Treatment of Syphilis

Written by Zhai Yu Juan
Dermatology Department
Updated on June 04, 2025
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Syphilis is a sexually transmitted disease caused by infection with the syphilis spirochete. Transmission routes include sexual contact, mother-to-child transmission, close living contact transmission, and blood transmission. Sexual transmission is the main mode of transmission. After infection with syphilis, it can affect various organs throughout the body, causing a variety of symptoms. Syphilis is primarily diagnosed through hematological tests to determine if one is infected. After a diagnosis of syphilis, formal anti-syphilis treatment is needed, with the first choices being long-acting penicillin and benzathine penicillin. After treatment, regular follow-ups are necessary, generally over a three-year period: every three months in the first year, every six months in the second year, and once in the third year, to determine if the condition has improved. (Medication should be used under the guidance of a doctor.)

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Written by Zhu Zhu
Dermatology
41sec home-news-image

Can third-stage syphilis be cured?

Third-stage syphilis can potentially be fatal, but this is not absolute. With proper and timely treatment, it can gradually improve. Third-stage syphilis is the most severe and latest stage of the disease, also known as late-stage syphilis. This stage often affects our skin, bones, cardiovascular system, and even the nervous system. When these systems are affected, corresponding complications can arise. If left untreated, late-stage complications can lead to death. However, if treated early, there is a possibility of cure over time.

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Written by He Jing
Obstetrics and Gynecology
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Is fungal vaginitis related to syphilis?

Yeast vaginitis and syphilis are unrelated. Yeast vaginitis is caused by a disruption in the vaginal environment leading to an infection with Candida albicans, resulting in increased vaginal discharge. This is accompanied by itching of the vulva and the discharge may appear like cottage cheese or have a curd-like texture. However, syphilis is caused by the infection of the bacterium Treponema pallidum. It is a sexually transmitted disease characterized primarily by painless ulcers on the genitals. The treatment methods for the two are also different. Yeast vaginitis can be treated by external washing with baking soda and inserting clotrimazole vaginal suppositories, typically resolving within about a week. Treatment for syphilis, on the other hand, generally involves intravenous injections of penicillin. (Medication use should be supervised by a professional doctor.)

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Written by Zhu Zhu
Dermatology
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How long does it take to cure third-stage syphilis?

The healing time for third-stage syphilis varies from person to person. Third-stage syphilis is considered a late stage of the disease, and the situation is very serious for patients who have developed to this stage. Therefore, the duration of illness for most patients is usually very long; it could be several months or even years, which also depends on the patient's level of aggressive treatment and their own immune resistance. Additionally, it is necessary to consider complications of third-stage syphilis. If there are severe complications involving cardiovascular and nervous systems, or joint damage, recovery can be very prolonged and difficult.

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Written by Zhu Zhu
Dermatology
47sec home-news-image

How long does it take to cure third-stage syphilis?

Third-stage syphilis is the most severe stage of the disease. It generally damages the nervous system and cardiovascular system of the human body, thus having a significant impact. There is no definite timeline for the cure of third-stage syphilis. The treatment of third-stage syphilis primarily involves controlling the condition with medication; there is still no specific method that can completely cure it thoroughly. Therefore, it is necessary to take medication for a long period. Currently, for treating third-stage syphilis, procaine penicillin is generally chosen for patients. In fact, procaine penicillin mainly helps effectively control the syphilis spirochete.

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Written by Zhu Zhu
Dermatology
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Can tertiary syphilis be contagious?

Third-stage syphilis is contagious. Although the titers in third-stage syphilis might be lower than those in the first and second stages, it still has the ability to infect others. Moreover, third-stage syphilis can easily lead to many complications, affecting other tissues and organs of the body. Therefore, third-stage syphilis is very serious. Once third-stage syphilis occurs, one must be particularly vigilant, seek timely treatment in a reputable hospital early, enhance their immunity, and avoid having a history of unprotected sexual activity.