Patient's question:
34 years old, a few days ago, the test results for IgM and IgG were positive, with ALT at 48 and total bilirubin at 22, both of which are elevated. Do I have to take medication to bring them down to normal? Can it be transmitted through sexual activity? Will it affect having children in the future? My girlfriend is normal and has antibodies.Doctor's answer:
Liver function is abnormal. It is recommended to undergo an HBV DNA test to check the replication status of the virus. If the virus replication is active, antiviral treatment should be administered.Current hepatitis B treatment emphasizes using viral replication status as the primary indicator for treatment. Simply lowering enzyme levels or traditional liver-protective therapy is not advisable.
If your girlfriend has already developed antibodies, she is generally not at risk of infection and should avoid blood transmission.
Men with hepatitis B usually have minimal impact on the fetus, especially if the mother has antibodies, the risk is almost negligible. However, after birth, due to the child's weakened immune system, precautions should be taken during close contact with the father.