Men, Beware: Syphilis, the Silent Threat

Hey guys, it's time to get real about a topic that's a bit under the radar but incredibly important for your health and well-being—Syphilis among men. It’s sneaky, it’s serious, and it’s on the rise. Knowing the score can help you protect yourself and your partners, so let's break it down.

Understanding Syphilis

Syphilis is a bacterial infection usually spread by sexual contact that can cause serious health complications if not treated properly. It’s known as the “great imitator,” as its symptoms can look like many other diseases.

The Stages of Syphilis:

  • Primary Stage: This begins with sores at the infection site.

  • Secondary Stage: Rashes and mucous membrane lesions characterize this phase.

  • Latent Stage: The disease hides with no symptoms.

  • Tertiary Stage: It can damage organs and lead to death if untreated.

The Silent Surge

Syphilis is staging a silent comeback, especially among men who have sex with men (MSM). But here’s the twist: it can stay dormant for years, making it a hidden hazard.

Current Statistics:

  • Incidence among MSM: 3.7 per 100 person-years.

  • Higher rates in those with HIV: 9.3 per 100 person-years.

  • Prevalence in MSM on PrEP: 6.9 per 100 person-years.

Spotting the Symptoms

Syphilis can be a bit of a ninja, showing symptoms that can easily be mistaken for other illnesses, or showing no symptoms at all.

Look Out For:

  • Sores at the site of infection.

  • A rash that doesn’t itch, often on the palms or soles.

  • Flu-like symptoms, like mild fever or fatigue.

  • No symptoms at all in the latent stage.

Testing and Taking Action

The best defense against syphilis is getting tested, particularly if you’re at higher risk.

Who Should Get Tested:

  • MSM, particularly if HIV-positive or on PrEP.

  • Anyone with multiple sexual partners.

Treatment Tactics

Treatment is straightforward if you catch it early—usually just a penicillin shot.

But Remember:

  • Follow your doctor’s advice in the letter.

  • Let past and current partners know—that they need to get tested too.

  • Abstain from sexual activity until treatment is complete and a doctor confirms you’re clear.

Prevention and Post-Exposure Proactive Measures

Scientist or medical in lab coat working in biotechnological laboratory

In addition to regular preventive strategies, there's a significant advancement in post-exposure protection: B Doxy-PEP. This specialized prescription antibiotic formulation can be a game-changer for anyone who has had unprotected sex. Think of it as emergency contraception but for STDs, including syphilis.

How B Doxy-PEP Works:

Timely Intake: It's most effective when taken within 72 hours of unprotected sexual activity.

Proactive Shield: B Doxy-PEP acts to minimize the likelihood of contracting STDs, including syphilis, by providing immediate antibiotic treatment.

Who Should Consider B Doxy-PEP:

Anyone who has had unprotected sex and is concerned about potential exposure to STDs.

Individuals who have missed or are not on regular preventive treatments like PrEP


It's not a substitute for regular STD testing or preventive measures like BCondoms but an additional layer of protection in specific scenarios.

Closing Thoughts…

Knowledge is power, and in the case of syphilis, it’s also the best protection. By staying informed and proactive, you can ensure that syphilis remains a threat that never hits home.

If you’ve got it, it’s not the end of the world—syphilis is curable with timely treatment. So, step up, get tested, and keep the good times rolling safely.


What is B Brand?

B Brand is a telehealth company focused on delivering premium quality sexual health products, paired with education and resources to help people make informed decisions. We are your one-stop destination for all your intimate health needs.

How do B Brand consultations work?

To complete a B Brand consultation, all you need to do is answer our quick online medical questions. Your answers are then reviewed by our US medical team, who will decide if you are eligible for treatment, and which medication is best for you.

What is doxy-PEP?

Doxy-PEP means taking the antibiotic doxycycline after sex, to prevent getting an STI. It is like a morning-after pill but for STIs. Taking doxy-PEP reduces your chance of acquiring syphilis, gonorrhea, and chlamydia by about two-thirds.

When should I take doxy-PEP?

Two 100 mg pills of doxycycline should be taken ideally within 24 hours but no later than 72 hours after condomless sex. Condomless sex means oral, anal or vaginal/front-hole sex where a condom isn’t used for the entire time.

What about when I have sex again?

If you have sex again within 24 hours of taking doxycycline, take another dose 24 hours after your last dose. You can take doxycycline as often as every day when you are having condomless sex but don’t take more than 200 mg (two 100 mg pills) every 24 hours.

How should I take doxy-PEP?

• Take doxycycline with plenty of water or something else to drink so that it does not get stuck when you swallow. If your stomach is upset by doxycycline, taking it with food may help.

• Some people are more sensitive to the sun when they take doxycycline, so wear sunscreen.

• Please do not share doxycycline with others.

• Avoid dairy products, calcium, antacids, or multivitamins 2 hours before after taking doxycycline

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