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Syphilis test

Also called: RPR, VDRL, Treponemal antibody test, FTA-ABS

Syphilis blood tests check for the infection that causes syphilis. Syphilis is curable with antibiotics.

SampleA small tube of blood from a vein in your arm
Fasting?Usually not needed
ResultsSeveral days
Good to knowOne result rarely tells the whole story. Your provider looks at your results together with your symptoms, exam, and other tests.

What the test is

Two types of tests are used together. One type stays positive for life after infection, even after cure.

Why it's done

  • Sores on the genitals, mouth, or anus, or a rash on the palms or soles
  • Routine STI screening and pregnancy
  • A partner with syphilis

Getting ready and what happens

  • No preparation is needed.

How the test is done

  • A health worker cleans the skin, puts a band around your arm, and draws blood from a vein with a small needle. It takes a few minutes.

What the results mean

Both tests positive

Means current or past syphilis. Your provider will decide on treatment, usually penicillin.

Following treatment

RPR levels are rechecked to make sure they fall.

When a result needs quick action

Call your provider todayVision or hearing changes, severe headache, or confusion with syphilis

Questions to ask your provider

  • What do my results mean for me?
  • Do I need to repeat this test or have other tests?

Risks

A blood draw is very safe. You may have slight pain or a small bruise where the needle went in.

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Sources

Last updated 2026-11-13.