Patient's question:
My girlfriend went for a check-up and was told she has hepatitis B with a high viral load (HBeAg positive). We had had sexual intercourse again before, and also oral sex. I haven't had the vaccination for it before. Could I get infected in this situation? Does high viral load hepatitis B (HBeAg positive) transmit?Doctor's answer:
Hepatitis B is primarily transmitted through blood, semen, and vaginal secretions when the skin or mucous membranes of an infected person are compromised. Of course, sexual activity can also lead to infection. Additionally, transmission can occur from mother to child or father to child. The best way to prevent it is by getting the hepatitis B vaccine. Before antibodies develop, it's advisable to use condoms. Sexual activity is generally not a risk for infection, but if both partners have oral ulcers, there is a possibility of transmission during sexual activity or when sharing eating utensils or personal hygiene items. Therefore, family members should not share toothpaste, as it is highly unlikely to be infected through daily life.