If you are concerned about any sexual infections you can get advice and if necessary free treatment in complete confidence from: SYPHILIS Syphilis is a bacterial sexually transmitted infection. Department of Genito-Urinary Medicine Level 5 Derriford Hospital Plymouth PL6 8DH This disease has several stages It is passed on by oral, vaginal or anal sex with an infected person or deep kissing when primary stage infection is in the mouth. Walk In Clinics Syphilis can be treated with antibiotics. Monday - Friday 8.30am - 10.30am. Appointments 01752 431124 Health Advisers 01752 431804 It is important to return to the clinic for twelve months after treatment for blood tests to check that the infection has gone. If you have this infection it is important that you do not have any sexual contact from the time treatment is started until you (and any partners) are advised by the clinic that it is safe to do so. Serious complications can result if this infection is not treated effectively. Treatment at GU Medicine clinics is FREE and CONFIDENTIAL V3/11/DG Syphilis usually infects the penis, anus, rectum (back passage), mouth and throat in both sexes and the vulva or vagina in women. It is caught by having unprotected oral, vaginal or anal sex with someone who is infected, even if they have no symptoms. When primary ulcers are present on the lips, tongue or elsewhere in the mouth it may pass through deep kissing. YOU SHOULD NOT HAVE SEXUAL CONTACT WITH ANY PARTNER UNTIL YOU AND THEY HAVE BEEN GIVEN THE ALL CLEAR BY THE CLINIC. WITHOUT TREATMENT infection can lead to: Late or Tertiary stage infection which includes: Syphilis has several stages: PRIMARY - Ulcers at the site of infection which are usually painless and will heal without treatment. Aortic aneurism - Ballooning of the wall of the main artery from the heart. GPI (General paralysis of the insane) - Dementia. SECONDARY - Rash anywhere on the body but usually includes the palms of the hands and soles of the feet. LATENT - This stage has no symptoms. Syphilis remains infectious to others for approximately 2 years if untreated. GUMMATA - Fibrous tumours of the skin or connective tissue. COMPLICATIONS IN PREGNANCY TERTIARY / LATE - Serious complications can develop. All pregnant women have a routine blood test for syphilis because it can cause foetal abnormalities if untreated. Follow up blood tests need to be taken at intervals for twelve months after treatment to check that infection has gone, as it can be present without any symptoms. The risk of complications can be avoided if syphilis is treated early. Regular sexual partners will need to be seen and treated. Other sexual contacts may need to be informed and tested depending in the stage of the disease. If you are found to have syphilis it is important to be tested for other sexually transmitted infections, especially HIV as this can affect the course of the disease and the amount of treatment needed.