Syphilis in Women: Essential Facts and Care

Syphilis isn’t just a men’s issue; women can catch it too, and the signs can be subtle. Knowing what to look for, when to test, and how to treat it can keep you safe and protect any future pregnancies.

What It Looks Like in Women

Early syphilis often shows a painless sore (called a chancre) where the bacteria entered the body. In women, this sore might appear on the genitals, inside the vagina, or even on the mouth. Because it hurts nothing, many women never notice it.

If the infection isn’t treated, a rash can pop up a few weeks later. The rash often shows up on the palms, soles, or any other skin area. You might also feel fever, sore throat, or swollen lymph nodes. These symptoms mimic other illnesses, so a quick doctor visit is key.

Testing and Treatment Made Simple

The good news? A blood test can confirm syphilis in minutes. Most clinics offer a rapid test that tells you if you’re positive or negative. If the test is positive, your doctor will likely give you an injection of penicillin—usually a single dose for early stages and a few doses for later stages.

Penicillin works for almost everyone, even during pregnancy. If you’re allergic, your doctor might switch you to a different antibiotic, but penicillin remains the gold standard because it protects the baby if you’re expecting.

After treatment, you’ll need a follow‑up test at 3, 6, and 12 months to make sure the infection is gone. Keep an eye on any new sores or rashes and call your doctor if they return.

Partners also need testing and treatment. Syphilis spreads easily during sex, so a joint check‑up prevents reinfection. Using condoms consistently cuts the risk dramatically.

If you’re pregnant, early detection is crucial. Untreated syphilis can cause miscarriage, stillbirth, or severe birth defects. Routine prenatal screening catches it in the first trimester, allowing timely treatment and a healthy baby.

Bottom line: syphilis in women may hide behind mild symptoms, but a simple blood test, prompt penicillin, and partner care keep it under control. Stay informed, get tested if you notice anything odd, and protect your health and future family.