Syphilis Confusion

[crazykid2011]

Hi all, having some trouble better understanding my syphilis test results and my doctor doesn’t seem to know much either. 3 years ago I was diagnosed and treated for syphilis. Since then, I am aware that my test will always show positive bc of the antibodies but each time, my doctor notifies me that my Titer is negative and shows that it was from a previous infection. I switched medical doctors and now this has happened.

Syphilis AbIGG - shows reactive with a value of 2.7, standard range is between 0.2-0.7

RPR Ab Titer 1 - shows as Non-Reactive

Syphilis AB by TP-PA shows as Positive - but says that it doesn’t differentiate between a past or current infection.

My doctor said I need treatment but admittedly doesn’t know much about syphilis so I’m not sure where to turn

Thanks!

[auntiejessi]

Have you had neg results since you tested positive in 2020, especially on the IgG?

If you have, or your numbers have risen since your most recent test, then you should consider it a new infection. In one of your previous posts, you mention that you test every 6 months. Do you still do that?

Have you had recent risk?

[crazykid2011]

Hello, yes I still get treated every 6 months. All of my results have showed as positive but with negative titer. I was able to speak to a specialist and they confirmed that based on my results, I do not need treatment. My PCP is admittedly it well versed in STD testing. Thank you!

[auntiejessi]

Good to hear. Take care of you. :)