Syphilis
is a sexually transmitted disease caused by a bacteria called
Treponema pallidum. It is spread by direct contact
with an infectious moist lesion usually through sexual intercourse.
Syphilis is also spread by blood and bodily fluids, the same
way as AIDS/HIV, so you can
get it from sharing needles with another person. Often people
who use I.V. drugs get HIV and syphilis at the same time.
Ask your partner if he or she has ever used I.V. drugs or
needles to inject steroids.
The highest
incidence of syphilis is in the 20 to 39 year old group, but
you can still get at any age. The disease progresses
through several stages: primary, secondary, latent, and sometimes
tertiary.
Symptoms
During
the PRIMARY stage, the main symptom is an open sore
called a chancre (pronounced SHANKG-ker), at the point of
contact. Primary syphilis is noticeable on men when the lesion
is on the penis or scrotum. In females chancres may develop
on the external genitals, but they are more common in the
vagina or cervix (so you can't see them). The chancre heals
within one to five weeks.
From six
to twenty-four weeks later, symptoms such as a skin rash,
fever, achy muscles and joints brings the person into the
SECONDARY stage. These symptoms also eventually disappear
(in about 4 to 12 weeks) and the disease is no longer contagious.
However, a blood test for syphilis will remain positive. This
'symptomless' period is called the LATENT stage. This is when
the bacteria invade the organs of the body.
When signs
of organ degeneration appear, the disease is said to be in
the TERTIARY phase. Tertiary syphilis can occur as
late as 20 years after the initial infection. When syphilis
does go into the symptomatic tertiary stage is becomes a very
serious medical condition. Lesions develop in the organs of
the body. The lesions grow in the liver, bone, brain, spinal
cord, and cardiovascular system. Central nervous system lesions
can cause blindness, partial paralysis, memory loss or even
make the person 'go crazy' -- dementia.
Untreated
syphilis can cause a pregnant woman to have a baby with birth
defects or often it will die while still in the uterus.
Incubation
Period
10 days
to 3 months, averaging about 3 weeks.
Getting
Tested
Syphilis
can only be detected by a blood test,
not by a culture or a pap smear! The blood test for syphilis
is inexpensive and often free at your local Department of Health. Your primary care health professional or gynecologist can test you for syphilis. It is still a required "premarital blood test" in many states in the USA.
FYI...
Sometimes the incubation period can delay the test's sensitivity,
so tests are usually repeated after 6 weeks when the initial
tests are negative and the health care provider suspects you
have syphilis.
Treatment
Syphilis can be treated and cured with antibiotics. The treatment of choice is penicillin, but if you are allergic to it you can be treated with other antibiotics instead. This disease requires a long course of antibiotic treatment. Sexual partners should always be tested and sometimes treated even if they show no signs of infection. As you can see, syphilis is an STD to be taken seriously.