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Sexual health

Syphilis

Syphilis is rising in Australia, including in women of reproductive age, and it can affect pregnancy. It is curable with penicillin, and it is included in standard blood testing.

Common symptoms

  • A painless sore (often unnoticed)
  • A rash, sometimes on palms and soles
  • Swollen glands, fever, tiredness
  • Often silent between stages

Useful to track

  • Any sore, where and when
  • Rash photos and dates
  • Test dates and results

Tests and conversations that may be relevant

  • Blood test (serology) — included in most Australian sexual health screens
  • Swab of any sore
  • Testing in every pregnancy

When to see a GP or specialist

  • Any new sore or unexplained rash
  • A partner diagnosed
  • Pregnancy or planning pregnancy

Urgent warning signs

  • New vision changes, hearing loss, severe headache or neck stiffness

In Australia, call 000 or healthdirect on 1800 022 222.

Questions to take to a clinician

  • Was syphilis serology part of my blood test?
  • What do my titres mean?
  • What follow-up bloods do I need?

Related

eophi shares general information reviewed against Australian guidance. It never diagnoses. If something feels urgent, call 000 or healthdirect on 1800 022 222.