Healthdirect Free Australian health advice you can count on.

Medical problem? Call 1800 022 222. If you need urgent medical help, call triple zero immediately

healthdirect Australia is a free service where you can talk to a nurse or doctor who can help you know what to do.

beginning of content


9-minute read

Key facts

  • Syphilis is a sexually transmitted infection (STI).
  • It is caused by bacteria and is easy to cure if found early.
  • There are 4 stages of syphilis infection.
  • If not treated, syphilis can lead to serious complications in your brain, eyes and heart.

What is syphilis?

Syphilis is a sexually transmitted infection (STI) that can cause serious health problems if left untreated. However, it's easy to cure if found early.

In Australia, rates of syphilis are higher among:

  • men who have sex with men
  • Aboriginal and/or Torres Strait Islander people living in remote places

However, in recent years rates of syphilis have also been going up in:

  • heterosexual males
  • females

What are the symptoms of syphilis?

Some people with syphilis have no symptoms. This is why it's important to be tested regularly.

The symptoms of syphilis depend on the stage of infection. There are 4 stages of syphilis infection:

  1. primary syphilis
  2. secondary syphilis
  3. latent syphilis
  4. tertiary syphilis

Primary syphilis (10 to 90 days after infection)

Symptoms include:

  • a painless sore or sores in or on your mouth, anus, penis, vagina or cervix
  • the sore is a roundish area of broken skin — the centre may be weepy and have pus coming from it
  • the sores usually go away by themselves after 2 to 6 weeks

It's easy for sores to go unnoticed because they are usually painless. They may also be hidden from view in your rectum or on your cervix.

However, even when the sore goes away, you are still infectious and can pass the infection on to others.

Secondary syphilis (7 to 10 weeks after infection)

Symptoms include:

  • a red rash on the palms of your hands, soles of your feet, chest or back — the rash is slightly lumpy, but not itchy or painful
  • fever
  • enlarged glands in your armpits and groin
  • hair loss
  • headaches
  • tiredness

These symptoms can often go unnoticed.

Latent syphilis

There are generally no obvious symptoms and infection is only found with blood tests.

If syphilis is not treated at this stage, it can remain latent or turn into tertiary syphilis.

Tertiary syphilis

Tertiary syphilis develops in about 1 in 3 people with untreated latent syphilis.

The bacteria can damage almost any part of your body including your:

  • heart — causing heart disease
  • brain — causing mental illness
  • spinal cord — causing neurological problems
  • eyes — causing blindness
  • bones

This can happen many years after your original infection.

CHECK YOUR SYMPTOMS — Use the Symptom Checker and find out if you need to seek medical help.

What causes syphilis?

Syphilis is caused by a bacteria called treponema pallidum.

How is syphilis spread?

Syphilis is usually spread through skin-to-skin contact during vaginal, anal or oral sex.

Syphilis is highly infectious when there is an open sore or rash present.

Syphilis can also be passed on:

  • before people have symptoms
  • by people who don't have any sores

Syphilis can occasionally be spread by blood contamination, via needle-stick injury or sharing injecting equipment.

The risk of getting syphilis through a blood transfusion is very low, due to:

  • the screening of donors
  • the way the blood is stored

During pregnancy, syphilis can passed on to the baby. This is called congenital syphilis.

Who is at risk?

In Australia, groups at particular risk of syphilis include:

  • men who have sex with men
  • females of child-bearing age
  • those living in outbreak areas, including Aboriginal and Torres Strait Islander Communities

When should I see my doctor?

If you think you may have syphilis, it's important to see a doctor as soon as possible. Your doctor will confirm the diagnosis with testing and start treatment if required.

FIND A HEALTH SERVICE — The Service Finder can help you find doctors, pharmacies, hospitals and other health services.

ASK YOUR DOCTOR — Preparing for an appointment? Use the Question Builder for general tips on what to ask your GP or specialist.

How is syphilis diagnosed?

Your doctor will talk with you and examine you. They will need to do a blood test to confirm a diagnosis of syphilis.

The blood test finds the antibodies that your body makes to fight the infection. A positive test shows that you have a current or past infection. It can take 3 months to develop antibodies, so the tests may be negative early on.

Your doctor may also do a swab test from a sore. When syphilis is diagnosed your doctor will report it to the local health authorities, as syphilis is a notifiable disease.

Syphilis is routinely tested for in pregnancy.

You may also want to be tested for other sexually transmitted infections such as:

Notifying sexual partners

It's very important that you tell people who you've had sex with that you have syphilis. This helps to stop you being re-infected and reduces the spread of syphilis. They can then be tested and treated if infected.

Your doctor will help you decide who you need to tell and how to tell them.

The Let Them Know website can give advice on how to tell your partner(s). They also have sample emails and SMSs you can send personally or anonymously.

How is syphilis treated?

Syphilis is usually treated with penicillin. It's given by an injection into your muscle. There are other treatments if you are allergic to penicillin.

After treatment with penicillin, you may feel like you have the flu for 24 hours. This will soon go away, without any extra treatment. Rest and drink plenty of fluids.

Do not have sex, even with a condom, until your doctor tells you your treatment has worked.

You will need to have follow-up blood tests to make sure the infection is gone.

What if I have syphilis and am pregnant?

Untreated syphilis during pregnancy can cause you to pass the infection to your baby before birth — congenital syphilis.

This can cause:

Babies born with syphilis can have serious health problems, such as permanent brain damage.

A syphilis test is suggested for everyone at the first antenatal visit. If syphilis is found you can be treated. This stops the disease being passed on to your baby.

If you have a high risk of syphilis infection, you will also be tested at:

  • 28 and 36 weeks
  • the time of birth
  • 6 weeks after birth

Can syphilis be prevented?

Practising safe sex is the best way to prevent syphilis infection.

It is safest to:

  • always use condoms with water-based lubricant during sex
  • always use dental dams for oral sex
  • avoid sexual activity if you or your sexual partner are unwell, especially if they have symptoms of syphilis
  • have regular STI check-ups

Complications of syphilis

If left untreated, syphilis can cause:

Syphilis can also be passed to your baby during pregnancy. This can be very serious — see the What if I have syphilis and am pregnant? section above.

Resources and support

If you want to get tested for syphilis, see your doctor or call your nearest sexual health clinic:

Young Deadly Syphilis Free has resources to encourage STI testing in remote Aboriginal communities.

If you want to know more about syphilis or need advice on what to do next, you can call the healthdirect helpline on 1800 022 222 (known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with 24 hours a day, 7 days a week.

Learn more here about the development and quality assurance of healthdirect content.

Last reviewed: September 2023

Back To Top

Need more information?

These trusted information partners have more on this topic.

Top results

What is syphilis? - Sexual Health Victoria

What are the symptoms of syphilis? How is syphilis transmitted and what is the treatment?

Read more on Sexual Health Victoria website

Syphilis serology | Pathology Tests Explained

The test is looking for evidence of Treponema pallidum, the bacterium that causes syphilis. Syphilis is a sexually transmitted disease. It is easily treated

Read more on Pathology Tests Explained website

Syphilis | Body Talk

Syphilis is a bacterial STI that can infect both girls and guys. Find out all the facts about Syphilis here as well as tips to keep you safe.

Read more on Body Talk website

Syphilis | Sex | ReachOut Australia

Syphilis can cause serious damage to your health if left untreated. Find out about the symptoms, prevention methods & syphilis treatment with

Read more on website

Syphilis | Australian Government Department of Health and Aged Care

Find out how we define and monitor cases of syphilis, and where you can learn more about this disease.

Read more on Australian Government Department of Health and Aged Care website

Sexually transmitted infections and reproductive outcomes

Here is what you need to know about the possible health effects of STIs and how to avoid them.

Read more on Your Fertility website

Sexually transmitted infections (STIs) -

Sexually transmitted infections have become more common in Australia in recent years. It’s possible for anyone who is sexually active to get an STI, but there are ways you can reduce your risk.

Read more on myDr website

STI screening | MSI Australia

Information Sheet STI screening. This page is an accessible HTML version of the document shown below.

Read more on MSI Australia website

STIs and BBVs - Sexual Health Victoria

Sexual Health Victoria (formally Family Planning Victoria) focuses on reproductive and sexual health care, education and advocacy. Our vision is to improve ever

Read more on Sexual Health Victoria website

Sexually transmitted infections and blood-borne viruses - Sexual Health - Australian Indigenous HealthInfoNet

Sexually transmitted infections and blood-borne viruses Sexually transmitted infections (STIs) include bacterial, viral and parasitic infections that are passed on through sexual contact including vaginal, anal and oral sex [36095]

Read more on Australian Indigenous HealthInfoNet website

Healthdirect 24hr 7 days a week hotline

24 hour health advice you can count on

1800 022 222

Government Accredited with over 140 information partners

We are a government-funded service, providing quality, approved health information and advice

Australian Government, health department logo ACT Government logo New South Wales government, health department logo Northen Territory Government logo Queensland Government logo Government of South Australia, health department logo Tasmanian government logo Victorian government logo Government of Western Australia, health department logo

Healthdirect Australia acknowledges the Traditional Owners of Country throughout Australia and their continuing connection to land, sea and community. We pay our respects to the Traditional Owners and to Elders both past and present.