Healthier Scotland. Scottish Government

Syphilis testing

When to get tested for syphilis

If you develop any of the symptoms of syphilis then get help quickly, especially if you notice a sore on your genitals.

The earlier syphilis is treated the better. If you are generally unwell and think you are at higher risk of syphilis then tell the doctors you see that you are concerned, as they may not be thinking of syphilis.

You could be at higher risk because you are a man who has sex with men, have recently had sex overseas or have had multiple sexual partners - especially at the same time.

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What's involved in syphilis testing?

The only reliable way to tell if you have syphilis or not is to have a blood test. It takes about a week to process and return the results.

In the very early stage of the infection, syphilis in an ulcer can be seen under a special microscope. This test is only available at a few sexual health services.

A newer test called a PCR test is available in Scotland to diagnose syphilis direct from an ulcer, but needs to be sent to a special lab in Edinburgh.

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Where to get tested for syphilis

If you or your partner are worried that you may have syphilis, see a doctor straight away.

You can visit your local GP surgery, or a sexual health service (for example a family planning or GUM clinic).

These are specialist clinics that deal with sexually transmitted infections, are completely confidential, and you and your partner can ‘self-refer’ (that means you can go along without having to see your GP first).

Find your nearest sexual health service

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How do I tell my partner that I have syphilis?

Some people can feel upset, angry, frightened or embarrassed about discussing sexually transmitted infections with their current or former partner(s).

If you have syphilis, you may need to tell your current and previous partner(s), so that they can also be tested and, if necessary, treated.

Nobody can force you to tell your partner(s) about having a sexually transmitted infection, but it is strongly recommended. Left untested and untreated, syphilis can be passed onto other people.

Read more about breaking bad news of sexually transmitted infections

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