Can men with hepatitis B marry and have children

Male patients with hepatitis B can marry and have children, but necessary protective measures should be taken to avoid the spread of the virus. Hepatitis B is mainly transmitted through blood, mother and child, and sexual contact. Daily contact is not infectious. Standardized treatment and prevention measures can effectively reduce the risk of infection of partners and children.

Under the condition of stable condition and normal liver function, the marriage and childbirth of hepatitis B virus infected persons or carriers are no different from ordinary people. Before marriage, they should take the initiative to explain their health status to their partners, and both parties should jointly carry out the five tests of hepatitis B. If the partner is uninfected and has no antibody, it is necessary to vaccinate hepatitis B vaccine according to the 0-1-6 scheme. Fertility will be considered after the surface antibody is produced. Regular monitoring of liver function is necessary during pregnancy, and pregnant women with high viral load in late pregnancy should take antiviral drugs such as tenofovir under the guidance of a doctor to block mother to child transmission. Newborns need to inject hepatitis B immunoglobulin and hepatitis B vaccine together within 12 hours after birth, and complete the follow-up vaccination as planned. The success rate of blocking can reach more than 90%.

If a few patients are in the active phase of hepatitis B and have obvious abnormal liver function or cirrhosis, antiviral treatment should be given priority. First-line drugs such as entecavir and propafenone fumarate can be used to control virus replication, and fertility planning can be considered after the condition stabilizes. Although viral DNA can be detected in male semen, safe reproduction can still be achieved through assisted reproductive technologies such as in vitro fertilization combined with virus blocking measures. Avoid sharing items such as razors and toothbrushes that may come into contact with blood, and using condoms during sexual activity can further reduce the probability of transmission.

Patients with hepatitis B should keep regular work and rest, avoid drinking alcohol and hepatotoxic drugs, and recheck liver function, hepatitis B DNA and ultrasound every 3-6 months. Spouses and children need to be regularly tested for antibody levels and vaccinated if necessary. Through scientific management and standardized intervention, hepatitis B patients can fully establish families and have healthy offspring. The society should eliminate discrimination and correctly understand the transmission route of hepatitis B. Attention to high-quality protein intake in daily diet, moderate exercise to enhance physical fitness, and maintaining an optimistic attitude are crucial for disease control.