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Treponema Pallidum Hemagglutination Assay (TPHA)

TPHA detects antibodies directed against the organism that causes syphilis. These antibodies often remain after an infection has been treated.

Price for this test on its ownAED 205Test price AED 105
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Dr Nirupama SabhapathyClinical authorDr Nirupama SabhapathySpecialist Clinical Pathology
An antibody and red-cell models together in a clear dish.
Sample
Serum
Laboratory turnaround
24 hours
Collection
Dubai
Laboratory
Intel Lab
Treponema Pallidum Hemagglutination Assay (TPHA) specimen guide showing serum.

Understanding the test

What does the TPHA test measure?

Also called Syphilis Confirmation (TPHA)

TPHA can help clarify a reactive screening result or evidence of prior syphilis. Share any earlier test results and treatment records with the clinician.

When it may be requested

Confirming treponemal antibodies

TPHA can help clarify a syphilis screening result as part of a testing algorithm.

Checking previous infection history

Past treatment and earlier titres help a clinician interpret a positive result.

Before your sample

Prepare for collection

SpecimenSerum
Your checklist0 of 2 ready

No fasting is generally needed. Bring prior syphilis results and dates of treatment or possible exposure; antibodies may persist after treatment.

A clinician takes a small sample of blood from a vein. The laboratory uses serum, the liquid separated from the blood after it clots.

Smart Report

Understanding your result

24 hoursLaboratory turnaround

Intel LabResult guide

Treponema Pallidum Hemagglutination Assay (TPHA)

Reading your result

A reactive treponemal antibody alone cannot distinguish an untreated new infection from a treated old infection. Clinical history and other serology supply that distinction.

What can affect it

  • Treponemal antibodies often remain positive after treatment and cannot alone establish active infection.

From sample to follow-up

Your testing journey

Intel Lab specimen collection kit

Arrange your collection

Choose your location, add the test to your care bag and select a time. If you are booking for someone else, assign the test to them in checkout.

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Intel Lab
Laboratory testTreponema Pallidum Hemagglutination Assay (TPHA)
Specimen
Serum
Turnaround
24 hours

Open your laboratory report

Look for Treponema Pallidum Hemagglutination Assay (TPHA) in your report. Use the sample type and collection time when comparing it with an earlier report.

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clinician and adult patient discussing laboratory results

Discuss the next step

Pair TPHA with the RPR result and previous treatment dates when discussing whether a finding represents current or past infection.

Clinical expertise

Your laboratory team

Patient questions

Before you book

Can this tell me whether previous treatment worked?

TPHA can remain reactive despite successful treatment. Clinicians use clinical history and appropriate non-treponemal titres to assess treatment response.

What is the difference between TPHA and RPR?

TPHA looks for antibodies specific to syphilis that often remain detectable after treatment. RPR and VDRL titres are used for follow-up because they often fall, although some people stay reactive. Bring earlier results and treatment dates so your clinician can compare the same type of test over time.

What does a non-reactive TPHA result mean?

No treponemal antibodies were detected. Testing early can miss an infection. If you had sexual contact with a partner in the 90 days before they were diagnosed with early syphilis, seek care promptly. Treatment is recommended even if your blood test is negative. For other possible exposures, your clinician can advise when to repeat testing.

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TPHA test at home.

Sources & further reading

Written by Dr Nirupama Sabhapathy, Specialist Clinical Pathology. Medically reviewed by Dr Joyce Jose, Specialist Clinical Pathology, on .

Catalogue information and AED price checked on 2 November 2026. Clinical suitability, preparation, collection arrangements and turnaround are confirmed for your selected test.