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Please help, quite upset about this
May 9, 2010

Last night I had unprotected sex with a girl who was menstruating and today she informed me that she is a carrier of Hepatitis B.

She claimed her type is very hard to pass onto another person. She said there's a risk - but it's tiny.

Clearly I am concerned, disappointed and going to get tested right away...

However, while I am waiting does anybody know what she is talking about when she says "her type is very hard to pass onto another person". Is there indeed a type / level of Hepatitis B that almost certainly can't be transmitted? Is that what Wikipedia is referring to when, talking about transmission of the disease, it says that "at least 30% of reported hepatitis B among adults cannot be associated with an identifiable risk factor..."

Please help, quite upset about this.

Response from Dr. McGovern

She may be alluding to the fact that she has a reactive hepatitis B surface antigen, but does not have any HBV DNA (virus) in her blood. Yes, the chance of transmission would be low in this situation.

For your protection, I would see your doctor to describe this event. You will certainly want to see if you have been vaccinated in the past by checking a hepatitis B surface antibody. If positive great than 10 IU/mL, you are protected. If negative, you will certainly want to get vaccinated promptly for current and for future protection. Whether you also need immunoglobulin is for discussion with your provider.



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