Diseases and Conditions

Syphilis

Complications

Without treatment, syphilis can lead to damage throughout your body. Syphilis also increases the risk of HIV infection and can cause problems during pregnancy. Treatment can help prevent future damage but can't repair or reverse damage that's already occurred.

Small bumps or tumors

In the late stage of syphilis, bumps (gummas) can develop on the skin, bones, liver or any other organ. Gummas usually disappear after treatment with antibiotics.

Neurological problems

Syphilis can cause a number of problems with the nervous system, including:

  • Headache
  • Stroke
  • Meningitis
  • Hearing loss
  • Visual problems, including blindness
  • Dementia
  • Loss of pain and temperature sensations
  • Sexual dysfunction in men
  • Bladder incontinence

Cardiovascular problems

These may include bulging and swelling of the aorta — your body's major artery — and of other blood vessels. Syphilis may also damage heart valves.

HIV infection

Adults with sexually transmitted syphilis or other genital ulcers have an estimated two- to fivefold increased risk of contracting HIV. A syphilis sore can bleed easily, providing an easy way for HIV to enter the bloodstream during sexual activity.

Pregnancy and childbirth complications

If you're pregnant, you may pass syphilis to your unborn baby. Congenital syphilis greatly increases the risk of miscarriage, stillbirth or your newborn's death within a few days after birth.