
Arrange your collection
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Choose collection locationSTI & STD · Individual laboratory test
TPHA detects antibodies directed against the organism that causes syphilis. These antibodies often remain after an infection has been treated.
Clinical authorDr Nirupama SabhapathySpecialist Clinical Pathology
Understanding the test
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.
TPHA can help clarify a syphilis screening result as part of a testing algorithm.
Past treatment and earlier titres help a clinician interpret a positive result.
Before your sample
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
24 hoursLaboratory turnaround
A reactive treponemal antibody alone cannot distinguish an untreated new infection from a treated old infection. Clinical history and other serology supply that distinction.
From sample to follow-up

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.
Choose collection locationLook 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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Pair TPHA with the RPR result and previous treatment dates when discussing whether a finding represents current or past infection.
Patient questions
TPHA can remain reactive despite successful treatment. Clinicians use clinical history and appropriate non-treponemal titres to assess treatment response.
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.
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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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.