Syphilis RPR Reactive 1:2 Test Results

[mmte]

I was treated for syphilis exactly one year ago.
I haven't had sex since afraid I might still have this thing.
Recently went to get tested since I have a new partner and would like to enjoy
unprotected sex with her but my test results were Syphilis RPR Reactive 1:2.
Is it safe to have sex with these results since all hers tests were negative,
would I infect her? but mainly due I still have this disease?
All answers and suggestions are highly appreciated. Thanks

[auntiejessi]

Did they do a confirmation test?

Do you know what your RPR was last year? They look for a 4fold drop in your titer - with it being a 1:2 now, to have a successful treatment, it would have had to have been 1:8 or higher before.

The best way to know is to get a confirmatory test, like a FTA-ABS or TPPA, and if that's negative, it means you're negative.

Some people will always test positive with a low titer on the RPR after having syphilis. It might drop later, too.

[mmte]

I checked my test results done on Sep 16, 2021
and it was 1:32.
Positive
Lab Report: view      Test Type: Syphilis Screening
RPR
Result Positive
Result 2 1:32
Site Blood
Post Date Sep 16, 2021
CLIA
Result Positive
Site Blood
Post Date Sep 16, 2021
Also I tested positive then for Hepatitis A IgG
Result Positive
Site Blood
Post Date Sep 16, 2021
How serious is this?
Thank you in advance for time taken to respond to my request.

[auntiejessi]

So first, the hepatitis A IgG positive means that you had it in the past, or you've been vaccinated. Did you have an IgM Hep A test? If that was negative, you're okay. For Hep A, the IgM means an active infection.

Since you had a 1:32 on your last RPR, you've had more than a fourfold decrease, meaning you can assume your treatment was successful. If you have another test that was run with it, like a TPPA, FTA-ABS, and that was negative, that would confirm it.