Patient's question:
I have a boyfriend, and we are preparing to get married recently. During the physical examination, I found out that he has chronic hepatitis B (HBV). My health is fine, but my friends told me that chronic hepatitis B is very easy to transmit and that it's difficult to treat. I'm worried that if we have children in the future, they might get infected, which would be a big problem.Doctor's answer:
I. Choose the right time to get pregnant: Before planning to have a child, patients need to undergo a comprehensive health check-up and try to get pregnant when liver function is normal and the replication level of hepatitis B virus in the body is low.II. Take effective immune blocking measures promptly after the baby is born: After the newborn is born, it is recommended to administer hepatitis B immune globulin and hepatitis B vaccine as early as possible (within 24 hours, the earlier the better) to help them produce effective antibodies against hepatitis B virus invasion, enhance disease resistance, and thus effectively reduce the risk of the baby contracting hepatitis B.
Transmission mechanism of minor positive hepatitis B: In male patients, hepatitis B virus can also be detected in semen. During the fertilization process, when sperm and egg combine, it can lead to the fertilized egg carrying the hepatitis B virus during the formation of the embryo, resulting in the disease. Therefore, it does not mean that having minor positive hepatitis B prevents one from having children—children are something everyone should have. However, it is essential to choose a regular liver disease hospital for comprehensive check-ups, select the right time to get pregnant, and ensure your baby is free from the virus, allowing them to grow up healthy and lively. Never make the decision to get pregnant blindly or on your own, as this would be irresponsible to both yourself and your child.