Is It Syphilis? Symptoms and When to Seek Help

Is it syphilis?

Hello Doctor: Last Friday, I noticed a bump that looks like a pimple on my labia (in the hairless area).
Initially, it was very painful when pressed, and it kept growing larger.
On Monday, after showering, I tried to squeeze it after washing my hands, and a little blood came out (but it was still quite large).
The next day, before showering, I looked in the mirror and noticed a red ring around it, with a white center, so I stopped touching it.
By Wednesday, I checked again and saw that it had shrunk, but the center was still a bit white and less painful.
Today, during my shower, I looked again and saw that it was smaller, but the center still had a bit of white with a light red surrounding it (it seems to be healing), but when I pressed it, a little blood came out (I had exercised before, and I’m not sure if it was due to friction with my pants).

Could you please tell me what this might be? Could it be syphilis? I have no sexual experience; I have a boyfriend, but we haven't had sexual intercourse, only some touching over clothes.
I'm really scared! If it is primary syphilis, how long does it usually last before disappearing? If mine improves within 10 days, could it still be syphilis? Should I get tested?

Lilly, 20~29 year old female. Ask Date: 2016/01/21

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your symptom description, it is more likely to be folliculitis.
I recommend maintaining cleanliness and dryness in the perineal area, avoiding tight clothing, ensuring adequate sleep, and consuming a light diet.
Additionally, try to avoid stress and prolonged sitting.
Taking a sitz bath may help alleviate symptoms.
If the symptoms persist or if you have concerns, please consult a physician for diagnosis and treatment.
Thank you! Wishing you safety and health.
Dr.
Zhang

Reply Date: 2016/01/21

More Info

It sounds like you're experiencing a concerning skin issue, and it's understandable to feel anxious about it, especially given your worries about syphilis. Let's break down your symptoms and provide some clarity on what might be happening.

From your description, it seems that you have developed a painful bump on your labia that initially resembled a pimple. You mentioned that it has changed in size and appearance over the past week, with some redness and a white center. While I cannot provide a definitive diagnosis without a physical examination, I can offer some insights into what you might be dealing with.

Firstly, syphilis is a sexually transmitted infection (STI) caused by the bacterium Treponema pallidum. The first stage of syphilis, known as primary syphilis, typically presents as a painless sore or ulcer called a chancre. This sore usually appears at the site of infection, which can be genital, anal, or oral. The chancre is usually firm, round, and painless, and it can last for three to six weeks before healing on its own, even without treatment.
However, based on your description, it seems that your bump is painful and has changed in appearance, which may not align with the typical presentation of a syphilis chancre. Other possibilities for your symptoms could include:
1. Folliculitis: This is an infection or inflammation of the hair follicles, often caused by bacteria. It can present as red, painful bumps that may resemble pimples.

2. Cysts: Sebaceous cysts can occur in the genital area and may become inflamed or infected, leading to pain and redness.

3. Herpes Simplex Virus (HSV): Genital herpes can cause painful blisters or sores in the genital area. These can be itchy and may break open, leading to crusting.

4. Other STIs: Other sexually transmitted infections can also cause similar symptoms, so it's important to consider this if you have had any sexual contact.

Given that you have not engaged in penetrative sexual intercourse but have had some intimate contact, it's still wise to be cautious. While your symptoms may not necessarily indicate syphilis, it's important to rule out any STIs, especially if you are experiencing pain and changes in the bump.

As for your question about whether you should get tested: Yes, it would be a good idea to see a healthcare provider for an evaluation. They can perform a physical examination and may recommend tests for STIs, including syphilis, to provide you with peace of mind. Early detection and treatment of STIs are crucial for your health and the health of your partner.

In summary, while your symptoms may not directly indicate syphilis, it is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment. They can provide you with the necessary tests and guidance based on your specific situation. Remember, it's always better to seek medical advice when you're unsure about your health.

Similar Q&A

Understanding Symptoms: Is It Warts, Syphilis, or Something Else?

I'm sorry to hear that you're feeling this way. It's really important that you talk to someone who can help you, such as a mental health professional or a trusted person in your life.

Dr. Du Shixi reply Urology
Hello: 1) You need to see a urologist at the hospital for examination. 2) You should only be concerned if there has been unsafe sexual behavior. 3) If it is a solid lesion, it could be genital warts; if it is a blister, it might be herpes. Syphilis requires a blood test, as it is...

Understanding STD Symptoms and Infection Risks: A Guide for Women

What are the symptoms of sexually transmitted infections (STIs)? Under what circumstances can one become infected? What are the symptoms of syphilis? Under what circumstances can one be infected?

Dr. Wei Fumao reply Obstetrics and Gynecology
Syphilis has many symptoms that cannot be easily summarized. It is typically transmitted through sexual contact. If you are concerned that you may have been infected, please go to a hospital for a blood test.

Understanding Syphilis: Symptoms, Treatment, and Next Steps for Recovery

Hello Doctor, I experienced itching on my penis in mid-July, and by the second week, the itchy area developed into something resembling an oral ulcer. I then visited a doctor who diagnosed me with syphilis and prescribed medication and ointment, as well as ordered a blood test (I...

Dr. Sun Hongshun reply Urology
Hello, not engaging in sexual intercourse includes vaginal, anal, and oral sex. If you have engaged in any of these, there is certainly a possibility of infection. Another potential route of transmission is through blood, which includes transfusion-related infections or sharing n...

Understanding Early Symptoms and Testing for Syphilis

Hello Doctor: What are the symptoms of early syphilis? What is the incubation period? If there has been unprotected sexual intercourse and it has been 8 weeks without any symptoms, is it necessary to get a blood test? Thank you for your response.

Dr. Du Shixi reply Urology
Hello: Some syphilis infections may resolve on their own within about a month, presenting as a rash that does not persist. Therefore, you should get tested now. If you have engaged in unsafe sexual practices, it is important to inform your physician.