Oral Lesions in Syphilis: Pain and Concerns

Q: Oral Lesions in Syphilis: Pain and Concerns

Hello： Based on personal experience, oral lesions are often difficult to be painless. <br>Lesions from syphilis in the genital area can present as a chancre, which is typically a hard, painless, and non-itchy ulcer. <br>Wishing you good health.

Regarding oral lesions in syphilis?

Hello Dr.
Du: I would like to ask if oral lesions from syphilis are painful.
I recently had an encounter with a sex worker, during which I had unprotected oral sex and protected vaginal intercourse, so I am particularly concerned about the unprotected oral sex part.
Thank you.

kk, 20~29 year old female. Ask Date: 2022/11/24

Dr. Du Shixi reply Urology

Hello: Based on personal experience, oral lesions are often difficult to be painless.
Lesions from syphilis in the genital area can present as a chancre, which is typically a hard, painless, and non-itchy ulcer.
Wishing you good health.

Reply Date: 2022/11/24

More Info

Hello! Thank you for your question regarding oral lesions associated with syphilis and their potential pain.
Syphilis is a sexually transmitted infection caused by the bacterium Treponema pallidum. It progresses through several stages, and oral manifestations can occur, particularly during the secondary stage of the disease. In this stage, individuals may develop mucous membrane lesions known as mucous membrane pemphigoid or "snail track" ulcers, which can appear in the mouth. These lesions can be painful, and they may present as sores or ulcers on the tongue, gums, or other areas of the oral cavity.

The pain associated with these lesions can vary from person to person. Some individuals may experience significant discomfort, while others may have mild symptoms or none at all. The presence of pain can depend on various factors, including the extent of the lesions, the individual's pain threshold, and any concurrent oral health issues.

Given your recent sexual encounters, particularly the unprotected oral sex, it is understandable to be concerned about the risk of syphilis and other sexually transmitted infections (STIs). The risk of transmission through oral sex is lower compared to vaginal or anal sex, but it is still possible, especially if there are any sores or lesions present in the mouth or on the genitalia of either partner.

If you are experiencing any unusual symptoms in your mouth, such as sores, pain, or swelling, it is essential to seek medical attention promptly. A healthcare provider can perform a thorough examination and may recommend testing for syphilis and other STIs. Early detection and treatment of syphilis are crucial, as the infection can lead to serious health complications if left untreated.

In addition to syphilis, other conditions can cause oral lesions and pain, including herpes simplex virus infections, aphthous ulcers, and other systemic diseases. Therefore, a comprehensive evaluation is necessary to determine the underlying cause of your symptoms.

If you are diagnosed with syphilis, the good news is that it is treatable with antibiotics, typically penicillin. Early treatment can prevent the progression of the disease and reduce the risk of transmission to others.

In summary, oral lesions associated with syphilis can indeed be painful, and it is important to monitor any symptoms you may have. Given your recent sexual activity, it would be wise to consult a healthcare professional for appropriate testing and evaluation. Taking proactive steps in your sexual health can help ensure your well-being and that of your partners. If you have any further questions or concerns, please feel free to ask. Stay safe and take care!

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