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How contagious is syphilis

Hi everyone,

I have a friend who has tested positive for syphilis. He has started treatment with doxycycline and azithromycin. A day after starting treatment a few red spots appeared under the skin on his hands (both hands, 3/4 sports clustered together). The skin is not broken, the spots are under the skin. They have also started to fade away after a day. We asume these are a syphilis rash.

Since the skin is not broken, are these red spots contagious? Can I get syphilis from shaking his hand? What about from hugging him?

Thank you
Best Answer
Avatar universal
Syphillis is not transmitted via a handshake so you are safe.

I do question his treatment though it’s puzzling. It’s normally a penicillin injection or if not two weeks of doxycycline.

The AZ is never recommended for syph as it’s becoming increasingly resistant to it. But that dosnt matter if he is taking two week of doxycycline and not your question anyway.
5 Comments
Firstly, thank you very much for answering. This is very helpful.

We are more than friends. We've been hanging out in the same bed, clothed, watching movies. We've also masturbated together, but each handling his own privates. He's also kept me in his arms although, again, we were clothed.

Are any of these high risk activities for getting syphilis from him?
Read this a few times to be safe and I haven’t read anything that puts you at risk. It requires direct contact with a sore and probably friction too. It’s sexually transmitted for a reason.
Again, thank you very much for answering.
Your welcome I hope your friend gets better soon.
If he's not allergic to penicillin, he really isn't on the best treatment. Make sure he's on the doxy for 2 weeks, 2ce a day.

Have you been sexually active with him prior to his diagnosis? If so, you need to be tested and treated.
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