Can I Get Pregnant After Successful Hepatitis C Treatment? - Gastroenterology and Hepatology

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Can a person with hepatitis C become pregnant?


I underwent interferon treatment in 2011, which was successful! I have not had a recurrence during follow-up visits.
I am currently planning to get pregnant.
Can I conceive under these circumstances? Will pregnancy have any effects? Is it safe to have sexual intercourse with my partner? If I complete the treatment and then undergo a premarital blood test, will I still test positive for hepatitis C? Does completing the treatment mean I am fully cured, and will it not show up in tests anymore? Thank you, doctor.

Miao Miao, 30~39 year old female. Ask Date: 2016/02/16

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: (1) Individuals who are carriers of Hepatitis C can become pregnant and engage in sexual activity; however, there is a possibility of transmitting the virus to their child or sexual partner.
If successful interferon treatment has been administered and the virus has been cleared, the individual, despite being a Hepatitis C carrier, will not be infectious.
(2) After successful interferon treatment, if tested for anti-HCV (indicating carrier status), the result may still be positive.
However, it is recommended to test for Hepatitis C virus (HCV RNA); if the virus is not present in the bloodstream, the individual will not be infectious.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2016/02/16

More Info


Congratulations on your successful treatment for Hepatitis C and your plans for pregnancy! It’s understandable to have concerns about your health and the potential implications for your future pregnancy. Let’s address your questions and provide some additional context regarding Hepatitis C and pregnancy.

Firstly, after successful treatment for Hepatitis C, particularly with interferon therapy, many patients achieve a sustained virological response (SVR), which is often considered a cure. This means that the virus is no longer detectable in your blood, and you are not considered infectious. Since you mentioned that you have not experienced any recurrence after treatment, this is a positive indicator that you are likely free from the virus.

Regarding your ability to conceive, yes, you can get pregnant after successful Hepatitis C treatment. The presence of Hepatitis C does not inherently prevent conception, and if you have achieved SVR, the risk of transmitting the virus to your partner through sexual activity is extremely low. The Centers for Disease Control and Prevention (CDC) states that Hepatitis C is primarily transmitted through blood-to-blood contact, and sexual transmission is considered rare. Therefore, you can engage in sexual activity with your partner without significant concern about transmitting the virus.

As for your pregnancy plans, it is generally safe to conceive after achieving SVR. However, it is advisable to consult with your healthcare provider before trying to conceive. They may recommend routine blood tests to ensure that your liver function remains stable and that there are no lingering effects from your previous Hepatitis C infection. Additionally, they can provide guidance on prenatal care and any necessary vaccinations or screenings that may be beneficial for you and your baby.

In terms of testing, if you undergo blood tests after your treatment and achieve SVR, it is expected that the tests will not show any evidence of Hepatitis C. The presence of antibodies to the virus may still be detectable, but this does not indicate an active infection. It is important to clarify with your healthcare provider what specific tests will be performed and what the results mean in your context.

Lastly, while Hepatitis C is not typically associated with vertical transmission (from mother to child) during pregnancy, it is still essential to have a thorough discussion with your obstetrician or a maternal-fetal medicine specialist. They can provide personalized advice based on your health history and any other factors that may be relevant to your pregnancy.

In summary, you can pursue pregnancy after successful Hepatitis C treatment, and it is generally safe to do so. Engaging in sexual activity with your partner is also safe, especially if you have achieved SVR. Always consult with your healthcare provider for tailored advice and to ensure that you are taking the necessary steps for a healthy pregnancy. Wishing you the best of luck on your journey to parenthood!

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