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Syphilis is spread from sexual skin-to-skin contact with someone who has it. You get it when your vulva, vagina, penis, anus, or mouth touches someone's syphilis sores â usually during sex. Syphilis can be spread even if no one cums. The main ways people get syphilis are from having vaginal sex and anal sex. It's less common to get it from having oral sex, but it can happen.
Primary syphilis â In this first stage, syphilis causes a painless ulcer called a chancre, usually in the genital area where syphilis bacteria enter the body. This stage begins 10 to 90 days (average three weeks) after a person has been exposed to someone with syphilis.