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Sexual Transmission of hepatitis B
Melissa Palmer, MD posted:
HBV is 100 times easier to transmit sexually than HIV ( the virus that causes AIDS). HBV has been found in vaginal secretions, saliva, and semen. Therefore, it doesn't matter if a person's sexual partner is of the same or the opposite gender. If one partner has hepatitis B, the other one can get it. Oral sex and especially anal sex regardless (whether it occurs in a heterosexual or homosexual context), are possible ways of transmitting the virus. It is not transmitted by holding hands, hugging or even dry kissing on the lips. The chance of transmission with deep kissing is unknown, as no infections have been definitively documented after exposure to infected saliva. Yet, since HBV has been found in saliva, the risk of transmission with deep kissing probably exists and the risk increases if one partner wears orthodontic braces or has open cuts or sores in the mouth. The likelihood of becoming infected with HBV grows with the number of sexual partners a person has. Thus, promiscuous individuals are more likely to get HBV. Also, men who have sex with men are 10-15 times more likely to catch HBV than the general population.
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played1tomuch responded:
After a person has cleared the HBV virus. they are not a carrier capable of infecting someone. Only chronic HBV and other people who are unaware of their acute HBV are carriers and capable of infecting someone. Is this correct? Thank you.
billm57 replied to played1tomuch's response:
basically true - it is usually recommended that the individual receive the Hepatitis B immune globulin (HBIG), a shot different from the vaccine, within two weeks of his/her last exposure. Additionally, the partner needs the Hepatitis B vaccine, which consists of three shots given at zero, one, and six months. It is important to receive the last shot, as that one packs the greatest protection punch! In general, the vaccine tends to provide immunity to about 90 percent of the adult population who complete the series, and to about 95 percent of vaccinated children.
Anon_229744 responded:
If there is anyway this is a possibility in my case, how long would it be from exposure to symptoms or detection to come up? Also, How long does the virus have to be present before it becomes dangerous or effects the liver? I am concerned because I do not know how i got it and if ireally have it, i wont know for 2 weeks. I've had one STD (Chlamydia) and was treated, could i have contracted it at this same time,? if so this was in March of 2010 so is it a threat to me now? im just really nervous and would like help.
billm57 replied to Anon_229744's response:
hep B can be sexually transmitted - viral hepatitis is a slow progressing disease - early symptoms are often overlooked as something else like flu - with chronic infection when severe symptoms become more noticeable - could be many years down the road - the damage is usually done by then - mar 2010 was 16 months ago - if you were infected with hep B then you could have cleared it on your own - which most adults do -or by now its become chronic - the only way to be sure is to be tested for an active infection - not just an antibody test but a hep B viral load pcr test ASAP - dont be nervous now as you dont know for sure
billm57 replied to billm57's response:
forgot to mention the hep b antigen test ( not antibody ) - a positive antigen test usually indicates an active infection
Anon_229744 replied to billm57's response:
ya the doc just said i have been exposed to it. but she wasnt clear on if it was active or what? im going to a specialist soon!
trouble3906 responded:
I have to give you credit,It cannot be put any plainer.I was diagnosed Sept..2011.7 days after marrying my childhood sweetheart.The sweetest thing he said Besides I DO was Miss Libby I do Not care if it had been aids whatever if we had of known id still married you.Now im having problems im on Viread, Amongst a host of other meds.Now im having groin pain along with nodules under the skin.when they leak its usually blood mixed with yellowish green sunstance.Also my urine has the most terrible is the color of weak coffee.Please give me advice,should i be worried about the knots.and when they bust..Im on lovenox a blood thinner.these places are in groin 3 others are in hair... thank you ohh os i took the hep b vaccinations and still caught this
jolie800 responded:
My sexual partner gave me Hep B & A is it possible that he can come up as negative on his blood test results?

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