An STD that, if left untreated, can attack systems in the body like your nervous or cardiovascular systems. It can also impact your fertility—if you become pregnant while you have untreated syphilis, it could cause a 50% chance of miscarriage or stillbirth. And if you had syphillis sometime during the 4 years prior to getting pregnant, there is an 80% chance of fetus infection. If you’re thinking about having kids and you have syphillis or you’ve had it in the past, go ahead and chat with a reproductive endocrinologist to see what your options are.

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