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Syphilis - Symptom, Treatment And Causes

What is Syphilis?

Syphilis is an STD (Sexually Transmitted Disease) caused by Treponema pallidum bacteria. This first sign of this deadly sexually transmitted infection is just a small, painless sore, which people fail to notice right away. This sore, which is medically known as chancre can appear in your rectum, in the sexual organ or even inside the mouth. Diagnosis of syphilis can be really challenging. You can get infected with this disease, without showing any signs or symptoms for several years. Nevertheless, the earlier you can spot this disease, the better it is for the patient. If kept untreated for a long time, this illness can cause major damage to the patient’s brain, heart and other major organs within the course of several years.Syphilis can only spread through direct sexual contact with the syphilitic chancres. The syphilitic bacteria cannot be transmitted by wearing another person’s cloths, sharing the toilet, or by eating in another person’s utensil.

This disease, syphilis, can be divided into four stages:

  • Primary
  • Secondary
  • Latent and
  • Tertiary
  • When this disease is in its latent mode, the disease remains active, but shows no symptoms and is not contagious. However, tertiary syphilis is the most destructive part of the disease.Primary syphilis occurs within three to four weeks once you are infected with this disease. It begins with a small, round sore, which is known as chancre. The chancre is painless, but it’s highly infectious. This sore appears where the bacteria entered your body, which can be your genitals, inside of your mouth or your rectum. This sore stays anywhere between 2-6 weeks.

    During the second stage you can experience sore throat, skin rashes, fatigue, swollen lymph glands, aching joints, and fever and weight loss. Syphilitic rashes which don’t itch are found in palms and soles, but then again, they can appear anywhere in your body. Most people don’t notice these rashes as these symptoms go away whether or not you have received any treatment. But you still remain infected.In the latent phase, the disease remains hidden. You can remain in this stage for several years, before you progress to tertiary syphilis.

    In the last and tertiary phase (generally only 15 to 30 percent patients who have not done any treatment enters this stage), which can occur after several decades after the primary infection, the manifestations of this illness can be life-threatening. Tertiary syphilitic patients often get blind, deaf, suffer from neurological disorders and even bear the pain of destruction of bones and soft tissues. Primary or secondary syphilis is easily treatable and the drug of choice for curing this disease is penicillin.

  • Treatable by medical professional Require medical diagnosis Lab test required Chronic: can last for years or be lifelong Spread by sexual or direct blood contact
    Painless chancre or sore in the affected area of the body. Fatigue, fever or malaise Rashes on the body, which do not itch, especially on the palms on the sole of the feet. Swollen lymph nodes that are painful along with weight loss.

    Popular Health Tips

    Genital Tract Infection - Common Causes Behind It!

    Gynaecologist, Gurgaon
    Genital Tract Infection - Common Causes Behind It!

    While genital infections are an uneasy topic to discuss and seek treatment for, ignoring them leads to severe complications like infertility and even death. Most of these can be treated with a regular course of antibiotics and some topical treatment when identified early. Genital infections can be broadly classified into sexually transmitted and non-sexually transmitted. Read on to know some more common infections in both the categories.

    Sexually transmitted diseases:

    1. Chlamydia: Caused by the bacteria Chlamydia trachomatis, it is the most common STD (sexually transmitted disease) and affects about 10% of 20 to 30 year olds. It is often asymptomatic, but in few cases, there could be increased vaginal discharge. Left undetected, it can lead to pelvic inflammatory disease (PID) and subsequently infertility.
    2. Gonorrhea: The bacteria Neisseria gonorrhea causes this STD, which is very common. There could be some irritation or discharge, but is mostly asymptomatic. Like Chlamydia, if not treated, it can lead to PID and infertility.
    3. HIV: The most dangerous of all, it causes AIDS, with immunosuppression as a major effect and affecting overall health. The women affected by HIV are more prone to candida and other genital infections.
    4. Genital warts: This viral infection is caused by human papilloma virus (HPV) and manifests as multiple warts on the vulva, vagina, and cervix and can cause cervical intraepithelial neoplasia (precancerous).
    5. Genital herpes: This virus again causes multiple small vesicles and ulcers around the vagina, painful urination, and swelling of the lymph nodes. Caused by type 1 herpes virus more commonly than type 2, it has a high chance of recurrence.
    6. Trichomonas: This STD manifests with very few symptoms and can go undetected for a long time. It can lead to PID and infertility.
    7. Syphilis: Caused by Treponema pallidum, there are 3 stages. The primary stage presents with an ulcer. The secondary presents with a rash, multiple genital warts, and oral warts/ulcers. It then goes into a latent phase and may subside without progression. In some cases, it reaches the tertiary stage and can affect various body organs including the liver, heart, or brain.

    Non-sexually transmitted diseases: There two major genital infections not transmitted by sex are bacterial vaginosis and candidiasis.

    1. Bacterial vaginosis (BV): Constant change in the bacteria mix present in the genital area produces an imbalance and leads to altered pH and therefore BV. Pregnancy, intrauterine device, and frequent douching are proven risk factors for developing BV.
    2. Candidiasis: The genital tract usually has yeasts, and Candida vaginalis is present in the vagina. An overgrowth of this leads to infection. This can be caused by use of antibiotics (which destroy the good bacteria), diabetes, pregnancy, and birth control pills.

    Early diagnosis and intervention of these infections can prevent severe symptoms in most cases. If you wish to discuss about any specific problem, you can consult a gynaecologist.

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    Vaginal Rashes - What Do They Indicate?

    MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
    Gynaecologist, Mumbai
    Vaginal Rashes - What Do They Indicate?

    What is a vaginal rash?

    Although vaginal rashes can be identified with non infectious conditions, for example, hypersensitive responses and contact dermatitis, many are because of sexually transmitted diseases. The zone around the vagina might be blushed with sores or blisters or it might hold its typical shading yet have bumps. Different side effects, for example, discharge, burning sensation during urination, pain or tingling, may likewise happen.

    Not all sexually transmitted diseases cause vaginal rashes; the ones that most regularly do are syphilis, genital herpes and human papillomavirus (HPV). Genital herpes normally causes groups of excruciating red blisters that might be irritated. Syphilis might be connected with a lone, painless, red sore on the vulva that might be followed by a rash on the hands and feet. Genital warts may develop as an after effect of HPV disease.

    What is it caused by?

    It can happen as a result of rubbing against the skin, like from uncomfortable underwear or rough sanitary napkins. These are not harmful and non-contagious. Also, these are usually minor and get cured with home remedies.

    1. Contact Dermatitis: This can be caused when you come in contact with a substance that can cause irritation or an allergy. This is called contact dermatitis. It can be very itchy, but it is not serious very often.

    2. Pubic lice: These are caused by tiny parasites, such as insects that survive by sucking on blood from humans.

    3. Candidiasis (yeast infections): This can cause rashes in the moist folds of the vaginal skin.

    4. Scabies: It is a skin condition, which can get very itchy and is caused due to little mites digging into your skin.

    5. Psoriasis: These are characterised by little red or wine red coloured bumps with silvery scaly skin on top of that. It is commonly found on the knees, elbow or scalp, but it can occur on any part of the body. If you wish to discuss about any specific problem, you can consult a dermatologist.

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    Sexually Transmitted Diseases - Know Forms Of Them!

    MBBS, MS - Obstetrics and Gynaecology
    Gynaecologist, Ahmedabad
    Sexually Transmitted Diseases - Know Forms Of Them!

    Sexually transmitted diseases can often be shortened to STDs. STDs often do not show any symptoms. It is possible that you may have had a disease such as chlamydia and not even known you had it. However, it is crucial that you get yourself tested as soon as possible so that the sexually transmitted disease can be treated in the best way possible. Since there are many sexually transmitted diseases and they all have different symptoms and treatment, here are the symptoms and treatment for the most common ones:

    HPV stands for human pappilovirus and it may display no symptoms whatsoever that you have the disease. However, when you do get symptoms, you will get symptoms such as genital warts, infection of the throat and mouth as well as cervical cancer, penile cancer and various other cancers. The treatment for HPV is to take a vaccine; as if you have not been vaccinated, it is hard to cure.

    Chlamydia is a common sexually transmitted disease, however only 25% of women and about 50% of men show any symptoms of it whatsoever. However, the most common symptoms when they do appear is a discharge from the vagina or penis which is not regular and it may even cause a painful or burning sensation. Since this is a bacterial disease, it can pretty easily be treated with antibiotics.

    Gonorrhea is yet another common sexually transmitted disease. It usually occurs along with chlamydia. The symptoms and treatment for gonorrhea are also extremely similar to chlamydia.

    Syphilis is another common sexually transmitted disease. However, it is a little hard to treat because the symptoms appear in stages. In the first stage, there is only one main bump on the body. This bump may look like a cut, a sore or even an ingrown hair.  In the second stage, this bump becomes a rash which goes all over your body and it may develop sores in your mouth, vagina or anus. Symptoms usually completely disappear in the third stage. However, if there is a fourth stage then brain or organ damage may occur. Antibiotics are used to treat syphilis as well.

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    Syphilis - What Is It And Why Is It Important?

    Sexologist Clinic
    Sexologist, Faridabad
    Syphilis - What Is It And Why Is It Important?

    Syphilis is a highly contagious bacterial infection that spreads mainly through sexual activities. It starts as a painless sore or rash on the skin, typically on the mouth, rectum, or the genitals, and results in long-term health complications, if left untreated. Keep reading to know more about the disease.

    What are the symptoms and stages of syphilis?
    The symptoms of the infection vary from person to person, depending on the stages of syphilis. Some people may also experience no symptoms at all. As the symptoms, if any, change depending on the stages of the disease, here’s a quick look at the stages and the symptoms they are characterized with.

    1. Primary stage: This is the first stage of syphilis where small, painless, round sores in the genitals and the mouth appear.
    2. Secondary stage: In the second stage, the patient starts developing rashes, if he/she has not visited any medical expert and thus is not undergoing any treatment.
    3. Latent stage: In the third stage, the infection may stay within the infected person; however, there will be no symptoms experienced for around 30 years.
    4. Late stage: In this last stage, if left untreated, the bacterium Treponema pallidum subspecies pallidum starts affecting other body parts, resulting in damage to the nerves, brains, heart, or eyes.

    How does one get infected?
    The primary way of being infected with syphilis is through sexual activities. When one comes in contact with syphilis rash or sore during oral, vaginal, or anal sex, he or she can get syphilis. Women are not immune from syphilis, though it is the men, mainly those who are bisexual or gay, in whom the infection is prevalent. Syphilis can even spread from a mother to her baby; hence, one should be aware of its symptoms, prevention, and treatment.

    What are the prevention/treatment options?
    Syphilis is indeed a serious sexually transmitted disease; however, it can be prevented as well as cured. Abstaining from unprotected sex, not sharing sex toys, using condoms, avoiding drugs and alcohol, and using plastic square or dental dam during oral sex are some of the effective ways of preventing the risk of getting infected by syphilis. Once diagnosed, depending on the stage of the disease, the patient is treated with penicillin-based medications.

    Remember, prevention is the best way of dealing with sexually transmitted diseases, which includes syphilis. However, it is advised to visit a sexologist immediately, if any of the symptoms are observed. If the infection spreads to other parts of the body, it may affect the vital organs, hence it is advised not to ignore the symptoms and undergo the treatment suggested by the sexologist, without delay. In case you have a concern or query you can always consult an expert & get answers to your questions!

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    4 Stages Associated To Syphilis

    MD - Physician
    Sexologist, Coimbatore
    4 Stages Associated To Syphilis

    Syphilis is one of the most common STD and can affect both men and women. This bacterial infection can be easily treated, but if left unattended it can cause serious problems. Syphilis can be caught by mere skin to skin contact with an infected person’s genitals or mouth. Hence even if you do not have intercourse with an infected person, you can still get infected from them. If a woman who is pregnant gets infected with this disease, she could pass it on to her unborn child as well.

    A person suffering from syphilis may not always exhibit symptoms of the disease. This disease goes through active as well as dormant phases with symptoms being present only in the former. Even its dormant phase, this disease can be transmitted from one person to another.

    There are four stages of syphilis and each of them have their own symptoms.

    1. Primary stage: In its first stage, syphilis is marked by the presence of open sores called chancres. This can occur in the mouth, genitals are or around the anus. It can also be seen in other parts of the body where bacteria may have entered the body. These chancres are painless and may be accompanied by a swelling of the lymph nodes around it. This is the most contagious stage of the disease. Without treatment, these sores will resolve themselves in 3-6 weeks but the syphilis bacteria itself will remain in the body.
    2. Secondary stage: Anywhere between 2 weeks to 12 weeks after coming in contact with the bacteria, this infection may move into its second phase or secondary stage. At this point, you will notice a rash on your skin. This rash can be seen as a collection of small, flat or raised skin sores along with small, open sores on mucous membranes. These sores may contain pus. Dark-skinned people may notice that these sores are lighter than the surrounding skin. Along with this, the patient may also have fever, a sore throat, headaches, weakness, irritability and suffer from weight loss.
    3. Latent stage: Once the rash clears, this disease moves into its dormant or latent phase. This is also known as the hidden stage and can last anywhere from 1 to 20 years. It is very difficult to diagnose syphilis in this stage as there are no visible symptoms.
    4. Late (tertiary) stage: If the disease is not diagnosed and treated by the time it reaches this stage, it can cause a number of serious health problems. This includes blindness, cardiovascular problems, mental disorders and even death.
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    Popular Questions & Answers

    Which is a better and accurate test after 90 days (13 weeks) of oral sex exposure to check for syphilis? VDRL or TPHA to diagnose Syphilis? Which test if negative gives sureshot conclusive result?

    MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
    Gynaecologist, Mumbai
    4 th generation test after 4 months for HIV. TPHA any time now. There are many other sexually transmitted diseases you may get list and schedule by consulting Dermato-Venreologist.
    1 person found this helpful

    What is the cure of VDRL? I have recently done with the STI VDRL test done and it comes as positive an now I don't know what to do next. Please tell me what is the next step and what is the cure of VDRL.

    BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
    Psychologist, Palakkad
    Dear user. Thanks for the question. HIV spread through Contact between broken skin, wounds, or mucous membranes and HIV-infected blood or blood-contaminated body fluids. Deep, open-mouth kissing if both partners have sores or bleeding gums and blood from the HIV-positive partner gets into the bloodstream of the HIV-negative partner. HIV is not spread through saliva.

    Hi, Men can get syphilis in msm if both are tested for syphilis & they are negative please explain me how syphilis can occur in msm Please scared about it.

    C.S.C, D.C.H, M.B.B.S
    General Physician, Alappuzha
    (MSM), and syphilis has been increasing among MSM for more than a decade. If syphilis is not treated, it can cause serious health problems, including neuralgic (brain and nerve) problems, eye problems, and even blindness. In addition, syphilis is linked to an increased risk of transmission of HIV infection

    Formation of sore on penis it's means source of shypilis, so tells me respected doctors. It's only a disease of syphilis? Or other any disease symptom?

    Diploma In Gastroenterology, Diploma In Dermatology, BHMS
    Homeopath, Hyderabad
    Syphilis prevention. Practising safe sex is the best way to prevent syphilis infection. ... limit your sex partners or have a long-term monogamous relationship where neither of you is already infected. avoid sex with someone infected with syphilis or who has symptoms of syphilis until they have finished treatment.

    Table of Content

    What is Syphilis?

    This disease, syphilis, can be divided into four stages:

    Play video
    Healthy Reproductive System
    Hi friends, I am Dr Ekta Singh, Gynaecologist in Noida. Aaj hum baat karenge ke reproductive tract ki care kaisi karni chahiye, kyunki aap jaante hai prevention is always better than cure.

    First of all, hume apna proper hygiene maintain karni chahiye private parts ki. For that water wash is good enough. Soap ka regular use karna is not good actually. And then jab humare menses aate hain, then we should change our pads in every 3 to 4 hours, and we should practise safe sex practices. Aap jaante hai bahut saare sexually transmitted diseases hai, jese ki, HIV, AIDS, Hepatitis B, Hepatitis C, Herpes, Syphilis etc. So there are barrier methods that you can use. Then you have, Contraceptive care, ya fir hum ise birth controlling method bhi kehte hai, jo ki humein use karna chahiye.

    Kabhi kabhi, hum regularly use karte hain emergency contraceptive ka, that is not good. Not a healthy practice. There are barrier methods such as IUCT, jisse Copper T kehte hain, ya birth controlling pills hote hain jo aap regular basis pe letey ho, that are healthier alternatives.

    And then, aap ko shayad pata ho, that every lady should do and know breast self examination. Humein aapne har mahina after menses, every month, we should select a date, after our menses, we should do, aapne breast ka self examination karna chahiye. Jab hum bath le rahe hotey hain, uss samay with soapy hands, with three fingers we should do the breast self examination. And then, aapne shayad Pap Smear ka naam suna hoga. Pap smear is a test jisse hum apne uterus ke mouth ka test karte hain. Womb ke mouth ko hum cervix kehte hai. Woh healthy hai ya nahin, woh ek chhote se test se, jab aap OPD mein jaate ho, aapne gynaecologist ke paas, ek simple test hai, woh aap le saakte ho, karwa sakte ho, Liquid based cytology kehlate hai. Agar hum sexually active hai, lag bhag, sexually active huye hume 3 saal huye hai toh hum karwa sakte hai. Hume shuru karwa dena chahiye, every 3 years mein ya 5 years mein, ya humari umaar 21 years se zyada hai, to hi. Aur agar humare umaar 35 years se zyaada hain, toh ek Human Papilloma Virus test hota hai, woh bhi bahut zaroori hai karana.

    Iske alava kuch general advices hai jo aap follow karenge toh bahut achha hoga. Jaise, simple, humein paani dher saara peena chahiye. Aap jaante hain humaare blood mein, kareeb 50 to 60% water content hota hai. Ye water humare body ke har cell tak nutrition pahuchata hai, aur toxins remove karke urine ke raaste yeh remove karte hai. Toh water aapka lena, kareeb 3-4 litre lena is very good. Depends ki agr summer hai toh thoda zada pani lijiye, winter mein thoda kam bhi chalega.

    And then, high fibre diet, nutritious diet humein lena chahiye. Woh diet, jisme minerals, vitamins zyada hai aur fibres hai. Yeh aapke constipation ko rokegi aur nutrition pahuchayegi body mein.

    Then, oxins avoid karna chahiye. Aajkal bahut saare advanced bachhe hain, smoking karte hain, alcohol is a status symbol, and drugs. These are actually not good at all. Other toxins jo hum bahut zyada use karte hain, jse ki:

    Microwave ka use, that is not good.
    Plastic wares mein hum khaana paakate hai microwave ke andar.
    Hum bottles le jaate hain plastic ki, usse car mein rakhkhe rakhkhe garam ho jaate hain and that water is really dangerous.
    And then aapko exercise, regular exercise is very good. Lekin aap agar gym mein bahut intense exercise karte ho, that is sometimes, not very good.
    Swimming, walking, is all good.
    And iske alava, last but not the least, humein positive thinking karni chahiye.
    Jaise aap jaante hain, stress is absolutely, absolutely unhealthy for us, for our health. And agar aapko lagta hai ki kahin koi abnormalities nazar aatey hai, toh aap apne gynaecologist se mil sakte hain. Aur agar kuchh bhi nahin nazar aatey hain to sb normal hain, toh bhi aap ek routine check up ke liye apne gynaecologist se mile toh aap apne health ko leke sure ho sakte hai.

    Aur agar aap mujhse consultation lena chahte hain, toh aap Lybrate se le saakte hai. Otherwise you can come to my clinic, which is situated in Noida, 61 sector, C 20.

    Thats all, Thank You. Bye.
    Play video
    Female Genital Infections
    Myself Dr Ekta Singh, a gynaecologist in Noida. Aj hum baat karenge un infections ki women ki private parts mein hoti hain. Isme bohut ki common hain urinary tract infection, ya hum use UTI ki naam se jante hain. Isme patient ko, baar baar urine jana padh sakta hain, burning ho sakti hain, or pain bhi hota hai genital area me. Yeh kabhi bhi ho sakta hain, kisi bhi age group mein ho sakta hain, aur winter mein kabhi kabhi paani peena kam karte hain to aisa ho jaata hain. Isme hum jab urine test karate hain, routine microscopy and culture, toh isse pata chalta hai ki haan, infection hai. Lekin ye test karana tab bilkul zaruri hota hain jab ye infection recurrent ho, baar baar ho jay. Aise hi agar baar baar hota hain, ya saath mein flank pain ho raha hai, toh humein ek ultrasound jo kidney-bladder ko focus karta hua hota hain, ultrasound ko KUB kehte hain hum, use karana chahiye, aur agar aap ki mother father diabetic hain, ya humein kabhi aisa raha ho, toh blood sugar ka test bhi karna chahiye. Agar paani dher sara piyein, agar apko piyein aap, toh apni gyanecologsit se mile, who apko antibiotic dete hain, aur ____ agent dete hain, aura ap use treat ho sakte ho.

    Ab hum baat karenge infections in vaginal tract, jaise vaginitis and vulvitis. Isme patient ko bohut zyada itching hoti hain, redness ho sakta hain, discharge hota hain. Ye alag alag agents ke wajah se ho sakte hain jaise fungal infection apne suna hoga, jisko candida infection bhi kehte hain, yeast infection bhi kehte hain. Isme patient ko bohut thick discharge hota hain, curdy white, chesse ki tarah ka, cheesy white discharge hota hain, and itching is very severe, redness ho sakti hain.

    Iske ilawa protozoan infection hota hain, isme frothy yellowish white discharge hota hain aur itching hoti hain, thin discharge hota hain.

    Iske alwa bacterial infection bhi ho sakta hain. Iske liye aap apni gynaecologist se treatment lete hain, aur especially agar aap sexually active hain, toh husband and wife ya both partners should take medicines, then results are long term and effective.

    Iske alawa apne suna hoga bohut saare sexually transmitted disease hote hain jisme se bohut saare curable hain, jaise gonorrhoea, and chlamydia and syphilis. Inko toh cure kiya ja sakta hain, par kuch hai jinko cure nahi kiya ja sakta hain, treatment ko unka sambhav hain, jaise ki aap jante hain Hepatitis B and HIV, AIDS jisko hum kehte hain, Herpes inko properly cure karna sambhav nahi hain. Aj ke yug mein jo hamare paas therapies hain. Iske liye hum samaj sakte hain ki prevention zyada accha hain. Toh hum sabhi ko apna husband ya partner ki sexual history ke baare main pata hona chahiye. Agar hum monogamous hain, matlab hamare partner ek hain, toh chances of sexually transmitted diseases bohut kam ho jaat hain, jaise ki India mein hum sabhi most of us are monogamous. This is good practice actually. And then we should use a barrier method. Barrier methods humein ek doosre se infection transmission ko kaafi kam kar dete hain. Iske upar agar hum jate hain, toh PID Pelvic Inflammatory Disease ho sakti hain patient ko, jisme humein lower abdomen pain hota hain. Ya hum sexually active hain, toh during coitus, humein pain ho sakta hain. Aisa kuch bhi hota hain toh hum gynaecologist se mil sakte hain.

    Agar aap mujhse consult karana chahte hain, toh Lybrate ke through aap mujhse appointment le sakte hain, ya online consultation bhi kar sakte hain. Otherwise aap mere clinic pe, jo ki 61 Sector mein hain, Noida mein, C20 is the address, you can come here.

    Thank you.
    Having issues? Consult a doctor for medical advice