Thank you deksman2. I appreciate your input. I got tested for all the pathogens including HIV and those you mentioned. They're all negative. My blood work is within normal limits. I haven't checked my vitamins but will do that too. I need to find a good infectionist to help me to find the cause of my symptoms. Thanks again.
This website is for guidence, we can not diagosis you nor can we recommend treatment. If your Dr does not have the knowledge then find a STD Dr.
I'm no doctor and I do not wish to alarm you, but have you tried getting an examination to see if there might have been a potential neurosyphilis infection?
Although honesty, I'm not sure if the titers would drop by 4 fold if there was a neurosyphilis infection in place - information online can be limiting - but if your titers experienced over a 4 fold decrease in just 2 months time, then I would imagine the treatment was successful and the probability of neurosyphilis is low.
This occasional weakness and joint pain could be caused by something else though.
Have you got tested for other STD's such as Chlamydia, Gonorrhea, Trichomoniasis, Ureaplasma and Mycoplasma?
Gonorrhea could be the source of an occasional weakness though, but there's nothing on joint pain.
On top of that, how are your diet and general vitamin levels in your body?
I had a vitamin test a day before testing positive for secondary Syphilis (my RPR was the same as yours - I did take the Doxycycline treatment though and it cleared up my symptoms, so I have a followup exam in about a month) and my levels were deficient for Zinc, Selenium, Vitamin C, E, and several B's.
Also, I would imagine my Vitamin D was also quite low since I'm not out in the sun a lot at all for most of the year.
I would suggest that you cover other bacterial STD's first and foremost, and if those come up clean, focus on other potential causes (such as getting bloodwork done - ask for vitamin levels to be done if possible).
Also, while antibiotics can obviously help a person get rid of a nasty bacteria... you do have to keep in mind that antibiotics do not discriminate against healthy gut bacteria and you'd need to replenish them with say probiotics (active good bacteria which can be gotten from yogurt - lactobacillus acidophilus is a good one to focus on).
These are just some of the things you could try, but you'd also need to do some more tests to ascertain the cause of your current problems.
Syphilis isn't the only thing that can cause that.
I'm not sure how this website works but can somebody else answer my questions?
My doctor is clueless. That's the reason I'm here.
You are going to have to continue to work with your Dr on this.