Can Male Patients with hepatitis B Get Married and Have Children

Male patients with hepatitis B can generally get married and have children, but they need to do a good job in blocking mother and baby and partner protection measures. Hepatitis B virus is mainly transmitted through blood, mother infant and sexual contact. Male patients need to pay attention to the viral load, liver function status and partner vaccination when giving birth.

If male patients with hepatitis B have normal liver function and low viral load, the risk of infection is relatively controllable. It is recommended that spouses complete hepatitis B vaccination and produce antibodies before marriage, and regularly monitor hepatitis B virus markers during pregnancy. Newborns should be vaccinated with hepatitis B vaccine and immunoglobulin within 12 hours after birth, which can effectively block mother to child transmission after completing the whole immunization. Avoid sharing items that may come into contact with blood, such as razors and toothbrushes, during daily intimate contact. Using condoms during sexual activity can further reduce the probability of transmission.

When the patient is in the active phase of hepatitis B or has a high viral load, antiviral treatment should be carried out first to control the disease. Some antiviral drugs such as entecavir and tenofovir have a relatively small impact on fertility, but the specific medication plan needs to be evaluated by a specialist doctor. If male patients have serious complications such as cirrhosis, which may affect fertility or increase genetic risk, it is recommended to use assisted reproductive technology combined with virus blocking measures.

Before family planning, male patients with hepatitis B should have five items of hepatitis B, HBV-DNA testing and liver function evaluation, and their spouses should check the status of hepatitis B surface antibody. Maintain a regular schedule during pregnancy preparation, avoid drinking alcohol and hepatotoxic drugs, and regularly check viral load. Through standardized management and scientific intervention, the vast majority of hepatitis B patients can achieve safe birth, and the infection probability of their offspring can be controlled at a very low level.