Can children with hepatitis B transmit it to their children?

Patient's question:

If a hepatitis B carrier wants to have children, will it be transmitted to the next generation?

Doctor's answer:

Everyone with hepatitis B is mistakenly called a "virus carrier" by those who do not understand the hepatitis B virus. In fact, when a liver function test (LFT) detects "big three positive" or "small three positive," "big two positive" or "small two positive," and if the surface antigen (HBsAg) is the only positive result among the other four tests (anti-HBe, anti-HBc IgM, anti-HBc IgG, and HBsAb), and the virus is weak, then it is considered a virus carrier.
In real clinical diagnosis, many patients do not take the condition seriously, seek treatment, or care for it, leading to the progression of liver cirrhosis or advanced liver cancer, where it becomes untreatable. Therefore, a hepatitis B five-item test (HBsAg, anti-HBe, anti-HBc IgM, anti-HBc IgG, and HBsAb) is necessary to accurately assess the severity of the condition. If it is "big three positive," it can be inherited to the next generation.

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