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However, sometimes sores occur in areas not covered by a condom.It is still possible to get syphilis from contact with these sores.A person with primary syphilis generally has a sore or sores at the original site of infection.These sores usually occur on or around the genitals, around the anus or in the rectum, or in or around the mouth.In the United States, approximately half of MSM with primary and secondary (P&S) syphilis were also living with HIV. In addition, MSM who are HIV-negative and diagnosed with P&S syphilis are more likely to be infected with HIV in the future.
Symptoms of secondary syphilis include skin rash, swollen lymph nodes, and fever.
Sometimes, healthcare providers will diagnose syphilis by testing fluid from a syphilis sore. Outbreak of Syphilis Among Men Who Have Sex With Men – Southern California, 2000.
If you are a sexually active man who has sex with men, who is living with HIV, and/or who has partner(s) who have tested positive for HIV or syphilis, you should get tested regularly for syphilis.
Having syphilis once does not protect you from getting it again.
Even after you’ve been successfully treated, you can still be reinfected. Unrecognized HIV Infection, Risk Behaviors, and Perceptions of Risk Among Young Black Men Who Have Sex with Men –- Six U.