Anonymous
Hi there,First of all, thank you so much for this online helpline! I had unprotected sex and got tested for HIV and STD's 2 months after exposure. All came back negative and i have been tested again for HIV past the 3 month window period. The only thing i am still concerned about is the 3 month testing window for Syphilis. It is now about 5 months since my last exposure and recently i have developed a headache, loss of appetite, and although my throat glands don't appear to be or feel to be extremely swollen when i feel them they are a bit tender. I have read these are al symptoms of Syphilis. I would like to know if this test at 2 months is somewhat conclusive? Is there a good chance if i test again that my results will change to positive? I am very nervous about this.
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Anonymous
Hello,
Firstly, I applaud you for getting tested! You're correct that your negative HIV results are conclusive, as long as you have not had any risky exposures (unprotected sex and needle sharing) since then. 
Syphillis is often detectable within a few weeks, so your test results at 2 months are a very good indicator of your status. However, like HIV,  the window period for syphillis testing is technically 3 months, and after that point your results will be considered conclusive. Syphillis is highly curable in its early stages, but can cause severe illness or even death if it is left untreated for long periods of time. It would be a good idea to get retested to know that your results are conclusive and to have peace of mind. 
Like HIV, syphillis cannot be diagnosed based on symptoms alone; only medical tests will confirm your diagnosis. One of the first symptoms of syphillis is having sores around the genital area, followed by a flu-like illness 3-6 weeks after those lesions appeared. However, the swollen glands you describe could also be due to a number of illnesses, so I encourage you to speak to your doctor about your symptoms. 
Here are some links to more syphillis info if you are interested:
http://www.cdc.gov/std/syphilis/STDFact-Syphilis.htm
http://www.stdresource.com/disease/index.php?page=edit&id=4&action=viewfull
http://www.avert.org/syphilis.htm
Cheers,
Allison 
AIDS Vancouver Helpline Volunteer
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