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hcv questions, transmission and treatment
Nov 28, 2012

Hello DR (im from italy sorry about my english) :) I want to ask a few qs.. 1. does HCV is considered a sexually transmitted disease? 1. What is the chance (in precent) In the coming years to cure hcv (all the types) with the new drugs? 2. What is the chance to get hcv with sexueal contact with condom? 3.What is the difference between HBV and HCV in sexual contact? 4. does saliva, kisses and oral sex can infection HCV?

Response from Dr. Taylor

In most heterosexual populations no, hepatitis C is not considered a sexually transmitted disease. Hepatitis C does not in general follow the same patters and other sexually transmitted diseases such as Chlamydia and gonorrhea.

However hepatitis C IS considered a sexually transmitted disease among HIV-infected gay men and men who have sex with men. HCV has also been detected among HIV-uninfected men, although less commonly. The few cases of HCV detected among HIV-uninfected men who have sex with men have been generally among those who have engaged in high-risk sexual activities with HIV-infected men. There is some evidence suggesting that HIV-infected women may be more susceptible than HIV-uninfected women to sexually acquired HCV.

It is anticipated that in a few years there will be all oral therapies (pills without interferon shots) than can cure hepatitis C 100% of the time, across all genotypes (strains of hepatitis C).

The chance of catching HCV with sexual contact with a condom is low if the sex is between a man and a woman with the penis inside the vagina. There is some evidence to suggest that the risk to a woman of catching HCV with sexual intercourse with a condom is higher if she is HIV-infected. Anal sex (sex in the butt) is more likely to be associated with bleeding and is higher risk.

If the sex is between 2 or more HIV-infected men the risk of spreading hepatitis C is higher and of concern. Unproteced anal intercourse appears to be the highest risk type of sex if a partner has hepatitis C.

Do not reuse a condom but use a new one each time you have sex.

Hepatitis B is HIGHLY contagious through sex, through all kinds of sex. Hepatitis B is a sexually transmitted infection. Thus everyone should be vaccinated against hepatitis B unless they are already infected with hepatitis B.

Saliva, kisses and oral sex cannot spread hepatitis C. Hepatitis C is spread through blood infected with hepatitis C. An exception would be if there were open sores in the mouth or genitals; then theoretically there could be blood exposure and hepatitis C spread.



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