Should You Get Tested Again for Syphilis After New Symptoms? - Urology

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Syphilis testing


It has been five months since my last sexual encounter, and I tested negative for HIV and syphilis at the hospital.
However, two months after the test, I noticed red spots on my body.
Should I get tested again? I'm feeling very anxious about this.

Jinzhang, 20~29 year old female. Ask Date: 2017/07/08

Dr. Du Shixi reply Urology


Hello: Yes, it's important to get tested for HIV as well.
Wishing you good health.
Please practice safe sex.

Reply Date: 2017/07/08

More Info


If you have experienced new symptoms such as red spots on your body after having tested negative for syphilis and HIV five months after your last sexual encounter, it is advisable to consult a healthcare professional for further evaluation. While your previous tests were negative, the emergence of new symptoms warrants a re-evaluation, as they could indicate a variety of conditions, including but not limited to a possible reinfection or an unrelated dermatological issue.

Syphilis is a sexually transmitted infection (STI) that can sometimes present with skin rashes or lesions, particularly in its secondary stage. This stage can occur weeks to months after the initial infection and is characterized by a rash that may appear on various parts of the body, including the trunk and extremities. Other symptoms may include fever, swollen lymph nodes, and sore throat. Given that you have developed new symptoms, it is important to rule out syphilis or any other STIs.

In addition to syphilis, other conditions could cause red spots on the skin, such as allergic reactions, infections, or even other STIs. For example, conditions like herpes or even non-STI-related skin issues such as eczema or psoriasis could present similarly. Therefore, a thorough examination by a healthcare provider is essential to determine the cause of your symptoms.

When you visit your healthcare provider, they may recommend a physical examination and possibly additional tests, including a repeat syphilis test and tests for other STIs. It is also important to discuss your sexual history and any other symptoms you may be experiencing, as this information can help guide the diagnosis.

In the meantime, try to remain calm and avoid jumping to conclusions about your health. Stress and anxiety can exacerbate physical symptoms, so it is important to take care of your mental well-being as well. If you are feeling particularly anxious about your symptoms, consider reaching out to a mental health professional for support.

In summary, given the new symptoms you are experiencing, it is prudent to seek medical advice and possibly undergo further testing. Early detection and treatment of STIs are crucial for effective management and to prevent complications. Remember that healthcare providers are there to help you, and addressing your concerns promptly is the best course of action.

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