Early symptoms of syphilis in men

Syphilis is a chronic genital infection caused by Treponema albicans (TP), which is mainly sexually transmitted, but can also be spread through blood and mother-to-child transmission. Syphilis is divided into early syphilis, late syphilis and latent syphilis according to the whole process of disease development trend. Early syphilis is divided into primary syphilis and secondary syphilis. Early symptoms refer to primary syphilis. Typical skin lesions are mainly chancres, which are more common in the genitals and around the anus. Male patients are mostly caused by the prepuce, coronal sulcus, frenulum or glans of the male genitals. Bisexual men are more common in the anus or duodenum.

For male syphilis patients, the most common typical symptom in the early stage is hard chancre. For men, this condition usually occurs in the male genitals, coronal sulcus, glans penis and around the anus. In this location, a small red spot will appear at the beginning, and then the red spot will gradually increase in size, harden, and significantly bulge, and the surface will become necrotic. However, because this condition does not cause significant pain, patients usually cannot detect it immediately.

After necrosis, the surface will be accompanied by obvious exudate, and there will be obvious protrusions on the edge. The boundary is very clear. Generally, it will feel hard inside, as if bones have grown. Even without treatment, the condition of chancre can gradually disappear on its own in about a month, and a small scar tissue will be left in the part after disappearance. At the same time as the chancre occurs, the patient usually has obvious swelling in the nearby lymph node organs, but generally there is no obvious tenderness.

Early syphilis in men refers to primary syphilis. Primary syphilis generally has no systemic symptoms, and some symptoms are manifested in the coronal sulcus of the penis, the glans penis, the prepuce is too long, and the frenulum of the penis. The typical skin lesion is a chancre, which is initially a small erythema and quickly develops into a painless inflammatory papule. After a few days, it becomes a lump, and the surface is necrotic, producing a painless ulcer with a diameter of 1-2 cm. The ulcer has a clear boundary, edema around it, and protrusions on the edge. The muscle base is bright red and has a cartilage-like strength. There is secretion on the surface, which contains a lot of Treponema pallidum and is extremely infectious. If not treated, it will disappear after about 1-2 weeks, leaving dark red atrophic scars or pigmentation.