Can you have sex with someone with chronic hepatitis B?

Patient's question:

Checked liver function was normal, so I was discharged. At that time, no virus test was conducted. When taking telbivudine until February, the virus load test turned negative. However, liver function became abnormal again. I was hospitalized again for liver protection and enzyme reduction treatment. On April 15, I donated blood at our local blood donation station, and the blood bank called me later saying my blood was qualified. On May 1 of this year, I had a five-item test, but there were still no antibodies. Can I have sex with her while wearing a condom? I don't have antibodies.

Doctor's answer:

In this situation, if your husband has abnormal liver function and a high viral load, it is still better not to have sexual intercourse. The fact that you did not develop antibodies after getting the hepatitis B vaccine is not necessarily related to your personal constitution, so there is no need to worry too much. You can focus on getting vaccinated again to enhance the vaccine's effectiveness. If the viral load is not high and the skin is not damaged, sexual intercourse generally will not lead to infection. However, since your husband has abnormal liver function, it is not recommended to have sexual intercourse, as it can be harmful to his health. Patients with chronic hepatitis B can, while understanding the need for symptomatic treatment, use dietary therapy as a complementary treatment in daily life. A proper diet should be maintained in daily meals to avoid foods.

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