Symptoms of syphilis in men

Written by Chen Feng
Urology
Updated on June 24, 2025
00:00
00:00

The symptoms of syphilis in men are divided into three stages, depending on the condition of the disease. The most common symptom of primary syphilis is a chancre. It is usually seen on the glans, coronal sulcus, foreskin, and frenulum of the penis as small red spots, which quickly develop into painless inflammatory papules. After several days, the papules can enlarge and form a hard lump with serous secretions on the surface. Secondary syphilis generally occurs due to incomplete treatment of primary syphilis, or lack of timely treatment, leading to damage on the skin and mucous membranes, such as flat condyloma and maculopapular syphilitic rash. Tertiary syphilis usually appears two to three years after the syphilis infection. Patients can exhibit skin and mucous membrane damage, mainly nodular syphilitic rash and gummatous syphilis.

Other Voices

doctor image
home-news-image
Written by Huang Ling Juan
Dermatology
1min 7sec home-news-image

Can syphilis patients have children?

Syphilis patients can have children. After regular treatment, syphilis patients can conceive and bear children normally. After being treated for syphilis, the RPR test can become negative, indicating that there are no live syphilis spirochetes in the body and no infectivity. At this point, pregnancy is not affected. Some pregnant women, after treatment, can block mother-to-child transmission and prevent the spread of syphilis, which is a systemic sexually transmitted disease caused by infection with the syphilis spirochete. If a woman infected with syphilis becomes pregnant without undergoing standard syphilis treatment, the syphilis spirochete can infect the fetus through the placenta, leading to fetal disease. Some may experience stillbirth, miscarriage, premature birth, or even the birth of a child with congenital syphilis. Therefore, it is recommended that syphilis patients undergo standard treatment to cure syphilis before becoming pregnant.

doctor image
home-news-image
Written by Luo Hong
Dermatology Department
58sec home-news-image

How long after the disappearance of a chancre does secondary syphilis occur?

Secondary syphilis generally occurs three to four weeks after the disappearance of the primary chancre, which means it often occurs 9 to 12 weeks after the infection by the Treponema pallidum. Of course, it is rare yet possible for it to appear simultaneously with the primary chancre. The main reason secondary syphilis develops is either due to untreated primary syphilis or incomplete treatment. The Treponema pallidum enters the bloodstream from the lymphatic system, causing bacteremia and spreading throughout the body, leading to systemic damage including skin and mucosal lesions, known as secondary syphilis. Common signs of secondary syphilis include erythema on the palms and soles, which is a characteristic manifestation. Another sign includes flat, moist warts around the anus and genital areas, similar to condyloma acuminatum, but these warts are flatter and less protruding.

doctor image
home-news-image
Written by Huang Ling Juan
Dermatology
1min 4sec home-news-image

Early symptoms of syphilis

Syphilis is a chronic, systemic sexually transmitted disease caused by the Treponema pallidum bacterium. It is highly contagious and very harmful. The early symptoms of syphilis usually include the appearance of a chancre. Typically, about three weeks after infection, a hard, painless, round nodule appears at the site of infection. It starts as a reddish, moist spot, then gradually becomes ulcerated and eroded, forming an ulcer. This is an early manifestation of syphilis, known as a chancre. The harm caused by syphilis is very significant. Once syphilis is diagnosed, it is crucial to start treatment early. Early prevention of syphilis is essential, and any early symptoms should be taken very seriously. Treatment can be administered under a doctor's guidance, usually involving the muscle injection of long-acting penicillin. (Under the guidance of a doctor for medication.)

doctor image
home-news-image
Written by Zhu Zhu
Dermatology
43sec home-news-image

When is the third stage of syphilis?

Tertiary syphilis is a relatively late stage of syphilis, often occurring two to three years after the initial detection of the disease. For patients with a longer course of the disease, it generally appears five to ten years later. Once tertiary syphilis is diagnosed, it is often accompanied by damage to various organ functions, such as the cardiovascular system, bones, skin, and nervous system. Therefore, it is crucial to detect and treat syphilis early and to follow standard treatment protocols with a doctor. Otherwise, once it progresses to tertiary syphilis, it becomes very difficult to cure.

doctor image
home-news-image
Written by Zhu Zhu
Dermatology
40sec home-news-image

Can third-stage syphilis be completely cured?

Whether tertiary syphilis can be completely cured depends on the specific conditions of different patients. If tertiary syphilis has not caused serious complications, then timely and standard syphilis treatment at this stage can potentially lead to a cure. However, if it has been a long time and the condition has been neglected, it might cause severe damage to tissue and organ functions and can be life-threatening. At this point, it cannot be completely cured; even using anti-inflammatory drugs to treat syphilis cannot reverse the complications and greatly affects the quality of life.