Q and A

Question

Am I cured of hepatitis B and is it possible to still infect my partner?

If I had hepatitis B and the doctor says I either had the vaccination, which I didn’t, or my body overcame it does that mean I can or cannot be a carrier and my partners are at risk? My doctor didn’t seem to think much of it.

Answer

Thank you for your question.

The answer is a little more complicated than you might think but I will try and explain it as easily as I can.

For the doctor to have mentioned the possibility of vaccination, he or she must have found antibodies to hepatitis B. Antibodies are what our bodies produce when there is an infection. When someone has a vaccination it is sort of like fooling the body into thinking there is an infection so that it builds up a response without actually having the infection itself.

Hepatitis B antibodies are a little more complicated than other strains of hepatitis as there are three antibodies to look for and they indicate different things:

Hepatitis B surface antibodies (anti-HBs) – if you have these antibodies it indicates that you have either had a vaccination or have recovered from an infection and are immune to further infections.

Hepatitis B core antibodies (anti-HBc) – this is present when there is acute or chronic infection. Acute infection usually occurs when someone is newly infected and is symptomatic. Chronic infection is long-term and not always symptomatic. People with chronic infection who are asymptomatic are usually called ‘carriers’. During the acute and chronic stages of infection, the person infected is contagious.

Hepatitis B e antibodies (anti-HBe) – these are usually found in people who have recovered from acute hepatitis B infection. They are present at the same time as anti-HBc and anti-HBs. In people with chronic hepatitis B, anti-HBe can be used to monitor the infection and whether the treatment is working or not.

It sounds from your question that your doctor found anti-HBs antibodies. In which case you are no longer infectious.

However, it is important to make sure that this is the case if you are to avoid infecting any partners in the future. You should ask your doctor to test your blood to make sure it is the surface antibodies and not the core or e antibodies that you have.

For further information you can follow this link

20 comments

  1. Simon Collins

    Hi Stella, I edited your question but I am not sure whether this is what you meant? Many HIV combinations include one or two drugs that are also active against hepB. These are tenofovir and either emtricitabine or lamivudine and will also stop the risk of transmitting hepB.

  2. Stella

    I found out that I have hepatitis b since 2016 and I got some medication and now 2024 m, but am worried of my partner may get infected?

  3. Roy Trevelion

    H Tomas,

    Are you also HIV positive? This resource is for people who are HIV positive and who might also have hepatitis B. Some of the meds that are used to treat HIV are also used to treat hepatitis B.

    Yes, it can be passed on through condomless sex and mother to child. Please talk to your doctor about hepatitis B treatment.

  4. Tomas

    I am positive heptits b virus it has with me like 5 years ,how can i treathed it totaly,
    Can it pass to my partner through sex even my child

  5. Lisa Thorley

    Hi Naah,

    i-base is a service that is for people who are living with HIV. We don’t answer general medical questions.

  6. Naah

    No, I’m not living with HIV. was tested negative recently.

  7. Lisa Thorley

    Hi Naah,

    Are you living with HIV?

  8. Naah

    Was tested positive of hep b 3years ago but after was tested negative without any treatment. Did a control test recently and it’s positive again. Don’t understand why

  9. Lisa Thorley

    Hi Richard,

    Are you also HIV positive?

  10. Richard

    Tested positive with hepatitis b. Had unprotected sex with my wife. .I want to protect my wife and my first baby. .Please advise me. .Thank you. .

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