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Syphilis Since 1999, Syphilis has significantly increased in the UK and is now a major challenge for public health. How is Syphilis passed on? Syphilis is passed on through: • • • • Unprotected vaginal, anal and oral sex Sharing sex toys if you don’t wash them or cover them with a new condom each time they are used Direct skin-to-skin contact with someone who has the sores or a rash From mother to baby during childbirth Symptoms This infection develops in 3 stages. In all three stages there may be no symptoms. Stages 1 and 2 are very infectious. First stage symptoms • Sores, usually painless, will appear where the bacteria entered the body. In women, sores are found mainly on the vulva, the clitoris, cervix, anus and the urethra. In men, sores appear around the opening of the urethra, on the penis and foreskin, and around the anus. • The sores in the first stage are very infectious and may take 2-6 weeks to heal. By this time, the bacteria will have spread to other areas of the body Second stage symptoms • • • • • A painless, non-itchy rash might appear that can spread all over the body or appear in patches, often on the palms of the hands and soles of the feet Flat, warty-looking growths on the vulva in women and around the anus in both men and women A flu-like illness White snail-like tracks on the tongue or roof of the mouth Patchy hair loss Third/latent stage symptoms • After many years there may be damage to the heart, brain, eyes, other internal organs, bones and nervous system, though this is rare in the UK Getting tested Testing for Syphilis is done through blood tests and by taking swabs from sores during an examination. People attending a sexual health clinic/GUM are routinely offered Syphilis tests. Pregnant mothers are also routinely tested for Syphilis as there are risks to a child born with an infected mother. Where to get tested Sexual Health Clinics • • • Manchester Centre for Sexual Health - 0161 276 5200 North Manchester General - 0161 918 4263 Withington Community Hospital - 0161 217 4939 Young People • Brook (under 19s) - 0161 237 3001 Lesbian, gay and bisexual • Lesbian and Gay Foundation (LGF) – 0845 3 30 30 30 Treatment • • • The first and second stages are treated using a single antibiotic injection, or a course of antibiotic injections or tablets Treatment for the first and second stages is very effective and as long as it is taken correctly, the infection will be completely cured The third stage of the infection can still be treated, but any damage already done to your body will be permanent. Left untreated, Syphilis can result in death but that would be a very rare occurrence in the UK these days Prevention To protect yourself and partners against Syphilis: • • • Use a condom for vaginal, anal and oral sex Use a dental dam or latex barrier for oral sex with a woman If you share sex toys, use a new condom or wash them before anyone else uses them For more information about sexually transmitted infections go to: www.nhs.uk This fact sheet has been produced by the Sexual Health and Harm Reduction Team. © Manchester Mental Health and Social Care Trust. September 2013.