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Diagnosed with syphilis at blood drive and treated with partner safe

Resolved Question:

how could someone have sphyilis and there partner not get it. and after treatment does it go away or will you still have it.

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 28 Doctors Online


Thank you for asking your query at DoctorSpring.

I assume the partners are monogamous here. There are few reasons why the partner need not get it always. Syphillis is not 100% infective. The infectivity can range from 40-70% as per different studies. That means one about one third even if in contact with a Syphillis infected person might not get the disease at all.

Another reason is the person might have contracted syphilis, but have not yet shown any manifestation externally. Another rare possibility is the person has already been exposed to syphilis in the past, so that he/she has some resistance to further infection.

I would like know what kind of clinical manifestations of the patient (symptoms) in order to comment on how well the treatment response will be. As you might be aware there are many stages for syphilis. Treatment response depends on the stage of the disease.

Hope this helps.
Thank you

Patient replied :

i didn't have any symptoms, i found out when we gave blood at a blood drive, and yes we are monogamous for over 2 1/2 years.and i already had treatment. about six months ago but i'm scared to have sex now.

Syphilis has excellent response to treatment. Under normal circumstances you would be rendered non-infectious once you complete the treatment. So there is NO reason at all to be scared to have sex. Moreover you do not have any ulcers and more over you had no symptoms – so probably you had a latent syphilis. This means you there is NO risk for transmission from you to your partner under normal circumstances. You can discuss about this with your Doctor.
Hope this helps
Please feel free to ask followup questions.

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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