Can Hepatitis C Be Transmitted to My Wife and Child? - Obstetrics and Gynecology

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I have contracted hepatitis C. My wife is healthy and wants me to have a child with her?


I have contracted hepatitis C.
My wife is healthy and wants me to have a child with her.
Will this transmit to my wife and the child?

Rìzi, 20~29 year old female. Ask Date: 2011/01/05

Dr. Chen Changfu reply Obstetrics and Gynecology


According to research reports, Hepatitis C is transmitted through blood, similar to Hepatitis B; there is almost no risk of contracting Hepatitis C through breastfeeding or normal sexual intercourse between spouses.
Normal sexual intercourse does not need to be altered if one partner has Hepatitis C.
It is only recommended to avoid sexual activity during menstruation and to prevent family members from sharing toothbrushes.

Reply Date: 2011/01/05

More Info


Hepatitis C is primarily transmitted through blood-to-blood contact, which means that the risk of transmission to your wife and child during sexual intercourse or through breastfeeding is relatively low. According to research, the likelihood of transmitting Hepatitis C through sexual activity is minimal, especially when it comes to monogamous relationships. However, it is advisable to avoid sexual intercourse during menstruation and to refrain from sharing personal items that may come into contact with blood, such as razors or toothbrushes.

When considering the possibility of having children, the risk of vertical transmission (from mother to child) is also low. Studies indicate that if a mother is infected with Hepatitis C, the chance of transmitting the virus to her newborn is approximately 5% to 6%. This risk increases if the mother is co-infected with HIV, which can elevate the likelihood of transmission. However, if you are the one with Hepatitis C and your wife is healthy, the risk of her contracting the virus during conception or pregnancy is very low.

It is important to note that Hepatitis C is not transmitted through casual contact, such as hugging, kissing, or sharing utensils. Therefore, your day-to-day interactions with your wife and child should not pose a significant risk of transmission. The primary concern would be if there were any blood exposure, which is uncommon in typical family interactions.

Regarding your health, if you have been diagnosed with Hepatitis C, it is crucial to follow up with your healthcare provider for regular monitoring of your liver function and overall health. Hepatitis C can lead to chronic liver disease, so managing your health through medical supervision is essential. If your liver function tests (like ALT and AST) are normal, it may indicate that your liver is currently healthy, but it does not rule out the presence of the virus. Therefore, it is advisable to undergo additional testing for Hepatitis A, B, and C to ensure a comprehensive understanding of your health status.

In summary, while there is a risk of transmission of Hepatitis C, it is relatively low in the context of sexual activity and vertical transmission during childbirth. It is essential to maintain open communication with your healthcare provider and your wife about your condition and any precautions that may be necessary. If you and your wife decide to have children, discussing your Hepatitis C status with your healthcare provider can help ensure a safe and healthy pregnancy.

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