Hello and thank you for addressing your concern.

According to your statement, we believe a thorough clerking, investigation and examination needs to be done first on our behalf, in order to clearly understand what we are facing at the moment. Correspondingly, the given information by you might only touched the surface of an underlying problem.

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Notably, there are many other criteria that are equally vital in diagnosing a patient, that usually includes

• clerking & history taking
• risk factor evaluation
• physical examination
• laboratory & other diagnostical findings

However, in answering your question

1. Yes, unless a secondary infection or reinfection were to occur.
2. It will depend on which type of clinical testing or findings was used.
3. If you have been treated for syphilis, you are usually required to avert having sex for at least 7 days after post-treatment.
4. While it is presumably expedient that the TPPA test will reach a negative result after treatment, in a certain situation, it will not necessarily reflect your current viral load.
5. Yes, syphilis antibody will most likely remain in the blood circulation for a very long time (if not for life)

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With that being said I hope you would take the extra initiative discuss further with your doctor or to contact our doctor using this link (DoctorOnCall) in order to maximise the help that you can get.