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Serological test for syphilis antibodies in serum (pre-pregnancy maternal screening)

Published: August 9, 2026Updated: August 17, 2026

This test checks for syphilis antibodies in your blood to help determine if you have been exposed to the bacteria that cause syphilis. It’s often used during pregnancy to ensure your health and your baby’s health are protected.

Quick summary

["A simple blood test to screen for syphilis, a serious but treatable infection that can affect both you and your baby if not detected early."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
85675-7
Short code
Serologic tx result pre pregnancy Mother
Synonyms
Serologic tx result pre pregnancy Mother
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Critical range
0.5 N/A – —
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Matters During Pregnancy

Syphilis can cause serious complications if left untreated, including miscarriage, stillbirth, or severe health issues for your baby. Early detection allows for prompt treatment with antibiotics, which can prevent these risks. This test is part of routine prenatal care to keep you and your baby safe.

What to Expect Before the Test

You’ll likely have a small needle inserted into your arm to draw blood. The process is quick and usually causes only minor discomfort. No special preparation is needed, but let your healthcare provider know if you’re on any medications or have allergies.

What the Test Results Mean

If your test is positive, it means your body has detected syphilis antibodies, indicating past or current infection. Your healthcare provider will discuss next steps, which may include additional testing or treatment. A negative result means no detectable antibodies, but it doesn’t guarantee you’re completely free of syphilis—re-testing may be recommended if symptoms or risk factors persist.

What Happens If You Get a Positive Result?

If you test positive, your healthcare provider will work with you to confirm the diagnosis and determine the best treatment plan. Syphilis is highly treatable with antibiotics, and early treatment can prevent serious complications. You may need follow-up tests to monitor your response to treatment.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Syphilis can cross the placenta and affect fetal development, leading to congenital syphilis—a condition that can cause birth defects, developmental delays, or even stillbirth. Early detection through screening during pregnancy is critical. If syphilis is diagnosed, treatment can be started immediately to minimize risks to both mother and baby. This test helps ensure you receive timely care if needed, supporting a healthy pregnancy.

Short name

Syphilis Antibody Screen (Serum)

Frequently asked questions

How often should I get this test if I’m not pregnant?
If you’re not pregnant, this test is typically recommended for sexually active individuals who have multiple partners or have been diagnosed with other sexually transmitted infections (STIs). Your healthcare provider may also suggest it if you have symptoms like sores, rashes, or unexplained infections. Always follow your provider’s guidance for testing frequency.
What are the symptoms of syphilis if I have it?
Syphilis often has no symptoms in the early stages, so many people don’t realize they’re infected. When symptoms do appear, they can include sores (usually painless) on the genitals, anus, or mouth, a rash on the palms of hands or soles of feet, or flu-like symptoms like fever, fatigue, or swollen lymph nodes. If untreated, syphilis can progress to more severe health issues, so testing is the only way to be sure.
Can I get syphilis from oral sex?
Yes, syphilis can be transmitted through oral sex. Any form of sexual contact with someone who has syphilis can spread the infection, so it’s important to practice safe sex and get tested regularly if you’re sexually active, regardless of the type of contact.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy