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Ask Dr. Norm S. Your Own Question
Dr. Norm S.
Dr. Norm S., Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 11235
Experience:  Over 30 years of experience in OB/GYN practice, including teaching students. Fellow of American Board of Obstetrics and Gynecology.
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Non reactive rpr test after exposure 15 years ago

Customer Question

non reactive rpr test after exposure 15 years ago
Submitted: 2 years ago.
Category: OB GYN
Expert:  Dr. Norm S. replied 2 years ago.
Hello and welcome.
I am Dr. Norm, and I look forward to helping you today.
Were you exposed to syphilis 15 years ago? If so, can you tell me the circumstances?
Have you ever had a positive rpr or other test?
Is your concern now whether you could have syphilis? Thank you.
Customer: replied 2 years ago.
I don't know if I was exposed. I was sexually abused by a family member. I have just recently started to talk about it. One of my concerns was always getting a std from the experience.No I never tested positive for it and was too young to know symptoms. Decided to get a test done 12-14 years after possible exposure and the rpr test came back non reactive. Does this mean I don't have it?
Customer: replied 2 years ago.
concern is whether or not I could have syphilis
Customer: replied 2 years ago.
I've had 2 non reactive rpr tests. But if it is im spinal fluid would that test even be accurate?
Customer: replied 2 years ago.
How does this work? Did you see the last couple of answers I sent?
Expert:  Dr. Norm S. replied 2 years ago.
Your negative rpr test almost certainly means that you don't have syphilis.
While it is possible to have syphilis in the spinal fluid and have a negative rpr, the incidence of syphilis in the US is really quite low, so the chance of your getting it, having it in the spinal fluid, and having a negative rpr is remote.
You could ask your doctor for a treponemal test such as TPA, which would be positive if you had syphilis in your spinal fluid. I don't believe it's necessary, but perhaps it would give you peace of mind.