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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.
1 If the syphilis infection is not treated, the person may develop a rash. 2  The rash looks like rough, red or reddish brown spots that typically don't itch, on the palms of hands and bottoms of feet.  A person may have rashes on other parts of the body, or may have other symptoms like fever, swollen glands, or hair loss.