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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.
Neurosyphilis is caused by Treponema pallidum. This is the bacteria that causes syphilis. It usually occurs about 10 to 20 years after a person is first infected with syphilis. Not everyone who has syphilis develops this complication.