Syphilis infection, Urology FAQ

Understanding Syphilis Symptoms and Testing After First Sexual Encounter

First sexual intercourse? I have a question about syphilis. Is it possible to have a rash on the glans one week after exposure? Currently, I have a rash on the glans that is not painful or itchy, and I also have a rash on my lips that is not painful or itchy. Is this something th...

Dr. Liu Jiaju Reply:
You should visit a urology clinic for a physical examination by a physician to establish a differential diagnosis. Additionally, due to unsafe sexual practices, it is recommended to undergo sexually transmitted infection (STI) screening to rule out any risks, and to have regular ...

Can Long-Term Syphilis Infections Go Undetected in Blood Tests?

Late-stage syphilis follow-up? I would like to ask the doctor if it is possible that after being infected with syphilis and not getting tested for over ten or even twenty years, the PRP or VDRL tests might yield a negative result? I engaged in risky behavior around the age of 18,...

Dr. Xu Weikai Reply:
Hello, if you have tested negative multiple times, it is likely that you are not infected. If you still have concerns, various medical institutions in different counties and cities offer free anonymous STD screenings, which you can inquire about. If you have any doubts, you can v...

Can Oral Sex Lead to Syphilis Infection? Understanding the Risks

Can oral sex transmit syphilis? Hello, doctor: After engaging in oral sex with a stranger (without a condom), I noticed some small red spots on the skin near the glans and coronal sulcus (which were not present before, so it is possible that they were caused by oral sex). Is it p...

Dr. Li Yilun Reply:
Currently, you do not have any obvious symptoms of syphilis. However, it is important to note that a simple description cannot determine your condition. A thorough evaluation, including a medical history and physical examination, is necessary. It is recommended that you consult a...

Understanding Syphilis: Concerns, Transmission, and Treatment Explained

Questions about syphilis? I previously had symptoms that resembled primary syphilis (chancre) on my nipple, which caused me concern. I went to the hospital for a confidential check-up, and I have never engaged in any high-risk sexual behavior (always used condoms and never had un...

Dr. Xu Weikai Reply:
Anonymous: Hello. 1. Body fluids may be infectious, especially blood. Oral mucosal lesions may occur. 2. Two weeks of treatment? Generally, penicillin is recommended for three weeks for better efficacy. You can look for other hospitals that have applied for special permission to ...

Unexplained Chest Wound: Concerns About Possible Syphilis Infection

Unexplained chest wound? I have been regularly undergoing anonymous screenings every 1 to 2 months, with the last screening on June 13. The results were normal, and I have not engaged in any risky sexual behavior, always using condoms. On June 25, while showering, I suddenly disc...

Dr. Xu Weikai Reply:
Jack: Hello, I cannot make a judgment. After all, I am not an infectious disease specialist and have not seen a chancre. Note: Syphilis has a window period without testing; if there are any unclear points, feel free to ask again, and we can discuss and research further. Online re...

Can Individuals with Syphilis Work in the Food Industry?

Can a person with syphilis work in the food service industry? If a syphilis infection is detected, can a person still work in the food service industry? Although online information suggests that no testing proof is required, could having an open wound raise concerns about overall...

Dr. Li Yilun Reply:
Syphilis spirochetes require fresh bodily fluids for transmission, so it typically spreads through sexual contact, blood transfusions, or sharing needles. Food that has been properly cooked usually cannot transmit the infection, and there have been no reports of syphilis transmis...

Can You Get STDs from a Cut? Understanding Infection Risks

Transmission routes of sexually transmitted infections (STIs)? Hello Dr. Hsu: Recently, I helped a friend move, and while moving a wooden cabinet, I accidentally cut my right thigh on the sharp edge of a drawer. There is a noticeable red cut mark, and I feel a little bit of bleed...

Dr. Xu Weikai Reply:
Anonymous: Hello. 1. Unless the corners of the wooden cabinet are contaminated with the blood or secretions of individuals with HIV, syphilis, etc., these pathogens are unlikely to be present. However, other bacteria such as Staphylococcus, Clostridium tetani, and Escherichia col...

Understanding STD Testing and Window Periods: Your Questions Answered

Sexually Transmitted Diseases (STDs) Hello Doctor: I engaged in high-risk behavior (unprotected vaginal intercourse) on May 15. Later, I asked the girl, and she assured me that she had only been with me without a condom and that she gets tested every month with no issues. Therefo...

Dr. Xu Weikai Reply:
Hello, 1. Theoretically, syphilis or other sexually transmitted infections (STIs) can be ruled out. However, for HIV, it is generally recommended to retest after three months for more accurate results. If you are still concerned, testing again after one year will provide defini...

Understanding Syphilis Risks: A Guide for Gay Men and Safe Practices

Syphilis (1) Hello doctor, I am a gay man, and my partner was diagnosed with syphilis. He received treatment and has been cured. After several months, he was tested again, and the hospital reported that his syphilis levels were very low. I have had unprotected anal intercourse wi...

Dr. Yan Dawei Reply:
If syphilis infection is suspected, it is recommended to visit a urology clinic for further evaluation.

Understanding Syphilis: Key Precautions Beyond Sexual Activity

About Syphilis I have syphilis, and I would like to ask what other precautions I should take besides avoiding sexual intercourse. Is it true that bodily fluids include only semen and blood, or do sweat, saliva, and urine also count? I'm worried about affecting others. Can I ...

Dr. Yan Dawei Reply:
Syphilis infection must be treated. If you have any questions, please visit the urology clinic for consultation.

Understanding Asymptomatic Syphilis: What Positive Test Results Mean

Regarding asymptomatic syphilis with positive syphilis test results? I was found to have a positive reaction for syphilis during a blood donation, so I went to a major hospital for two follow-up tests related to syphilis two to three days later. I initially thought it might be a ...

Dr. Yan Dawei Reply:
Syphilis infection is treatable. As for the blood test results, you can consult a urologist or an infectious disease specialist for further examination and have the physician explain the findings.

Understanding Your Concerns: Syphilis and Genital Ulcers Explained

Extreme fear and anxiety? Hello, doctor. Recently, I discovered that I have four chancres near the coronal sulcus of my glans. They are not painful most of the time, but they do hurt when touched or pressed. They resemble volcanic craters, are circular in shape, have slight redne...

Dr. Liu Jianting Reply:
Is it that serious? The ulcers from syphilis are not painful, so it doesn't seem to be a syphilis infection. Perhaps it could be chancroid! However, you haven't had any sexual contact for a long time, so that's unlikely! Could it be herpes? Please visit a hospital ...

Common Urology Questions: Discomfort, Symptoms, and Testing Explained

There are still some questions bothering me? Thank you, Director Hsu, for your response. Unfortunately, I am in the northern part of Taiwan; otherwise, I would go to Taitung to see you. I have a few more questions to bother you with. 1. What is the clear fluid that is typically...

Dr. Xu Weikai Reply:
Dear Mr. Normal: It's nice to meet you again. Here are my responses to your questions: 1. During an erection, the penis and urethra may produce some clear secretions, similar to vaginal lubrication. This is normal and serves the purpose of lubrication. 2. The incubation pe...

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