Can Men Conceive After Syphilis Treatment? Key Questions Answered - Obstetrics and Gynecology

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Issues Regarding Male Syphilis Cure and Subsequent Fertility Planning


Hello, doctor.
I was diagnosed with syphilis two months ago and immediately received treatment.
My partner was not infected.
Recently, my RPR test has turned negative.
I have a few questions regarding male syphilis after testing negative: 1.
Can I start trying to conceive normally? 2.
Should I wait a little longer? 3.
If my partner becomes pregnant, should we inform the obstetrician? 4.
Will there be any special measures needed during pregnancy and delivery compared to other pregnant women? Thank you for your guidance!

Fei Si, 30~39 year old female. Ask Date: 2023/02/23

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, if both individuals test negative, they can proceed with trying to conceive, just like anyone else.
Wishing you good health!

Reply Date: 2023/02/23

More Info


Thank you for your questions regarding syphilis treatment and its implications for conception. It's great to hear that you've received treatment and that your RPR test has returned to negative. Let's address your questions one by one.

1. Can you conceive normally after syphilis treatment?
Yes, once you have completed your syphilis treatment and your RPR test is negative, you are generally considered to be cured of the infection. This means that you can conceive normally. Syphilis does not cause permanent damage to the reproductive system in men, so as long as you are healthy and your partner is not infected, you should be able to conceive without any issues.

2. Should you wait before trying to conceive?
While it is generally safe to try to conceive after your syphilis treatment and a negative test result, some healthcare providers recommend waiting a short period—often a few months—before attempting to conceive. This waiting period allows your body to fully recover and ensures that any potential lingering effects of the infection are resolved. It also provides time for any necessary follow-up testing to confirm that the infection has been completely cleared.

3. Do you need to inform your partner's obstetrician if she becomes pregnant?
Yes, it is important to inform your partner's obstetrician about your history of syphilis, even if you have been treated and your tests are negative. This is crucial because syphilis can have implications for pregnancy and fetal health if not properly managed. The obstetrician may want to monitor your partner closely and may recommend additional testing to ensure that she remains free of the infection throughout her pregnancy.

4. Will pregnancy and delivery require different measures due to your past syphilis infection?
Generally, if you have been treated successfully and your partner is not infected, her pregnancy should proceed normally without any special measures related to your past syphilis infection. However, if there are any concerns about potential reinfection or if your partner has any symptoms, her healthcare provider may recommend additional testing or monitoring. It is also essential for your partner to receive regular prenatal care to ensure a healthy pregnancy and delivery.

In summary, after successful treatment for syphilis and a negative test result, you can generally proceed with trying to conceive. However, it is wise to have open communication with your partner's healthcare provider regarding your medical history. Regular prenatal care will help ensure a healthy pregnancy for your partner and baby. If you have any further questions or concerns, don't hesitate to reach out to your healthcare provider for personalized advice.

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