What does a syphilitic rash look like? Consequences of syphilis Positive test for syphilis after 20 years

Good afternoon dear! I was 35 years old 10 years ago, I contracted syphilis, underwent inpatient treatment (they gave injections for a month). I have healthy family and a child, but the tests are still "positive". At every opportunity, doctors say that I have RV. I have to explain that it was a long time ago. All this is very unpleasant. So the question is, is it possible to remove syphilis from the blood, i.e., so that when they are tested, they are negative?

ANSWERED: 06/16/2017

Hello, thanks for the question. Antibodies about the transferred syphilis remain in the blood. YOU KNOW ABOUT IT THAT YOU WERE TREATED.

clarifying question

Clarifying question 17.06.2017 Andrey, Moscow

Thanks for the answer. That is, when taking tests, even after 20 years, will the factor be positive? Is it possible to do something that the analyzes were denied

ANSWERED: 06/17/2017

Hello, thanks for the question. We cannot influence the presence of antibodies in the blood, their production, or immunity.

clarifying question

Clarifying question 19.06.2017 Andrey, Moscow

You are not answering the question. Does the positive factor remain in the blood forever or not?

ANSWERED: 06/19/2017

Hello, yes, every time there will be antibodies that indicate a past illness.

clarifying question

the date	Question	Status
29.04.2018	Good afternoon dear! I was 35 years old 10 years ago, I contracted syphilis, underwent inpatient treatment (they gave injections for a month). I have a healthy family and a child, but the tests are still "positive". At every opportunity, doctors say that I have RV. I have to explain that it was a long time ago. All this is very unpleasant. I went to the doctor, he sent for an extended analysis. The analysis showed a titre of RPHA 160, the doctor prescribed injections of 10 pieces of rocephen, after six months the analysis of RPHA became 1: 320 So the question is, can it be removed from the blood ...
24.01.2017	Good afternoon! I have this situation: In 2005, early latent syphilis was revealed. All analyzes are sharply positive. РВ 4+ and even with high credits. Treatment of procaine penets. 20 injections. The credits dropped, but it was still 4+. After 1.5 years, add. Ceftriaxone treatment 14 injections. Immediately went shift 2+. And this is where MP 2+, IG 12 KP stopped. Then the pregnancy is already 3+, IG G KP 9.5. Professional treatment was not prescribed. She gave birth in 2009. The blood was taken from a finger for the amount of antibodies by the ELISA express method at 3 and 6 months. ...
26.08.2015	Hello! Help me please. In 2011, I was diagnosed with syphilis, I underwent a full course of specific treatment in the hospital with pinecillin. And after that, the analysis does not improve in any way, the titer does not decrease as it should. In 2013, she underwent repeated treatment with ceftriaxone, but the treatment had to be interrupted due to an allergic reaction to the drug, 10 injections out of 20 were given. Then the titer dropped a little, and my doctor told me to come back for another blood test in six months. (My partner has self...
02.07.2015	Hello! In 2010, she contracted syphilis. Has passed or has taken place course of treatment. Analyzes were good after treatment. Doctors did not remove from the register, they were waiting for even better results. In 2014, she became pregnant, RPR blood tests were negative, and RPGA seemed to be two crosses. No profiling was performed. Now the child is 8 months old. There are no external signs, it is developing well. Is it possible that a child will have congenital syphilis?
11.08.2015	In 2006, I was accidentally diagnosed with syphilis. Put an early hidden form. Treated with penicillin. She was registered with the KVD for 3 years. During this time, she regularly visited the doctor once a quarter and donated blood. But the blood was not recovering well, I don’t understand the names of the tests well, I still remember the titers 1: 16 in 2008. In 2008, on the advice of a doctor, I underwent repeated treatment in the KVD hospital with penicillin and with physiotherapy. In 2009, it was deregistered, but the credits were kept 1: 4 if I'm not mistaken. In 2012, zab...

How to understand that you have cured syphilis?

The effectiveness of the treatment process for syphilis depends on many indicators. The main thing is to detect signs of the disease in time. On the early stages it is necessary to competently start antibiotic treatment in stationary conditions under the absolute supervision of a specialist. Manifestations of the disease can be, therefore it is very difficult to determine the degree of elimination of its symptoms.

A person with a history of syphilis can be deregistered at the dispensary, given certain criteria for cure. The doctor determines them for each patient individually, taking into account the stage of the disease, the age of the patient, etc.

Criteria for recovery from treponema:

Completion of the full course of therapy according to the recommendations and under the supervision of a venereologist.
The results of specialist forecasts at all stages of the treatment process.
Accounting for the results of all serological blood tests in the course of treatment.
Absence of obvious symptoms of treponema during skin examination, ultrasound internal organs, blood tests.

With effective special treatment of syphilis, the absence of manifestations of the disease for 5 years, the patient can be considered completely cured. Preventive (warning) therapy can be called effective if the symptoms of the disease are not detected six months after it. Secondary syphilis requires a three-year observation of the patient in the dispensary. After treatment of syphilis in the later stages, it is necessary to observe 5 years.

Is it possible to recover completely from the disease?

Treatment of syphilis is a laborious process. In the initial stages of the disease, when disturbances in the functioning of the body are caused by treponema and its metabolic products, the disease is easily treated. In the later stages, in the foreground appear allergic reactions on the pathogen, it becomes problematic to treat syphilis.

After the discovery of penicillin, a complete recovery from the disease became possible. But for each patient, an individual course of treatment is selected. Syphilis in the initial stages can be cured in 2-3 months. In advanced stages, therapy can take up to 2 years. The venereologist must take into account all the variety of factors possible complications. Based on them, he determines the treatment regimen. Syphilis is a serious infection, but with early diagnosis of the disease and proper therapy, today it is completely cured in stages 1 and 2.

Penicillin is usually prescribed in a strict concentration. The number of injections and dosage of the antibiotic varies depending on the manifestations of the disease and its stage.

For a complete cure, it is assumed:

with primary syphilis - 1 injection per week;
in the secondary - 2 injections;
in the tertiary - 3 injections;
with neurosyphilis - 6 injections weekly.

If syphilis is found in pregnant women at stages 1-2, it is cured without harming the fetus. All medicines, penetrating the placenta, will affect the child. This is better than treating a child with congenital treponema. If the disease has affected the internal organs of a woman, the pregnancy will have to be terminated, despite the term.

No one can guarantee himself getting rid of syphilis for life. In case of re-infection, treatment will have to be repeated.

Possible consequences of treated syphilis

Even after successful and timely treatment, the consequences of the disease may appear. This largely depends on the stage at which the disease is cured. It is very difficult to predict the consequences. Spirochetes can infect human body various organs and systems, causing the development of heart disease, meningitis, neuritis, pupil anomalies and other serious disorders.

Usually, the consequences of treated syphilis are a decrease in immunity, disruption of the endocrine system, and chromosomal damage. A trace reaction may remain in the blood until the end of life.

The action of spirochetes can affect the musculoskeletal system. Osteoarthritis, arthrosis arthritis appear, limb movements are limited. Once in the cartilage, spirochetes actively develop, causing tissue decay, degenerative processes in them.

When infected with syphilis during pregnancy, its consequences can affect the child. Through the placenta, treponema can enter his body. After birth, the child is given preventive treatment even without visible signs of the disease. If for 5 years after the mother suffered syphilis, the child does not have its manifestations, he is recognized as healthy.

The consequences of therapy for syphilis are most reflected in the liver. It is negatively affected by both pale treponema and the antibiotic that kills it. Prolonged use of drugs for syphilis can provoke yellow liver atrophy. If the treatment of the underlying and concomitant diseases is not started in time, irreversible consequences will follow, up to death.

Prevention of infection with syphilis

It can happen not only during sexual contact, but also in the household way, during injections or blood transfusions. To protect yourself from the disease, certain preventive measures are necessary.

To minimize the possibility of sexual transmission, you must:

Use a condom during intercourse;
Avoid promiscuity, frequent change of partners;
With a high likelihood of infection after unprotected act treat the genitals with antiseptics (cidipol, miramistin) no later than 2 hours after contact.

You can get infected by household means through things that have come into contact with the mucous membranes of a sick person. To prevent infection, everyone should have separate dishes and hygiene items. If contact (sexual or domestic) with a sick person has occurred, preventive therapy is carried out no later than 2 months after that.

In order not to become infected in medical institutions (through dental instruments, vaginal mirrors, etc.), they must be carefully processed, and, if possible, it is better to use disposable devices. Medical personnel must use medical gloves to protect themselves from infection. Hands must be disinfected after each patient examination.

During the period of bearing a child, women 3 times conduct serological tests to detect syphilis. If it is found that the pregnant woman is ill, she is immediately prescribed treatment to reduce the risk of the child's illness.

Syphilis is a disease that long time may not appear. may start early. This is fraught with serious consequences. Therefore, it is important to conduct regular examinations, adhere to the elementary rules of protection against the disease. There is no immunity from treponema, so after a full recovery, you can get infected again.

We also suggest you watch a video on how to cure syphilis in men:

One of the most dangerous diseases from the STD group is syphilis. There are tens of thousands of patients in the world, most of whom are young people under the age of 40. Due to the easy transmission of the pathogen in various ways and the development of dangerous complications (paralysis, dorsal tabes) this problem very relevant.

Definition and types of disease

Syphilis is an infectious, slowly progressive sexually transmitted disease caused by pale treponema.

Infection of sexual partners entails criminal liability. This disease affects mainly the sexually active part of the population. This is due to unprotected sex.

The following types of syphilis are known:

primary;
tertiary;
early, latent and late neurosyphilis;
congenital.

The peculiarity of the disease is that it can last for decades, slowly destroying tissues. With this pathology, the skin, mucous membranes, lymphatic, nervous systems, as well as many organs are involved in the process.

Risk factors for developing the disease

Syphilis in women and men occurs after pale treponema enters the body. All people are highly susceptible to this infection. The main mechanisms of disease transmission are:

contact;
blood contact;
artificial;
vertical.

The transmission of treponemas is carried out by sexual, transfusion, injection and indirect household ways. In 95-98% of cases, infection occurs during unprotected sex. The causative agent can be present in various biological secrets. Treponema transmission factors are seminal fluid, blood, sputum, saliva, hands, syringes, razors, medical instruments and wet household items.

Risk factors for developing the disease are:

The causative agent of the disease is Treponema pallidum. These are small spiral-shaped microorganisms. Treponema can persist for several days on wet objects and at low temperatures. environment. These microorganisms are sensitive to high temperature, acids, alkalis and disinfectants. Many modern antibiotics do not work on treponema.

The first stage of the disease

At an early stage of syphilis, the signs are poorly expressed. Asymptomatic (varies from 8 to 100 days. Most often, the first complaints appear 3-4 weeks after infection. The main ones are hard chancre and swollen lymph nodes.

A typical hard chancre is localized most often in the genital area. In women, the labia, cervix and vagina are involved in the process, and in men, the glans penis and foreskin. Chancre often occurs on the oral mucosa, in the abdomen and anus. Primary syphiloma is represented by a round red erosion. The classic chancre is painless and is about 1 cm in diameter.

This formation has raised edges and a saucer-shaped shape. In most patients, the chancre is solitary. In weakened people, there may be several erosions. A feature of the chancre is the presence of a seal at the base. After 3-4 weeks, it disappears without leaving scars.

Atypical forms of syphilomas can occur in men and women. Sometimes there is an indurative edema. It is localized in the region of the lower lip, foreskin or . This seal is pink. In some cases, chancre-amygdalite appears with syphilis. The amygdala is involved in the process. The defeat is one-sided. At given state fever, sore throat and general malaise appear.

To atypical forms primary syphilis includes chancroid panaritium. It inflames the nail bed. The person's finger swells, turns blue, and becomes painful. Healing is slow. This venereal disease at an early stage leads to an increase in regional lymph nodes. They become dense, but pain and inflammation are absent.

The second period of the disease

Following the primary syphilis, a secondary one develops. It drags on for 3-5 years and manifests itself 3 months after infection. At the very beginning of primary syphilis, malaise, muscle and joint pain, headache and an increase in body temperature. The main symptom of this period is a polymorphic rash.

For some time, a hard chancre may persist, which gradually disappears. After him, secondary syphilides appear. They are roseolous, papular, miliary, seborrheic, pigmented and pustular. Most often, roseola occurs on the body. These are spots of pale pink color, which are localized mainly on the lateral surfaces of the body.

The elements of the rash do not exceed 1 cm in diameter. The limbs and trunk are involved in the process. Rashes appear within a week in small groups of 10-12 pieces. When pressed on the skin, the stain disappears. Some patients have specific roseola (raised and scaly).

The disease may present with papular exanthema. Papules are nodules that rise above the skin. They rarely exceed 5 mm in diameter. A typical sign of rashes in secondary syphilis is peeling of papules along the periphery. These rashes disappear, leaving behind areas of hyperpigmentation. In some cases, coin-like, weeping, psoriasiform and seborrheic papular syphilides are detected.

Regardless of the route of transmission of the pathogen, round-shaped white spots may appear on the human body. Most often they are localized on the neck. Much less often with secondary syphilis, pustules (pustules) are formed. These are inflammatory elements of the rash containing pus. They leave behind sores and scars.

Along with the skin, secondary syphilis affects the mucous membranes and internal organs. Develop, pharyngitis, lymphadenitis, alopecia (baldness), meningitis, gastritis and dyskinesia. Patients become irritable. Already during this period, the central nervous system can be affected. This indicates the development of neurosyphilis.

The third stage of the disease

You need to know not only the causes of the disease, but also how it manifests itself. Today, it is becoming less common due to early diagnosis and mass screening of the population. Often this pathology develops in people who have undergone an incomplete course of therapy. Often patients die from complications at this stage.

The main symptoms of syphilis are gummas and tubercles. They occur on the skin and mucous membranes 4–10 years after infection. Tubercular syphilides are infiltrative nodules up to 7 mm in size. They rise above the skin. The tubercles are arranged randomly and do not merge with each other. Tertiary syphilides disappear over time.

In their place, even ulcers with a clean bottom are formed. Healing takes place over several months. Ulcers, areas of hyperpigmentation and atrophy remain on the skin. Instead of tubercles in tertiary syphilis, gummas may appear. These are painless nodules located deep under the skin. In the early stages of tertiary syphilis, these formations are mobile, but soon they grow together with the tissues. A hole is formed through which liquid is released to the outside.

Tertiary syphilides are formed not only on the skin, but also on the mucous membranes. When the nose is affected, rhinitis and difficulty breathing are observed. Deformation of the back is possible due to damage to the cartilage tissue. If the tongue is affected, glossitis develops. This makes it difficult for the patient to chew and speak. Along with these changes, the function of organs and systems is disrupted.

Manifestations of neurosyphilis

Syphilis is dangerous because at any stage it can cause damage to the nervous system. This happens when treponema penetrates into the brain and spinal cord. There are early, latent and late neurosyphilis. In the first case, the symptoms of CNS damage appear at the 1st or 2nd stage of the disease.

Vessels and membranes of the brain are involved in the process. Meningitis or meningomyelitis develops (combined damage to the spinal cord and). Signs of meningitis:

nausea;
headache;
vomit;
dizziness;
noise in ears;
positive symptoms of Kernig and Brudzinsky;
stiff neck muscles.

Change personal qualities of a person in combination with sleep disturbance, dizziness and headache indicates damage to the cerebral vessels. If the patient is not treated in a timely manner, then it develops. This is a type of late neurosyphilis, in which the posterior cords and roots of the spinal cord are affected.

With spinal dryness, the following symptoms are observed:

With a disease duration of 10–20 years, progressive paralysis may develop. It is characterized by personality changes, memory impairment, intellectual decline, delirium, hallucinations, dysarthria, limb tremors, and epileptic seizures. Often dementia develops.

congenital form of the disease

You need to know not only what syphilis is, but also whether it is dangerous for the unborn child. Often, women become infected before conceiving a baby, unaware of the disease. Syphilis can cause early miscarriage or fetal death in the 3rd trimester. This is due to the possibility of penetration of the pathogen through the placenta.

There are early and late fetal syphilis. The early form occurs in a child in the first 2 years after birth. These children often develop syphilitic pemphigus. The main signs of early congenital syphilis are:

tearfulness;
deformation of the bones of the skull;
gray skin;
exhaustion;
runny nose with mucous discharge;
nose deformity;
difficulty in nasal breathing;
the presence of a dense infiltrate on the chin, lips, palms, feet or buttocks;
bleeding and swelling of the lips;
decrease in skin elasticity.

It develops in children over the age of 2 years. Specific signs of this pathology are tuberculous or gummy syphilides, eye damage by the type of keratitis, deformity lower extremities, changes in the upper incisors and damage to the labyrinth in the ear cavity.

Negative consequences of the disease

Complications in this pathology are very common. In the absence of proper treatment, the following consequences of syphilis are possible:

Some patients become disabled. The greatest danger to humans is tertiary and late neurosyphilis. The use of antibiotics in this case does not always allow for a complete cure. With tertiary syphilis, death in the absence of treatment is observed in 25% of cases.

No less dangerous is the congenital form of infection. The negative consequences of early syphilis in children are myocarditis, glomerulonephritis, hepatitis, inflammation of the inner layer of the heart with valves, orchitis, dropsy of the testicle, hydrocephalus, meningoencephalitis, interstitial pneumonia and damage to tubular bones.

Patient examination plan

To clarify the diagnosis, the following studies will be needed:

Blood and syphilide discharge are used as biological material for analysis. Very informative serodiagnosis. During the reactions, specific antibodies to the infectious agent are detected in the blood. They appear at the end of the incubation period. On the early dates primary syphilis results may be negative.

If syphilis is suspected, an anamnesis is necessarily collected, a physical and visual examination is performed. The doctor must determine the possible mechanism and ways of transmission of the infection. In the event of complications from the internal organs, tomography, ultrasound, electrocardiography, angiography and radiography are performed. You may need to consult an ophthalmologist, neurologist, cardiologist, pulmonologist and gastroenterologist.

Treatment Methods

The treatment of syphilis is predominantly medical. When pale treponemas are detected in the body, systemic antibiotics from the penicillin group are prescribed (Bicillin-3, Bicillin-5, Benzylpenicillin sodium salt, Penicillin G). The dosage and duration of therapy are determined by the attending physician. only those drugs that do not have a teratogenic (embryotoxic) effect are used.

In case of intolerance to penicillins, macrolides or tetracyclines. The latter cannot be used while carrying a baby. With secondary syphilis, symptomatic therapy is additionally carried out. If the temperature is very high, then antipyretics are prescribed. In case of trophic disorders, means are shown that improve the condition of the skin and its appendages.

With late (tertiary) syphilis, immunomodulators, bismuth and iodine preparations are included in the treatment regimen. Etiotropic (antibacterial) therapy is carried out in two courses.

With liver damage, hepatoprotectors are prescribed. During treatment, sexual intercourse and the use of antibiotics are excluded.

Forecast and preventive measures

You need to know not only which doctor treats syphilis, but also what is the prognosis for this disease. At 1 and 2 stages it is favorable. With late syphilis, the prognosis is aggravated due to damage to vital organs. Not everyone knows how many years you can live with this diagnosis. This disease develops slowly. In the absence of treatment, it can be delayed for 10 years or more.

There is no specific prophylaxis for syphilis. To reduce the risk of infection, you need to:

refrain from unprotected and casual sex;
drink vitamins;
do sport;
do not contact with patients;
be examined periodically;
do not use other people's towels, washcloths and razors;
give up tattoos.

Important aspects of prevention are blood quarantine, examination of donors and people from risk groups. Thus, infection with pale treponema is not a sentence. These microbes are sensitive to penicillins.

The disease has been successfully treated, but can there be any consequences? What is the life of a person who has had such a dangerous illness in the past? Can there be any difficulties in having children or finding a job?

How to live with treated syphilis? The question worries all those who have been ill. However, not everyone turns to a venereologist with such a question. Below we will consider everything that you may have to face in real life.

Forever forgetting that you were once sick is quite real. To date, the disease is successfully treatable, and patients can lead a full life. But in order to avoid any consequences, it is important to observe a few simple rules: before treatment, during treatment and after treatment.

Before treatment

The key to successful treatment is a timely start: the earlier the patient went to the hospital and began treatment, the more favorable the prognosis for him. That is why, if suspicious symptoms appear, you should consult a venereologist for a consultation. If the fears have been confirmed, you need to start diagnosing as soon as possible.

During treatment

During the treatment period, you should follow all the recommendations indicated by the attending physician. Omission of medications can affect the result, as well as a delay in time: the risk that the disease will be suppressed, but not completely destroyed, increases. If this happens, then syphilis will definitely return again after a while.

If the patient does not follow other recommendations and does not adhere to these prohibitions (abuses bad habits, uses drugs), re-infection may occur. Against the background of a new developing infection, the current treatment may not be effective.

After treatment

After therapy is completed, patients have to be registered in a medical institution for a long time and periodically take tests. This is necessary, first of all, in order to be sure that the treatment was successful and recovery has come.

If control tests show positive result additional treatment is given.

The main task of the patient at this stage is not to miss visits to the hospital, to undergo examinations and take tests in a timely manner. The patient does not have the right to refuse registration at his own request.

If all three rules have been followed, then the disease will be successfully cured and will no longer bother. But we must not forget that there will still be no immunity to the disease, that is, re-infection cannot be ruled out.

The video in this article goes into more detail about how the disease develops.

Accounting after treatment

Each patient who has undergone treatment is registered in the dispensary. How much time is needed, the doctor decides, individually for each patient. The observation period depends on the stage of the disease at which treatment was started, as well as on the characteristics of the person.

Three months after the treatment, patients come to the hospital and take the first tests. This period is the minimum of all possible when you have to be registered.

Three months later, only those who have undergone preventive treatment will be removed from the register, that is, they did not develop syphilis, but had contact with a sick person. In all other cases, the accounting period is much longer. Below we will consider how it is built on the basis of treatment at different stages.

Patients with early syphilis

The duration of early syphilis is about two and a half years. There are certain signs on the basis of which it is possible to establish the stage of development of the disease.

After the completed course of treatment, patients come for examination every three months during the first year, and once every six months during subsequent years. This will continue until the tests show a consistently negative result.

After the tests are negative, the patient will be observed for another six months or a little more. During this period, you must go to the hospital 2 times and pass control tests. If both results are negative, and no symptoms of the disease are present, the patient is removed from the register.

For the examination, non-treponemal tests are used. In the normal state, tests should show a negative result for the next few years after the treatment.

The photo below is an example of the development of syphilis.

Interesting! Patients diagnosed with early syphilis are registered for at least two years after treatment.

late syphilis

The duration of late syphilis is several years. Only a doctor can determine the exact stage of the development of the disease after taking special tests. After the treatment, this category of patients is registered for at least three years, exactly according to the same principle as the previous category.

It is especially difficult to destroy the causative agent of the disease at this stage: treponemas are able to hibernate, thus escaping antibiotics. Bacteria can move to hard-to-reach places in the body, where they later cause serious complications. It is necessary to select therapy especially carefully.

Even during treatment, analyzes of non-troponemal tests may show a negative result. However, a few more years after the therapy can be positive. Treponemal tests, as a rule, remain positive until the end of life.

Each patient with late syphilis is deregistered individually. It is necessary to take into account the condition of the mucous membranes, skin, the degree of damage to the nervous system, and so on.

Patients with neurosyphilis

Neurosyphilis is a condition in which treponemas affect nervous system namely, the brain and spinal cord. It can develop both with early and late syphilis.

After the treatment, patients are registered for three or more years. However, in addition to the fact that they are checked by a dermatovenereologist and tested, a spinal puncture is performed every six months or a year. This is necessary in order to be able to understand whether the treponemas have been destroyed or they are still in the spinal canal. If the results are positive, additional treatment is prescribed.

Important! After the treatment has been completed, patients are issued a certificate stating that the therapy has been completed and they are healthy.

Should doctors tell about syphilis in the past?

If a person has been ill with syphilis, even if it was 20 years ago, blood tests will definitely show this.

Such analyzes may be required in the following case:

to pass a medical book when applying for a job;
at the time of hospitalization;
before surgical interventions, as well as invasive studies - gastroscopy, colonoscopy;
pregnant women and donors.

In most patients with treated disease at an advanced stage, as well as in patients with early syphilis, tests may be positive. Most patients are sent to the ATC for examination to confirm the diagnosis, but only if there is no certificate of successful treatment.

Why do antibodies not go away after treatment?

How long does syphilis live and why is the blood not cleared after treatment? In order to understand this, you need to understand what antibodies are.

Antibodies are human defense proteins. They are produced by the body in response to an infection in order to successfully fight it off. They can be of a general profile, that is, non-specific - they oppose various diseases.

There may also be specialists, that is, specific ones - the body produces them to fight the infection. So, for example, with syphilis, it is precisely those antibodies that are capable of being destroyed by trepone that begin to be produced.

General profile antibodies begin to appear during the development of primary syphilis, after a complete cure, they quickly leave the body. As for antibodies - specialists, their features are slightly different: they appear at a late stage of the disease, and after treatment they are produced for some more time.

Important! How long the antibodies will circulate depends on how long the person has been sick.

After the complete cure of early syphilis, the blood will be completely cleared in one to two years. It is this time that is enough for all non-specific antibodies to go away. Most of the tests performed will show a negative result.

Thus, we can say that after therapy for another 1.5 years or a little more, the tests will indicate that there is a disease. After treatment of the late stage of syphilis, antibodies completely disappear in only 30% of patients, in others they will continue to remain for life.

Several factors influence this:

some fragments of dead bacteria will be present in the body for some time: all this time antibodies will be produced;
the state of the patient's immunity is important: some antibodies stop producing earlier, while others a little later.

Many patients often wonder if it is possible to somehow get rid of antibodies, but in fact this is not possible, and it is not necessary. There is no specific treatment aimed at eliminating antibodies. Due to the fact that these are the body's own particles, there is no danger.

IVF and syphilis testing

Thanks to IVF, it is possible to conceive a child artificially: a sperm and an egg are taken, doctors help them to unite, after which the embryo is placed in the woman's uterus. Thus, it is possible to have a child regardless of the form of infertility.

The IVF technique is complicated, before proceeding with its implementation, you should undergo an examination and pass some tests, including for syphilis.

If the tests show a positive result, then this is a contraindication to carrying out the procedure. But what to do if such a result gives a treated disease? Is IVF allowed in this case?

You can answer this question with absolute accuracy - yes, with fully treated syphilis, there are no contraindications for IVF. To do this, it is enough to provide a certificate from the KVD, which is a confirmation of the state of health.

Is it possible to relapse the disease?

People who have had syphilis once can become infected with it again. Most often this infection with "new" syphilis. However, in some cases, past pathology may return if it was not completely cured at some time.

But what does it have to do with it?

Syphilis is a disease that can be cured, but it takes a large number of time. If the treatment was chosen incorrectly, the dosage of the drugs was not observed, or the therapy schedule was violated, then treponemas can become resistant to drugs.

As a result, the bacteria will begin to move into a stable form and continue to remain in this position. Under favorable conditions, they will come out of hibernation and begin to attack again.

Consequences of the disease

Life after syphilis depends on how the disease managed to harm the patient. Below we will consider possible consequences for each period.

Primary syphilis

The period of hard chancre or primary syphilis is the most favorable time for treatment. Treponema during this time do not have time to cause much harm to health. The disease at this stage is easily treatable, and the consequences remain extremely rare.

Secondary syphilis

With the initial secondary syphilis, a rash appears on the body, but the time is also considered favorable for undergoing treatment.

In addition to rashes during this period, the following is possible:

eyelashes, hair or eyebrows fall out;
white spots appear on the neck, in medicine they are called the necklace of Venus;
diseases related to internal organs: hepatitis, nephritis, gastritis, etc.;
CNS damage.

After proper treatment, most of the manifestations of the disease quickly disappear. After a few months, hair is restored in the place where baldness formed.

As for the necklace of Venus, it can be preserved for several more years. Most often this is associated with the development of neurosyphilis. Treatment in this case will take a long time, but with right approach there will be no consequences.

Tertiary syphilis

With the development of tertiary syphilis, gummas and tubercles appear. The disease is difficult to treat, the consequences remain more.

So, what can pathology lead to:

Scars remain on the skin- visible defects after suffering syphilis. Outwardly, they are very conspicuous. Tubercles with gums do not pass without a trace, scars remain after them.
As a result of damage to cartilage and bones, they become fragile. In the future, this may cause the development of osteochondrosis or fractures. In addition, a hole is formed in the hard palate, a saddle nose appears.
development of neurosyphilis. Symptoms may persist throughout life even after treatment.
The development of diseases of the cardiovascular system.

It is important to remember that prescribed antibiotics kill treponemas, but do not eliminate the consequences that they have time to leave behind.

Syphilis and future offspring

Women and men who have been ill are worried about whether they can have offspring in the future. The situation may be different for each gender.

A man has been ill with syphilis

Provided that the pathology has been cured completely, this will not affect future offspring in any way. Even if the antibodies remain in the blood, there will be no danger. The only thing is that you should not plan conception until the patient is deregistered.

A woman has been ill with syphilis

Pregnancy and syphilis - these two combinations are extremely rare. Many pregnant women are forced to take tests for the same infection several times.

At the planning stage of pregnancy, women are required to inform their gynecologist that they once suffered such a dangerous disease. In general, the patients calmly bear the baby, no features appear for 9 months.

If a woman became pregnant before she was taken off the register, then the likelihood that the unborn baby will become infected is high. In this case, some preventive measures should be observed.

How to understand when prevention is needed and when not:

If the disease has been cured completely, and the tests show negative results, the management of the pregnancy will be normal. There will be no negative effect on the fetus.
Previously, syphilis was treated, but at the time of pregnancy, the results show a positive result - this means that there is a high risk of infection. In this case, women are prescribed prophylactic treatment, but not earlier than from the 20th week.
If the infection occurred before conception, but according to some indications, a woman should be treated during pregnancy - this should be done in without fail. If syphilis was treated in the first trimester, the baby will not become infected.

With treated syphilis, a woman gives birth in an ordinary delivery room, under the same conditions as other women in labor.

Treatment was completed during pregnancy

A baby born to a woman who has recently undergone treatment will have to be observed by many specialists in the future.

Such children are required to be registered:

A healthy child is registered for one year. Analyzes are taken every three months, if they show a negative result, then a year later the baby is removed from the register.
If after three months the tests show a positive result, then the child should be monitored more closely: subsequent tests are carried out with an interval of two months.
A baby born sick must undergo full treatment, after which he is registered for three years.

Women can only breastfeed if both they and the baby are healthy. In other cases, therapy is possible only if patients are treated.

Work and past syphilis

Can syphilis in the past somehow affect future employment? Patients can work anywhere: at school, catering, police, but only on condition that the disease has been fully treated.

How to live with syphilis and after its treatment depends on many factors. If the disease has been completely destroyed, no restrictions arise and you can safely do your favorite thing.

Frequently asked questions to the doctor

Self-treatment

Good afternoon, tell me, I was diagnosed with syphilis, can I recover from it myself?

The answer in this case is a clear no. Immunity to a disease is not developed, and the absence of symptoms does not mean that recovery has occurred. In the absence of traditional treatments, numerous irreversible consequences can occur.

Analyzes

I had sex with a sick person, after what time will the tests show a positive result?

If you are worried that you could become infected, then you should take tests no earlier than a month later. But if you are sure that the partner was sick, you need to undergo preventive treatment.

oral sex and syphilis

Some time ago, a girl gave me a blowjob, a week later I passed the necessary tests, the results were all negative. Three weeks have passed and the girl reported that she had syphilis, tell me, what is the probability that she could get infected?

It is necessary to contact a medical institution again and donate blood for tests. In addition, it is necessary to do a preventive injection. As a rule, it is this action that helps protect against possible infection.