How to diagnose primary syphilis

Syphilis can be clinically manifested as primary, secondary, tertiary and latent syphilis. So how to diagnose whether you have primary syphilis? The most common sites for primary syphilis include the penis, glans, coronary sulcus, prepuce, urethral orifice; the large and small labia, clitoris, cervix; the anus, anal canal, etc. strap on dildo It can also be seen in the lips, tongue, breast, etc., and its diagnosis is based on the following: ① A history of unclean sexual intercourse, with an incubation period of 3 weeks;② Typical symptoms, such as a single painless hard chancre butts , mostly occur in the external genitalia; Primary syphilis mainly has the following clinical manifestations: The incubation period of primary syphilis is an average of 3-4 weeks, and the typical damage is hard chancre. At first, a small red papule or induration appeared at the invasion site of the spirochete, but later it showed erosion perfect ass , forming a superficial ulcer. It was hard and non-painful, circular or elliptical, with clear boundary, neat edges, and embank-like elevations. It is surrounded by dark red infiltration, has characteristic cartilaginous hardness, has a flat base, no pus, and has a fibrinoid film attached to the surface, which is not easy to remove. If squeezed slightly, there may be a small amount of serous exudate and contains a large amount of Treponema pallidum, which is an important source of infection. Most of the hard chancre are single, and 2-3 can also be seen. However, if it occurs in the original erosion, laceration, or eroded herpes or balanitis, the hard chancre will take on the same shape as the original damage. In this case, Treponema pallidum should be examined. Due to infection through sexual intercourse, the damage mostly occurs in the vulva and sexual contact areas. In men, it mostly occurs near the glans, coronary sulcus and frenulum, the inner lobe of the prepuce or the penis, the root of the penis vibrator for men , the urethral orifice or the urethra. The latter is easily misdiagnosed. Hard chancre is often associated with prepuce edema. Some patients may develop lymphangitis on the back of the penis, showing a hard linear lesion. When the above symptoms are discovered, patients should seek medical treatment promptly to avoid delay the condition.
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