Be the First To Know

Be the first to know^® about your health

What is the First To Know^® syphilis test?

The First To Know^® Syphilis Test is a home-use fingerstick blood test for the detection of antibodies to the bacteria that cause syphilis. It yields an in-home result—in minutes.

Stick your finger with the provided lancet.

Touch the test cartridge to your finger to let a drop of blood enter the cartridge.

Tap the cartridge twice and lay it flat.

Wait 15 minutes for your at-home result.

See detailed instructions to perform the test.

Who is this test for?

This test is for people who think they might have an illness called syphilis because they have symptoms or have been sexually active with someone who has syphilis. Pregnant women should also get checked for syphilis when they visit their doctor. This test is intended to be sold over the counter (OTC).

What is included in the test?

Each box contains the following materials to conduct the test:

One (1) sealed aluminum pouch containing one (1) First To Know® Syphilis Test
One (1) Instructions For Use in English & Spanish
One (1) Educational Guide in English & Spanish
Two (2) disposable, single-use sterile lancets
One (1) alcohol swab
One (1) bandage

Other materials needed, but not provided:

Watch or timer

What to know about First To Know®

Why test for syphilis?

Syphilis is a type of infection that spreads through sex and can lead to serious health complications if left untreated. You can get syphilis by direct contact with a syphilis sore during vaginal, anal, or oral sex or by kissing someone with a syphilis sore in their mouth. Sores are typically painless, and a person may not even realize they have them. It can also be transmitted from an infected mother to her baby in utero.

Why test with First To Know®?

The First To Know® Syphilis Test is the first and only over-the-counter syphilis test granted FDA de novo marketing authorization that can provide an in-home result, in minutes.

Why test now?

Syphilis has grown to an epidemic-level public health priority in the United States with a nearly 80% increase in syphilis diagnoses and a more than 180% increase in congenital syphilis over a five-year period.*

The majority of syphilis infections do not have noticeable symptoms, so you may not even suspect that you have it. Over time, the disease can progress and can cause serious health issues. You could also be spreading the disease to any sexual partners. Fortunately, it can be effectively treated and cured with antibiotics when diagnosed in its early stages.

Frequently Asked Questions and Answers

What’s syphilis?

Syphilis is a type of infection that spreads through sex. It starts with a small sore around private parts or in the mouth. Even if you don’t see any sores, you can still spread it to others. There are other infections like chlamydia and gonorrhea that can look like syphilis, but they are caused by different bacteria and may require other testing and/or treatment.

What are the symptoms of syphilis?

Infected people may experience painless ulcers, sores, vaginal discharge or wart-like growths on genitals, rectum or mouth. People may also experience rashes, small bumps or ulcers on their skin, palms or soles. Additional common symptoms include fatigue, itching, sore throat, swollen lymph nodes, weight loss, or rectal lining inflammation.

What puts me at risk for syphilis?

Risk of syphilis results from unprotected sexual contact with one or multiple partners who is/are currently infected with syphilis. It is possible for a person to be infected with syphilis without having symptoms (i.e.; “asymptomatic”) and still transmit the infection to another.

How can I protect myself from being infected with syphilis?

If you are sexually active, doing the following can lower your chances of getting syphilis: (1) being in a long-term, mutually monogamous relationship with a partner who has been tested and has negative STD test results, or (2) using latex condoms the right way every time you have sex.

When should I test for syphilis?

If you’re sexually active and have symptoms or have had unprotected sex, you should get tested

How soon after a risk event can I test myself?

Most people develop antibodies between 10 days and 3 weeks after symptoms appear.

What does the test do?

The test looks for specific antibodies in your blood. Those antibodies are created by your immune system in response to the bacteria that cause syphilis. People infected with syphilis and people who have recovered from past syphilis infections have those antibodies.

Who should use this test?

Anyone who thinks they might have syphilis due to symptoms or having unprotected sex with someone who has syphilis.

How many drops of blood will it take to fill the test?

Most tests fill with 1-3 drops of blood.

The drop of blood is still not enough to refill the test. What should I do?

If you still do not get enough blood to fill the Fill Zone, you can use the extra lancet that is provided to prick a second finger. A different finger is recommended.

Why do I need to tap the test twice?

Tapping the test twice ensures the blood flows into the test and removes any air bubbles.

How quickly will I get my result?

Test results are available in 15 minutes and up to 30 minutes after taking the test.

What does a positive result mean?

It means the test detected antibodies to the syphilis bacteria in the blood sample. You might have syphilis now or had it before.

What should I do if I get a positive result?

See your doctor to confirm the result. If you can’t see a doctor, contact your local health department (https://www.naccho.org/membership/lhd-directory). Treatment for syphilis infection is available but requires a consultation with a healthcare provider. Avoid sexual contact with others until after you have consulted with a doctor. You should notify anyone you have had sex with in the last 60 days (2 months) before receiving a positive test result or before your symptoms started. If you haven’t had sex in the last 60 days, you should notify your most recent partner.

What does a negative result mean?

It means the test did not detect antibodies to syphilis bacteria in the blood sample. There are a number of reasons your test may be negative:
1. You are not infected with syphilis;
2. You have been recently exposed/infected and tested too early to detect the antibodies in your blood;
3. You have a different sexually transmitted infection that is not syphilis.

What should I do if I get a negative result?

See your healthcare provider if you still have symptoms. It is possible you tested too early or have a different sexually transmitted infection.

My test result is negative but I think I have been exposed. What should I do?

See your healthcare provider about your concern. Only a doctor candiagnose and treat syphilis or a sexually transmitted infection.

When should I retest?

If you still think you have syphilis after a negative result, you can test again 10 days after symptoms show or 90 days after you were sexually active with someone that you believe had syphilis.

What should I do if the result is invalid?

If you get an invalid result, please call our toll-free number at 1-844-207-3370.

How accurate is this test?

A multi-site clinical study was conducted from September 1, 2021, to October 17, 2023, at six geographically diverse sites across the US. In this study, the First To Know® Syphilis Test was used by 1270 people, with results compared to a combination of three FDA-cleared tests. The First To Know® Syphilis Test correctly identified 93.4% of positive specimens (99 out of 106) and 99.5% of negative specimens (1158 out of 1164).