Healthcare, a leading gynaecology hospital in Gurgaon since 2002, provides a confidential setting where women can discuss symptoms, possible exposure, and other sensitive reproductive health concerns with experienced doctors.
The hospital has a team of 50+ female gynaecologists who provide individualized evaluation and treatment based on the patient’s symptoms, medical history, test results, and stage of infection. Access to a multispeciality healthcare network and diagnostic services also allows additional medical support when required.
With healthcare centres across Sector 14, Sector 56, and Sector 82, Gurgaon, patients can access gynaecological and reproductive healthcare at a location convenient to them.
Think you may have been exposed to syphilis or are experiencing symptoms? Speak with a gynaecology doctor in Gurgaon at Miracles Healthcare for discreet evaluation, appropriate testing, and timely treatment.
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The cost depends on the consultation, diagnostic tests, stage of infection, and treatment required. A doctor can provide an estimated cost after evaluating your condition.
Untreated syphilis can become serious and may eventually affect the brain, nerves, heart, eyes, and other organs. Early diagnosis and treatment can prevent many complications.
Yes. With appropriate treatment and follow-up, most people can live a normal life after syphilis. However, reinfection is possible if exposed again.
Yes, syphilis can be cured with the appropriate antibiotic treatment, particularly when diagnosed early. Treatment can stop the infection, although existing organ damage may not always be reversible.
Syphilis does not typically cause a specific body or genital odour. An unusual smell may have another cause and should be evaluated by a doctor if it persists.
Late-stage syphilis may cause serious complications involving the heart, brain, nerves, eyes, or other organs and can occur years after the initial infection if untreated.