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Have an honest and open talk with your healthcare provider about your sexual history and ask whether you should be tested for syphilis or other STDs. Your doctor can do a blood test to determine if you have syphilis. Notice to Readers: CDC Statement on Study Results of Product Containing Nonoxynol-9. A person with primary syphilis generally has a sore or sores at the original site of infection.These sores usually occur on or around the genitals, around the anus or in the rectum, or in or around the mouth.

Individuals who are unaware of their infection can spread it to their sex partners. Reported at 2000 National STD Prevention Conference in Milwaukee, Wisconsin.

Most cases of syphilis in the United States are among gay, bisexual, and other men who have sex with men.

(MSM), and syphilis has been increasing among MSM for more than a decade.

Sometimes, healthcare providers will diagnose syphilis by testing fluid from a syphilis sore. Outbreak of Syphilis Among Men Who Have Sex With Men – Southern California, 2000.

If you are a sexually active man who has sex with men, who is living with HIV, and/or who has partner(s) who have tested positive for HIV or syphilis, you should get tested regularly for syphilis.

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These sores are usually (but not always) firm, round, and painless.