Does a hepatitis B carrier need to wear a condom?

Patient's question:

My boyfriend is an HBV carrier and I have antibodies. Can we have sex without using condoms? Thank you

Doctor's answer:

Hello! You should check the titer of your surface antibodies. If your surface antibody titer is high, you may be less likely to be infected with the hepatitis B virus. However, if your surface antibody titer is low, you still have the potential risk of transmission. Additionally, your boyfriend is a hepatitis B carrier, which only proves that his liver function is currently normal. It is recommended that he check his HBV DNA, which is the hepatitis B virus DNA, to see the viral copy number and the level of viral load. If his hepatitis B virus DNA is negative, his infectivity is relatively low. It is said that the higher the viral load, the greater the infectivity.

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