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Syphilis Test: What It Shows and What It Does Not


Quick answer: A syphilis blood test looks for antibodies your body makes in response to the bacteria that cause syphilis. A positive screening test is confirmed with a second test.

About this test

The blood test looks for antibodies to Treponema pallidum or markers of the infection. Syphilis testing often uses two steps to confirm a result.

Why is it ordered?

  • Routine screening for sexually active people.
  • A new partner or a partner who tested positive.
  • A sore or rash that may be syphilis.

What results may show

  • A positive result suggests current or past syphilis and needs confirmation and follow up.
  • A negative result after the window period makes infection unlikely.

What this test may not show

  • A very recent infection may not show yet because antibodies take weeks to appear.
  • Some tests stay positive after successful treatment.
  • It does not show the stage of infection by itself.
  • A positive result needs a provider visit.

How to prepare

  • No special preparation is needed.

Where you can get this test

Option Price Includes
STD Screening Panel, Basic $129 Chlamydia, gonorrhea, syphilis, HIV 1 and 2
STD Screening Panel, Comprehensive $199 Chlamydia, gonorrhea, trichomoniasis, syphilis, HIV 1 and 2, hepatitis B surface antigen, hepatitis C antibody

A doctor’s visit is not required to order. Order online, then visit our Buffalo Grove or Lake Zurich location for the sample. Review results with your own healthcare provider.

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Frequently asked questions

How long after exposure does the test turn positive?

Antibodies can take a few weeks to appear. Your provider can advise on repeat testing.

Can the test stay positive after treatment?

Yes. Some antibody tests remain positive for life.

What happens after a positive screening test?

A confirmatory test and a visit with a provider.

Sources

  1. MedlinePlus, National Library of Medicine. Syphilis tests.

Medically reviewed by Rodion Levin, FNP-C, Founder and Medical Director. This page is for general education. It does not diagnose a condition or replace advice from your healthcare provider.