More Knowledge About Symptoms Of Syphilis

Syphilis is a sexually transmitted infection caused by Treponema pallidum – a specific type of bacteria called a spirochete. Syphilisis characterized by four stages: primary, secondary, latent, and tertiary.

After becoming infected with syphilis, there is an incubation period between of 9 to 90 days (the average being around 21 days) before the first signs and symptoms of the disease appear. Each stage of syphilis has characteristic signs and symptoms but any particular sign or symptom of may or may not be present.

Syphilis develops in four stages, each with a different set of symptoms.

Primary stage

During the primary stage of syphilis, a sore (chancre) that is usually painless develops at the site where the bacteria entered the body. This commonly occurs within 3 weeks of exposure but can range from 10 to 90 days. A person is highly contagious during the primary stage.

In men, a chancre often appears in the genital area, usually (but not always) on the penis. These sores are often painless.

In women, chancres can develop on the outer genitals or on the inner part of the vagina. A chancre may go unnoticed if it occurs inside the vagina or at the opening to the uterus (cervix). The sores are usually painless and are not easily seen.

Swelling of the lymph nodes may occur near the area of the chancre.

A chancre may also occur in an area of the body other than the genitals.

The chancre lasts for 28 to 42 days, heals without treatment, and may leave a thin scar. But just because the chancre has healed does not mean the syphilis is cured or that a person cannot pass the infection to others.

Secondary syphilis is characterized by a rash that appears from 4 to 10 weeks after the chancre develops and sometimes before it heals. Other symptoms may also occur, indicating that the infection has spread throughout the body. A person is highly contagious during the secondary stage.

A rash often develops over the body and commonly includes the palms of the hands and the soles of the feet.

The rash usually consists of reddish brown, small, solid, flat or raised skin sores that are less. But the rash may look like other more common skin problems.

Small, open sores may be present on mucous membranes. The sores may contain pus. Or moist sores that look like warts (called condyloma lata) may be present.

When syphilis has spread throughout the body, the person may have :

A fever of usually less than 101°F (38.3°C). A sore throat. A vague feeling of weakness or discomfort throughout the body.

Weight loss. Patchy hair loss, especially in the eyebrows, eyelashes, and scalp hair. Swelling of the lymph nodes.

Nervous system symptoms of secondary syphilis, which can cause headaches, stiff neck, vision or hearing problems, irritability, paralysis, unequal reflexes, and irregular (different-sized) pupils.

Tertiary (late) stage

This is the most destructive stage of syphilis. If untreated, the tertiary stage may begin as early as 1 year after infection or at any time during a person's lifetime. A person with syphilis may never experience this stage of the illness.

During this stage, syphilis may cause serious blood vessel and heart problems, mental disorders, blindness, nerve system problems, and even death. The symptoms of tertiary (late) syphilis depend on the complications that develop. Complications of this stage include:

Gummata, which are large sores inside the body or on the skin. Cardiovascular syphilis, which affects the heart and blood vessels. Neurosyphilis, which affects the brain or the lining that covers the brain. Congenital syphilis

Congenital syphilis refers to syphilis passed from a mother to her baby during pregnancy or during labor and delivery.  Preventive Services Task Force strongly recommend that all pregnant women be screened for syphilis because of the severe consequences of being pregnant while infected or having a child born with congenital syphilis. Screening should be done:3, 4

At the first prenatal visit for all pregnant women.

At the beginning of the third trimester of pregnancy and again at delivery for women who are at high risk of acquiring syphilis.

Congenital syphilis increases the risk of fetal death and medical complications in newborns. 

Syphilis enters the fetal blood system through the placenta, causing infection of the newborn or death of the fetus. Symptoms of congenital syphilis include:

A highly contagious watery discharge from the nose ("snuffles"). Painful inflammation of the bone coverings. Contagious rash that frequently appears over the palms of the hands and soles of the feet. Reduced red blood cells in the blood (anemia). Enlarged liver and spleen.

Swelling of the lymph nodes. Failure to grow and develop normally (failure to thrive).

Because there are other conditions with similar symptoms, an accurate diagnosis is important for treatment.

If untreated, an infected person will progress to the latent (hidden) stage of syphilis. The latent stage is defined as the year after a person becomes infected. After the secondary-stage rash goes away, the person will not have any symptoms for a time (latent period). The latent period may be as brief as 1 year or range from 5 to 20 years.

Often during this stage, an accurate diagnosis can only be made through blood testing, the person's history, or the birth of a child with congenital syphilis.

A person is contagious during the early part of the latent stage and may be contagious during the latent period when no symptoms are present.

About 20% to 30% of people with syphilis have a relapse of the disease during its latent stage.2 A relapse means the person was symptom-free but then started having symptoms again. Relapses can occur several times.

When relapses no longer occur, a person is not contagious through contact. But a woman in the latent stage of syphilis may still pass the disease to her unborn baby and may have a miscarriage or a stillbirth or give birth to a baby infected with congenital syphilis.

Human Papilloma Virus (HPV)

Human papillomavirus or HPV, is the name for a group of viruses that includes more than 100 types. More than 40 types of HPV can be passed through sexual contact.

The types of HPV that infect the genital area are called genital HPV. Over half of sexually active people will have HPV at some point in their lives. But most people never know it. This is because HPV most often has no symptoms and goes away on its own.

HPV is passed on through genital contact, most often during vaginal and anal sex. HPV may also be passed on during oral sex and genital-to-genital contact. HPV can be passed on between straight and same-sex partners—even when the infected partner has no signs or symptoms.

A person can have HPV even if years have passed since he or she had sexual contact with an infected person. Most infected persons do not realize they are infected or that they are passing the virus on to a sex partner. It is also possible to get more than one type of HPV. Very rarely, a pregnant woman with genital HPV can pass HPV to her baby during delivery. In these cases, the child can develop Recurrent Respiratory Papillomatosis (RRP), a rare condition in which warts grow in the throat. In children, this is also referred to as juvenile-onset Recurrent Respiratory Papillomatosis (JORRP).

It is important to remember that most women with high risk HPV don’t develop cervical cancer. We know from research that other factors affect whether you develop a cancer, such as how well your immune system is working or whether you smoke. Women who smoke and have a high risk type of HPV infection are more likely to go on to get cervical cancer.

People with low immunity also have an increased risk of cervical cancer. Your immunity may be low because you take certain medicines for another condition, or because you have an illness that affects your immunity, such as HIV or AIDS. If you have low immunity, it is particularly important to have regular cervical screening.

Most women who have HPV infections never know it. This is one reason why you need regular Pap tests. A Pap test is when a cell sample is taken from your cervix and looked at with a microscope. A Pap test can find changes on the cervix caused by HPV. To do a Pap test, your doctor will use a small brush to take cells from your cervix. It’s simple, fast, and the best way to find out if your cervix is healthy.

Many women worry about becoming infected with HPV again after they have had treatment for abnormal cervical cells. Viruses are difficult to treat and your body gets rid of them by developing immunity to them. This may take from a few months to a few years.

Some women worry about whether their partner has the virus and could reinfect them. Men aren’t routinely tested for HPV because the only way for a man to find out if he has the virus is to have several biopsies. Even then, a negative result only means that HPV wasn’t found on those biopsies and not necessarily that he doesn’t have HPV at all. Our bodies clear the virus. So, even if a man has the virus when he is test, his immune system may get rid of it before the test result comes back.

Some types of HPV can increase your risk of developing cancers in other parts of the body, not just the cervix. Not everyone with these types of HPV will go on to develop cancer. These cancers are rare and other factors are necessary before cancer will develop.  Correct usage of latex condoms greatly reduces, but does not eliminate, the risk of catching or spreading HPV. A vaccine can protect against several types of HPV, including some that can cause cancer.

In our modern world we need modern solutions to stay safe. Whether for regular self screening or for testing a potential partner for STDs, a fast and accurate test that can be used in the privacy of your home is the solution for safety and peace of mind.

We offer STD tests for HIV using urine, saliva, or blood, and offer a full range of STD testing kits including Chlamydia, Herpes, hpv genital warts, Syphylis. We also carry infectious diseases tests such as Hepatitis B and C, Cytomegalovirus, Rubella, Toxoplasmosis, Trichomas and Vaginal Candiasis.

For women we highly recommend our HPV genital warts test as some forms of HPV can develop into cervical cancer.

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Chlamydia, pregnancy and the newborn

Men and women can both be affected by Chlamydia, but symptoms of the infection are not always present. In fact, up to 75% of women and 50% of men experience no symptoms of Chlamydia. Because Chlamydia can easily be passed to your newborn, causing illness and possible tissue damage, it is important to get tested if you are experiencing any Chlamydia symptoms or are pregnant.

A baby who is exposed to C. trachomatis in the birth canal during delivery may develop an eye infection or pneumonia.

Symptoms of conjunctivitis, which include discharge and swollen eyelids, usually develop within the first 10 days of life.

Symptoms of pneumonia, including a cough that gets steadily worse and congestion, most often develop within 3 to 6 weeks of birth. Health care providers can treat both conditions successfully with antibiotics. Because of these risks to the newborn, many providers recommend that all pregnant women get tested for chlamydia as part of their prenatal care.
(Reproduced from the National Institute of Allergy and Infectious Diseases)

If you are pregnant it is important to be tested, even if you are exhibiting none of the signs and symptoms of Chlamydia. Chlamydia has been linked with premature delivery resulting from the infection stimulating the rupture of your uterine membranes. Additionally, Chlamydia can cause your baby to have a low birth weight at birth. The infection can also be easily passed to your child during birth.