Can You Have Unprotected Sex After Treating Syphilis Together? - Urology

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Both partners are infected with syphilis?


Hello doctor, I would like to ask if both my partner and I have contracted syphilis, and after regular follow-up visits and successful treatment, can we have unprotected sex?

Zai Zai, 20~29 year old female. Ask Date: 2020/11/28

Dr. Du Shixi reply Urology


Hello: The intervals between your regular check-ups will gradually extend.
Please ensure that your indices remain within a safe range.
I personally recommend avoiding unprotected sexual intercourse for at least two years.
Wishing you good health.

Reply Date: 2020/11/28

More Info


When it comes to sexually transmitted infections (STIs) like syphilis, the question of whether you can have unprotected sex after treatment is a nuanced one. Syphilis is caused by the bacterium Treponema pallidum, and while it can be effectively treated with antibiotics, particularly penicillin, the risk of transmission and the potential for reinfection must be carefully considered.

Firstly, it’s important to understand that treatment for syphilis can lead to the resolution of the infection, but it does not guarantee that you and your partner are completely free from the risk of transmission. After successful treatment, the body may still harbor antibodies that can be detected in blood tests, but this does not indicate an active infection. Regular follow-up testing is crucial to ensure that the infection has been fully cleared. Typically, healthcare providers recommend follow-up blood tests at 6 and 12 months after treatment to confirm that the RPR (Rapid Plasma Reagin) test remains negative.

If both you and your partner have been treated and have confirmed negative test results, the risk of transmitting syphilis is significantly reduced. However, it is essential to ensure that both partners are completely clear of the infection before engaging in unprotected sex. This is particularly important because syphilis can be asymptomatic in its early stages, meaning one partner might not show symptoms while still being infectious.

Moreover, even after treatment, there is a possibility of reinfection if either partner is exposed to syphilis again. This can happen if one partner has sexual contact with someone who has syphilis, even if they were previously treated. Therefore, maintaining open communication with your partner about sexual health and any potential exposures is vital.

In addition to syphilis, it’s also important to consider other STIs. If you and your partner are engaging in unprotected sex, you should both be tested for other STIs, including HIV, gonorrhea, chlamydia, and herpes, to ensure that you are both healthy. The presence of one STI can increase the risk of acquiring others, including HIV.

In summary, while it is possible to have unprotected sex after both partners have been treated for syphilis and have confirmed negative test results, it is crucial to ensure that both partners are completely clear of the infection and to continue regular health check-ups. Open communication, regular testing, and practicing safe sex can help prevent the transmission of syphilis and other STIs. If there are any doubts or concerns, consulting with a healthcare provider is always the best course of action.

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