Understanding Lab Tests for Syphilis

Written by Private MD Labs Medical Writing Team • Last Updated: September 8, 2025

Syphilis is a sexually transmitted infection caused by the bacterium Treponema pallidum. Early detection and treatment are crucial, as syphilis can progress through multiple stages and cause serious health complications if left untreated. Accurate diagnosis relies on specific blood tests that detect antibodies or other immune responses to the infection.

Top Recommended Test

RPR (Diagnosis) with Reflex to Titer and Treponema pallidum Antibody, IA

The RPR (Rapid Plasma Reagin) test is commonly used for the diagnosis of syphilis. It measures the presence of antibodies produced by the body in response to the infection. A positive RPR test can indicate an active syphilis infection and helps determine the need for immediate treatment.

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$99

Why Blood Testing is Essential for Syphilis Diagnosis

Syphilis symptoms can be subtle or absent in early stages, and they often mimic other conditions. Blood tests are the primary diagnostic method because they can reliably detect the body's immune response to the Treponema pallidum bacteria, even when symptoms are not present or are unclear.

Other Relevant Tests

Syphilis Antibody Cascading Reflex

The Syphilis Antibody Cascading Reflex test is used primarily to screen for syphilis infection. The test detects antibodies to the bacterium Treponema pallidum, the causative agent of syphilis. A positive result indicates either a current or past infection, providing comprehensive screening information.

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$84

IgM

High levels of IgM can indicate a recent infection with the bacteria that causes syphilis. IgM levels start to rise within a few days after the initial infection, making this test particularly useful for detecting early-stage infections when prompt treatment is most effective.

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$105

Understanding Your Test Results

Syphilis testing often involves multiple approaches to ensure accuracy. Some tests detect current active infections, while others may remain positive even after successful treatment. Your healthcare provider will interpret these results in the context of your symptoms, medical history, and risk factors to determine the appropriate course of action.

Important Considerations

The information here is for educational purposes only and is not a substitute for professional medical advice. Syphilis is a serious but highly treatable condition when caught early. Always consult with a healthcare provider for proper diagnosis, interpretation of test results, and treatment recommendations.

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