Australia STI rates have surged over the past decade, with reported cases of gonorrhoea and infectious syphilis increasing by more than 50%, according to new data from UNSW’s Kirby Institute. The concerning trend includes a significant rise among women, prompting experts to call for urgent action.
Gonorrhoea and Syphilis Cases on the Rise
Newly collated sexual health data reveals 42,393 gonorrhoea notifications and 5,986 infectious syphilis notifications were recorded in 2025. These figures represent 10-year increases of 57% and 56%, respectively. Both are bacterial infections that can cause serious health complications if left untreated, but are curable when detected early.
Concerning Increase Among Women
While men accounted for the majority of cases—73% of gonorrhoea and 78% of infectious syphilis notifications—the data flagged a worrying rise among women. Syphilis notification rates increased by 167% among women, compared with 39% among men. Experts suggest this reflects an increase in heterosexual transmission.
Dr Skye McGregor, an epidemiologist at the Kirby Institute, described the trend as “an urgent priority” due to the risks posed by syphilis during pregnancy. “It’s really concerning because the rise among women has contributed to syphilis in pregnancy, which can lead to congenital syphilis and serious outcomes for babies,” she said.
Why Are STI Rates Increasing?
Several factors may contribute to the rising rates, including increased testing, changes in sexual behavior, and reduced condom use. The report also notes that a significant proportion of transmission continues to occur through male-to-male sexual contact among gay and bisexual men.
Comparison of STI Rates Over Time
| Infection | 2025 Notifications | 10-Year Increase | Increase in Women | Increase in Men |
|---|---|---|---|---|
| Gonorrhoea | 42,393 | 57% | Data not specified | Data not specified |
| Infectious Syphilis | 5,986 | 56% | 167% | 39% |
Key Takeaways
- Gonorrhoea and syphilis rates in Australia have risen by over 50% in the past decade.
- Syphilis rates among women have increased by 167%, raising concerns about congenital syphilis.
- Both infections are curable with early detection and treatment.
- Regular testing and safe sex practices are essential to curb the rise.
Prevention and Testing
Health authorities emphasize the importance of regular STI testing, especially for sexually active individuals with new or multiple partners. Using condoms and other barrier methods can reduce the risk of transmission. Pregnant women should be tested for syphilis to prevent congenital syphilis.
FAQ
What are the symptoms of gonorrhoea and syphilis?
Gonorrhoea symptoms may include painful urination, discharge, and pelvic pain, but many cases are asymptomatic. Syphilis presents in stages, starting with a painless sore, followed by rash, fever, and other symptoms. Regular testing is crucial as both can be silent.
How often should I get tested for STIs?
Sexually active individuals should get tested at least annually, or more frequently if they have new or multiple partners. Pregnant women should be tested for syphilis early in pregnancy.
Are gonorrhoea and syphilis curable?
Yes, both gonorrhoea and syphilis are curable with antibiotics when detected early. However, untreated infections can lead to serious complications, including infertility and organ damage.
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