My report shows that syphilis is reactive with a 1:4 titre. Is it necessary to take a penicillin injection for treatment? If so, where should I receive the injection?

Answered by 1 Apollo Doctors

Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

Consult Now

If your syphilis test is reactive, yes, penicillin is the standard and most effective treatment. It is given via intramuscular injection, usually in a hospital or clinic. Early treatment is essential to avoid complications. Get done VDRL test for better evaluation.

Dr. Dhankecha Suggests...

Take a VDRL (RPR WITH TITRE) Test or Take a TREPONEMA PALLIDIUM HEMAGGLUTINATION ASSAY (TPHA) Test

Book VDRL (RPR WITH TITRE) Test Book TREPONEMA PALLIDIUM HEMAGGLUTINATION ASSAY (TPHA) Test

Answered 29/08/2025

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My blood report shows TPHA positive. Please suggest the treatment or medicine for this condition. It is urgent because I need to travel to Saudi Arabia soon

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Hi, I recently had a VDRL test, and it came back reactive. Which type of doctor should I consult for proper treatment? Also, is this condition permanently treatable?

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Hi. My VDRL is positive and TPHA is 1.0 negative. In October, my report showed this. The doctor gave 4 injections of 1.2 lakh each over 2 weeks. Before 2008, my VDRL was active and TPHA was not active. The doctor gave 2 injections of 2.4 lakh. From 2008 to August 2017, I did not have any ulcers. In 2017, one night I slept and in the morning I noticed a black spot on the shaft of my penis. The next day an ulcer appeared on the skin and after 4 days it went away, but the skin color did not return to normal. Recently, I have much itching and burning. Please help. I am currently in KSA.

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