Patient's question:
Health consultation description: Initially, the clitoris was slightly red and itchy with a bit of pus discharge. The medication helped clear up the pus. Still not fully reassured, I underwent a thorough examination, which revealed vulvar inflammation. It improved within a few days, so I had blood tests done. The results showed vulvar ulcers, along with an initial syphilis screening. Subsequently, I had an automated syphilis test and thorough examination, which confirmed vulvar ulcers. However, the report indicated a positive result for Treponema pallidum antibody (TPPA) >1:80, while the non-specific syphilis antibody (TRUST) was negative. Hello expert, is this really syphilis or just vulvar ulcers?Doctor's answer:
Based on your description, it is suspected that you have vulvitis. The current examination results indicate a diagnosis of syphilis infection. However, the current condition does not necessarily mean the disease is caused by syphilis. It is recommended to pay attention to hygiene and rest, wear cotton underwear, and choose breathable pants. Maintain a light diet, avoiding spicy and cold foods. You can use a wash to clean the lower body daily. Abstain from sexual activity to prevent cross-infection. It is essential to seek medical attention promptly, as the earlier the treatment, the better the outcome.