Can Hepatitis C Be Transmitted Through Kissing or Sexual Activity? - Gastroenterology and Hepatology

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Transmission routes of Hepatitis C?


Hello, doctor.
I am a carrier of hepatitis C and undergo follow-up examinations every year.
I would like to ask whether kissing or sexual intercourse can transmit the virus to others, or if I should avoid these activities.
Please provide your response.
Thank you.

Yi Xian, 30~39 year old female. Ask Date: 2002/03/21

Dr. Yang Guojun reply Gastroenterology and Hepatology


Hepatitis C is transmitted through blood, which means that intimate contact, as well as activities such as injection drug use and tattooing, can pose a risk of infection.
Your current practice of having an annual check-up is appropriate.

Reply Date: 2002/03/21

More Info


Hepatitis C (HCV) is primarily transmitted through blood-to-blood contact, and its transmission through sexual activity or kissing is considered to be very low. While it is true that Hepatitis C can be transmitted through sexual contact, the risk is generally estimated to be less than 5%. This means that while there is a possibility of transmission, it is not a common route of infection compared to other methods, such as sharing needles or other equipment used for injecting drugs.

In the context of sexual activity, the risk of transmission can increase if there are open sores or bleeding involved, as these conditions can facilitate the transfer of blood. However, the presence of a condom during sexual intercourse significantly reduces the risk of transmission, as it acts as a barrier to bodily fluids. Therefore, if you are a Hepatitis C carrier and are considering sexual activity with a partner, using condoms is highly recommended to minimize any potential risk.

Regarding kissing, the likelihood of transmitting Hepatitis C through saliva is extremely low. The concentration of the virus in saliva is much lower than in blood, and transmission through kissing is not a recognized route of infection. However, if either partner has cuts or sores in the mouth, the risk could theoretically increase, but this scenario is still considered rare.

It is also important to note that regular monitoring and treatment for Hepatitis C can significantly reduce the viral load in your body, which in turn lowers the risk of transmission to others. If you are undergoing antiviral treatment and have achieved an undetectable viral load, the risk of transmitting the virus to a sexual partner is further diminished.

In summary, while there is a potential for Hepatitis C to be transmitted through sexual activity, the risk is low, especially when using protection. Kissing is not a significant risk factor for transmission. It is advisable to maintain open communication with your partner about your health status and to consult with a healthcare provider for personalized advice and management of your condition. Regular check-ups and adherence to treatment can help ensure both your health and the health of your partner.

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