Concerned About Syphilis After Kissing an Infected Ex: What to Do? - Urology

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When it comes to concerns about sexually transmitted infections (STIs) such as syphilis, especially after intimate contact with a partner who has been diagnosed, it's essential to understand the transmission routes and the appropriate steps to take for testing and peace of mind.

Transmission of Syphilis:
Syphilis is primarily transmitted through direct contact with syphilitic sores, which can occur during sexual activities, including oral sex. While kissing is generally considered a lower-risk activity for syphilis transmission, it is not entirely without risk, particularly if there are open sores or cuts in the mouth of either partner. If your ex-partner had visible sores or lesions in the oral cavity, there could be a risk of transmission through kissing, especially if there was any bleeding involved.

Your Situation:
You mentioned that you engaged in kissing with your ex-partner, who later tested positive for syphilis. Since you did not engage in penetrative sexual intercourse and only had oral contact where he performed oral sex on you, the risk of transmission is lower but not negligible. The fact that you have not exhibited any symptoms is a positive sign, but it does not rule out the possibility of infection, as syphilis can sometimes be asymptomatic in its early stages.

Testing Recommendations:
Given that you have been separated from your ex-partner for 26 days and have not engaged in any intimate contact since learning about his diagnosis, it is advisable to get tested for syphilis. The Centers for Disease Control and Prevention (CDC) recommends that individuals who have been exposed to syphilis get tested as soon as possible, and then again at 6 weeks and 3 months after exposure, as it can take time for the infection to show up in tests.

1. Initial Testing: You can go for a blood test now to check for syphilis. If the test is negative, it is still wise to follow up with another test in a few weeks to ensure that you have not contracted the infection.


2. Follow-Up Testing: If your initial test is negative, consider getting retested at the 6-week mark and again at the 3-month mark to confirm your status.

3. Consultation with a Healthcare Provider: It is also beneficial to discuss your concerns with a healthcare provider who can guide you on the appropriate tests and timing based on your specific situation.

Conclusion:
While the risk of contracting syphilis through kissing is lower compared to other forms of sexual contact, it is not impossible, especially if there were any open sores involved. Since your ex-partner has been diagnosed with syphilis, it is prudent to get tested for your peace of mind and to ensure your health. Remember, early detection and treatment are key in managing STIs effectively. If you have any further concerns or symptoms arise, do not hesitate to seek medical advice promptly.