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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.
When syphilis has spread throughout the body, the person may have: 1  A fever of usually less than 101Â°F (38.3Â°C). 2  A sore throat. 3  A vague feeling of weakness or discomfort throughout the body.  Weight 1  loss. Patchy hair loss, especially in the eyebrows, eyelashes, and scalp hair.  Swelling of the lymph nodes.