- Male
- 26 Years
- 22/01/2025
I'm really worried about my syphilis tests. About two months ago, my TPHA level was 1320 and RPR was 12. My doctor put me on doxycycline, 100 mg twice a day for 21 days. After finishing the treatment, I tested again and my TPHA had increased to 1640, with the RPR still at 12. They then gave me a penicillin injection, 2.4 mu, and told me to get tested after another two weeks. This time, my results were TPHA 1640 again, but RPR went up to 14. I even did a test at a different lab and the TPHA was 12560 there. I'm scared and not sure what's going on. Can you help me understand these results?
Answered by 1 Apollo Doctors
Your test results indicate a persistent syphilis infection, and the treatment outcomes are concerning; the increasing RPR titers (1:2 to 1:4) and varying TPHA results (1:320 to 1:640 to 1:2560) suggest that the infection may not be responding to the treatments administered; consult a specialist,
Dr. Dhankecha Suggests...
Consult a Infectious Disease specialist
Answered 04/07/2025
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I had a massage yesterday that involved body-to-body contact, but no kissing or penetration. I did insert my finger in her vagina a couple of times, but my fingers had no wounds. She gave me a handjob afterwards. Now I'm super anxious about whether my penis might have accidentally touched her vagina, even though I didn't notice any fluids. To ease my worries, I got her tested today for HIV, hepatitis B and C, and syphilis using the HIV RNA PCR, p24 AgAb CMA method, and everything came back negative. She also said she's never had penetrative sex. Can I be sure I'm safe? I'm really stressing out and I don't think I'll go to a massage parlor again. Would appreciate any advice.
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.