Patient's question:
The new comprehensive prevention and treatment guidelines state that older individuals with exercise-induced small three positive hepatitis B progress faster than those with large three positive hepatitis B. I have a DNA level of 7 times 10 to the power of 7, and my liver function fluctuates between 50 and 90. Liver biopsy showed mild changes. Ultrasound revealed heterogeneity in the parenchymal echo. I haven't received antiviral treatment. My condition is quite poor. The doctor advised me to closely monitor my transaminase levels and start antiviral treatment if they rise further. However, they never go up.Can I undergo antiviral treatment? I'm worried about lamivudine resistance. What if I take lamivudine for a year and then switch to adefovir for two more years? How does that sound? I'm 37 years old and don't have children yet.
Is it safe to conceive while on medication?
Doctor's answer:
A small three positive active hepatitis requires treatment. I recommend using traditional Chinese medicine for treatment to help rebalance your immune system. You can use Tongyu Decoction with modifications to fight the virus. Once the condition stabilizes, you can then consider having children. For severe liver disease patients, it is advisable to seek medical attention as soon as possible and follow the doctor's advice for early treatment. Avoid changing medications arbitrarily, as this may have the opposite effect on the treatment outcome. The above opinions are for reference only. I hope the above answer can assist you. Thank you.