Advertisement
The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App
Professionals >> Visit The Body PROThe Body en Espanol
Read Now: Expert Opinions on HIV Cure Research
   
Ask the Experts About

Hepatitis and HIV CoinfectionHepatitis and HIV Coinfection
           
Rollover images to visit our other forums!
Recent AnswersAsk a Question
  
  • Email Email
  • Glossary Glossary


HbsAG Testing Conclusive
Jun 16, 2011

Dr McGovern,

Please help me by responding. The last 100 days have been some of the most challenging times I have ever been through. I have had HIV and hep b / c testing throughout the last 13 weeks. My potential exposure was insertive oral sex for less than six seconds with someone of unknown status.

I have ruled out HIV through 3 month antibody testing paired with 21 day HIV DNA testing. My question revolves around the hbsag test and when I can be assured of a conclusive result:

I have had hbsag testing at the 1 week, 9 week, 12 week and 13 week mark. All these tests were negative.

My most recent physical revealed elevated AST (88) but the rest of my liver function tests were in line. My doctor ordered an ultrasound that revealed fatty liver.

I desperately want to stop testing and try to sort out what issue has my AST level raised, and would appreciate your opinion on whether or not my negative hbsag tests would be considered conclusive out to 13 weeks.

In your opinion can I stop testing? I know how busy you are, and truly appreciate you and the time you put into this forum.

Thank You Doctor, please help me if you can...

Ryan

Response from Dr. McGovern

We usually test further out, but with oral insertive sex, your risk is quite low. In fact there are no specific data which demonstrate the HBV is transmitted via this route. The risk of HBV is mostly related to anal penetration with tearing leading to blood to blood exposure.

Your AST is not due to hepatitis B, because the sAg proceeds any abnormalities of liver function tests. I suspect this is due to fatty liver.

I would be more concerned about the cause of your fatty liver - high cholesterol, triglycerides, uncontrolled diabetes, obesity...and work with your doctor to address the possible etiology.

Fatty liver can be benign, but can also lead to scarring of the liver (eg, steatohepatitis).



Previous
Confirming a Negative HBsAg?
Next
hep C, splenamegola, AIDS and low platelets

  
  • Email Email
  • Glossary Glossary

 Get Email Notifications When This Forum Updates or Subscribe With RSS


 
Advertisement



Q&A TERMS OF USE

This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint

Advertisement