Hehe, this is really what this study says. They went over a whole host of scientific publications looking at the accuracy of various types of syphilis tests.

Basically, there is no one test that outshines the others, all of them can fail, so it’s the patient’s personal situation that should be taken into account – for example if they’ve been in sexual contact with someone diagnosed with syphilis, if they have symptoms that looks suspiciously like syphilis, or if they belong to a demographic group where we see more syphilis. I’ve been diagnosing syphilis in all its weird and wonderful forms for some 16 years, so if you have doubts, please get in touch with me by writing to me here.

In my shop I offer one of the best syphilis tests that exists. Click here to learn more.

Lorenz Z, Nijhar S, Caufield-Noll C, Ghanem KG, Hamill MM. The Utility of Biomarkers in the Clinical Management of Syphilis: A Systematic Review. Sex Transm Dis. 2023 Apr 3. doi: 10.1097/OLQ.0000000000001813. Epub ahead of print. PMID: 37010823.