Can You Get Syphilis Even with Condom Use? the Risks - Urology

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Can you get syphilis even if you use a condom?


On Friday, feeling hopeless about life, I went to what is commonly referred to as a "Vietnamese shop" and received a full service.
I used a condom throughout the entire process and did not ejaculate; later, the provider helped me finish.
What is the likelihood of contracting syphilis in this situation? There was no oral sex or kissing involved.

Li, 20~29 year old female. Ask Date: 2019/08/11

Dr. Chen Jiansheng reply Urology


Fluid exchange and micro-wound are key points.

Reply Date: 2019/08/11

More Info


Yes, it is possible to contract syphilis even when using condoms, although the risk is significantly reduced. Condoms are effective in lowering the transmission of many sexually transmitted infections (STIs), including syphilis, but they do not provide complete protection. This is primarily because syphilis can be transmitted through skin-to-skin contact with an infected area that is not covered by the condom.

Syphilis is caused by the bacterium Treponema pallidum and is typically spread through direct contact with syphilis sores, which can occur on the genitals, anus, or mouth. If the infected person has sores in areas that are not covered by the condom, there is still a risk of transmission. Additionally, if the condom breaks or slips during intercourse, the risk of transmission increases.

In your case, since you mentioned that you used a condom throughout the encounter and there was no oral sex or kissing involved, the likelihood of contracting syphilis is lower, but not zero. The fact that ejaculation did not occur inside the condom further reduces the risk, but it is important to remember that syphilis can be present even in the absence of visible sores.

It is also worth noting that syphilis can sometimes be asymptomatic, meaning that an infected person may not show any signs or symptoms. Therefore, if you are concerned about potential exposure to syphilis or any other STIs, it is advisable to get tested. Testing is crucial because early detection and treatment can prevent complications associated with syphilis, such as damage to the heart, brain, and other organs.

In summary, while using a condom significantly reduces the risk of contracting syphilis, it does not eliminate it entirely. If you have any concerns about your sexual health or potential exposure to STIs, it is best to consult a healthcare professional for appropriate testing and guidance. Regular STI screenings are recommended for sexually active individuals, especially if you have multiple partners or engage in high-risk sexual behaviors.

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