Syphilis in men

Syphilis is a sexually transmitted infection (STI) caused by the bacterium Treponema pallidum. In men, the infection often first develops at the site where the bacterium entered the body. Without treatment, syphilis can progress and eventually cause severe health problems.

Since the initial symptoms are not always recognized and sometimes disappear on their own, it is important to get tested if you have been at risk. Timely treatment usually prevents the infection from progressing further.

What is syphilis?

Syphilis is a bacterial STI transmitted through direct sexual contact with an infected person. The bacterium usually enters the body through minor skin or mucous membrane abrasions.

After an infection, syphilis progresses through different stages. Initially, the symptoms are often limited, but without treatment, the infection can spread to other parts of the body.

Symptoms of syphilis in men

The first symptom is usually a painless sore at the site of infection.

This sore can appear on the:

• Penis.
• Glans.
• Foreskin.
• Anus.
• Mouth.
• Throat.

Since the sore is usually painless, it is not always noticed.

Symptoms in a later stage

If syphilis is not treated, new symptoms can arise several weeks or months later.

Common symptoms include:

• Skin rash.
• Fever.
• Fatigue.
• Swollen lymph nodes.
• Muscle and joint pain.
• Small bald patches on the head.

These symptoms may disappear on their own, but the bacterium remains present without treatment.

Can you have syphilis without symptoms?

Yes. Some men barely notice the first symptoms. Even after the symptoms disappear, this does not mean the infection is cured.

As a result, syphilis can remain undetected for a longer period.

When should you get tested?

A syphilis test is recommended when:

• You have had unprotected sex.
• A sexual partner has tested positive for syphilis.
• You have a painless sore on or around the penis, anus, or mouth.
• You develop an unexplained skin rash.
• You have had multiple sexual partners.

Even without symptoms, a test is advisable if you have been at risk.

How is syphilis tested in men?

Syphilis is usually diagnosed with a blood test. If an active sore is present, additional examination may be performed.

The laboratory examines the blood for antibodies against the bacterium that causes syphilis.

How is the treatment conducted?

If syphilis is diagnosed, treatment with antibiotics follows. The sooner the treatment starts, the lower the risk of complications.

It is also important to inform recent sexual partners so that they can also get tested.

Complications of untreated syphilis

Without treatment, syphilis can progress and cause damage to various organs.

Possible consequences include:

• Damage to the nervous system.
• Cardiovascular problems.
• Brain abnormalities.
• Vision problems.
• Damage to other organs.

These serious complications are less common today because syphilis is usually detected in time.

Can you get re-infected?

Yes. A previous syphilis infection does not provide lasting protection.

Even after successful treatment, you can get re-infected if you come into contact with the bacterium again.

Frequently asked questions about syphilis in men

What is the first symptom of syphilis in men?

Usually, a painless sore first appears on the penis, anus, or mouth.

Can you have syphilis without symptoms?

Yes. Not every man notices the first symptoms.

Is syphilis dangerous?

Without treatment, syphilis can cause serious damage. With timely treatment, complications can usually be prevented.

Can the sore disappear on its own?

Yes. The sore can disappear, but the infection remains present without treatment.

Can I get syphilis again?

Yes. A previous infection does not protect against a new infection.

Are you in doubt? Get tested

Syphilis is treatable if the infection is detected in time. Have you been at risk or do you recognize any of the mentioned symptoms? Then a syphilis test is the best way to get quick clarity and prevent serious complications.