Aa
Syphilis Exposure
Hi Doctor,
I accidentally posted this question on the experts forum but I intended it for you.
I had an exposure at a massage parlor I'm worried about. I received oral sex while wearing a condom, during which I rubbed the back of her legs and but cheeks. I could feel a large pimple on the back of one of her cheeks. As I touched this several times I'm now worried that it could have been a syphilis sore.
I've read that if a preventative dose of penicillin is taken shortly after exposure that it would kill any exposure to syphilis.
Could you comment please?
Thank you.
I accidentally posted this question on the experts forum but I intended it for you.
I had an exposure at a massage parlor I'm worried about. I received oral sex while wearing a condom, during which I rubbed the back of her legs and but cheeks. I could feel a large pimple on the back of one of her cheeks. As I touched this several times I'm now worried that it could have been a syphilis sore.
I've read that if a preventative dose of penicillin is taken shortly after exposure that it would kill any exposure to syphilis.
Could you comment please?
Thank you.
MEDICAL PROFESSIONAL
Welcome to our Forum. I have a two part answer for you. First, the likelihood that your partner's visible bump was syphilis is very, very low. The lesion does not sound typical. The lesions of syphilis are classically a rash (multiple lesions) or a single open sore, neither of which fits the description your provide. In addition, syphilis is a remarkable uncommon disease. In the entire U.S, there will be fewer than 10,000 cases of syphilis in our population of 350 million and two thirds of those cases will be in men who have sex with men. I would bet a lot that the lesion that you mention was not syphilis.
Second, we do know that a single shot of 2.4 million units of penicillin will prevent syphilis if you were exposed (which I doubt).
My advice, do not worry. Your sex was condom protected. Your risk of having gotten syphilis from the exposure you mention is very, very low. If you came to my clinic, I would not give you penicillin. EWH
Second, we do know that a single shot of 2.4 million units of penicillin will prevent syphilis if you were exposed (which I doubt).
My advice, do not worry. Your sex was condom protected. Your risk of having gotten syphilis from the exposure you mention is very, very low. If you came to my clinic, I would not give you penicillin. EWH
MEDICAL PROFESSIONAL
Ceftraixone is less well studied than penicillin for syphilis prevention but would probably have the same effect. In my opinion, you did not need the treatment you received. EWH
Thanks Doctor,
AS a quick follow up, I went in and saw my MD this morning and he gave a shot of Rocephin Ceftriaxone (1 g i.m.) as a preventative measure.
In your opinion, would do the same thing as the penicillin?
Thanks for your help.
AS a quick follow up, I went in and saw my MD this morning and he gave a shot of Rocephin Ceftriaxone (1 g i.m.) as a preventative measure.
In your opinion, would do the same thing as the penicillin?
Thanks for your help.
You are reading content posted in the STDs Forum
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
