What About Sex And Hepatitis C
Hepatitis C can be spread through sexual intercourse, but the risk is considered to be low. It is extremely rare among monogamous couples, meaning couples who only have sex with one another. The risk increases if you:
- Have multiple sex partners
- Have a sexually transmitted disease
- Are infected with HIV
There is no evidence that Hepatitis C is spread by oral sex.
To reduce the chance of getting or giving Hepatitis C through sexual contact, follow these guidelines:
- Use latex condoms every time you have sex, particularly if you have:
- More than one partner
- Rough sex that might make one of you bleed
- Sex during your or your partners menstrual period
- Sex when you or your partner has an open sore on either of your genitals
Can Hepatitis C Be Cured
Unlike Hepatitis A and Hepatitis B, a vaccine for Hepatitis C is not available.
However, treatment options are available and Hepatitis C may be cured .
Learn more about your treatment options and speak to your healthcare provider today.
The Hepatitis C virus is considered cured if the virus is not detected in your blood when measured with a blood test 3 months after treatment is completed. This is called a sustained virologic response and data suggest that you will stay virus free indefinitely.
Try to keep yourself as healthy as possible, keep your medical appointments and get regular check-ups. Remember that you could become re-infected if you expose yourself to high-risk situations such as injection drug use, and so do everything possible to avoid these situations. Speak with a substance abuse counselor if needed.
What Is Chronic Viral Hepatitis
Patients infected with HBV and HCV can develop chronic hepatitis. Doctors define chronic hepatitis as hepatitis that lasts longer than 6 months. In chronic hepatitis, the viruses live and multiply in the liver for years or decades. For unknown reasons, these patients immune systems are unable to eradicate the viruses, and the viruses cause chronic inflammation of the liver. Chronic hepatitis can lead to the development over time of extensive liver scarring , liver failure, and liver cancer. Liver failure from chronic hepatitis C infection is the most common reason for liver transplantation in the U.S. Patients with chronic viral hepatitis can transmit the infection to others with blood or body fluids as well as infrequently by transmission from mother to newborn.
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What Hepatitis C Medicines Are We Working On
We developed a safe, effective, and easy-to-use direct-acting antiviral regimen, to be used as an affordable combination paving the way for a public health approach to hepatitis C. Our goal is now to increase access to affordable treatments by supporting policy change and encouraging political will to treat hepatitis C. To do so, we are working on innovative programmes to improve access to hepatitis C diagnosis and treatment in a variety of countries.
Find out about our work on hepatitis C
Treatment And Medication For Hepatitis C
If you have acute hepatitis C, there is no recommended treatment. If your hepatitis C turns into a chronic hepatitis C infection, there are several medications available.
Interferon, peginterferon, and ribavirin used to be the main treatments for hepatitis C. They can have side effects like fatigue, flu-like symptoms, anemia, skin rash, mild anxiety, depression, nausea, and diarrhea.
Now youâre more likely to get one of these medications:
Find out more on treatment options for hepatitis C.
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How Do Doctors Treat Hepatitis C
Doctors treat hepatitis C with antiviral medicines that attack the virus and can cure the disease in most cases.
Several newer medicines, called direct-acting antiviral medicines, have been approved to treat hepatitis C since 2013. Studies show that these medicines can cure chronic hepatitis C in most people with this disease. These medicines can also cure acute hepatitis C. In some cases, doctors recommend waiting to see if an acute infection becomes chronic before starting treatment.
Your doctor may prescribe one or more of these newer, direct-acting antiviral medicines to treat hepatitis C:
You may need to take medicines for 8 to 24 weeks to cure hepatitis C. Your doctor will prescribe medicines and recommend a length of treatment based on
- which hepatitis C genotype you have
- how much liver damage you have
- whether you have been treated for hepatitis C in the past
Your doctor may order blood tests during and after your treatment. Blood tests can show whether the treatment is working. Hepatitis C medicines cure the infection in most people who complete treatment.
Hepatitis C medicines may cause side effects. Talk with your doctor about the side effects of treatment. Check with your doctor before taking any other prescription or over-the-counter medicines.
For safety reasons, talk with your doctor before using dietary supplements, such as vitamins, or any complementary or alternative medicines or medical practices.
Treatment: Chronic Hepatitis B
The goal of treating chronic hepatitis B is to control the virus and keep it from damaging the liver. This begins with regular monitoring for signs of liver disease. Antiviral medications may help, but not everyone can take them or needs to be on medication. Be sure to discuss the risks and benefits of antiviral therapy with your doctor.
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How Can I Prevent Getting Hepatitis C
There is no vaccine to prevent Hepatitis C, but there is research being done to develop one. Currently, vaccines are only available for Hepatitis A and Hepatitis B.
Remember that Hepatitis C is transmitted or spread when the blood from a Hepatitis C-infected person enters the bloodstream of someone who is not infected. If you dont have Hepatitis C, you can reduce your risk of becoming infected by doing the following:
- If youre injecting drugs, try to get into a treatment program. If you continue to use drugs, dont share needles or other equipment with anyone else. Many cities have needle exchange programs that provide free, sterile needles.
- Make sure all equipment has been sterilized if youre getting body piercings or a tattoo.
- If youre a healthcare worker follow your institutions safety precautions. For example, wear protective clothing and gloves and dispose of contaminated sharp objects properly.
- If you have more than one sex partner or are a man having sex with other men, use condoms for intercourse.
Watch The Stigma of HCV
Should I Be Screened For Hepatitis C
Doctors usually recommend one-time screening of all adults ages 18 to 79 for hepatitis C. Screening is testing for a disease in people who have no symptoms. Doctors use blood tests to screen for hepatitis C. Many people who have hepatitis C dont have symptoms and dont know they have hepatitis C. Screening tests can help doctors diagnose and treat hepatitis C before it causes serious health problems.
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When To See Your Doctor
Always check with your doctor if you have any of the signs of hepatitis. If you don’t get treatment it can lead to cirrhosis, a serious scarring of your liver.
Also make an appointment if a friend or member of your family comes down with the disease. There’s a risk you could get infected, too.
Be on the lookout for symptoms of hepatitis if you travel to a country where the disease is common. Call your doctor if you think you’re showing any signs.
Who Is More Likely To Get Hepatitis C
People more likely to get hepatitis C are those who
- have injected drugs
- have been on kidney dialysis
- have been in contact with blood or infected needles at work
- have had tattoos or body piercings
- have worked or lived in a prison
- were born to a mother with hepatitis C
- are infected with HIV
- have had more than one sex partner in the last 6 months or have a history of sexually transmitted disease
- are men who have or had sex with men
In the United States, injecting drugs is the most common way that people get hepatitis C.13
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Questions For Your Doctor
When you visit the doctor, you may want to ask questions to get the information you need to manage your hepatitis C. If you can, have a family member or friend take notes. You might ask:
What Other Tests Diagnose Hepatitis C
Once the diagnosis of hepatitis C is established, other tests may be done to determine whether the patient has developed liver fibrosis or scarring . This can be done with a needle biopsy of the liver, and examining the biopsied liver tissue under the microscope. Liver biopsy is less commonly done today because noninvasive tests are more readily available, more easily accomplished and less costly.
Liver imaging can evaluate fibrosis using ultrasound and MRI scans. Additionally, calculations using a variety of blood tests also can predict the degree of inflammation and fibrosis present. Genotype testing will typically be done to determine what subtype of hepatitis C the patient has, as this will impact what drugs are used for treatment. Testing for other infections including HIV, hepatitis A, and hepatitis B is typically done to determine if the patient might have other conditions that could impact patients treatment and prognosis.
With the newest forms of antiviral treatment, the most common types of chronic hepatitis C can be cured in most individuals.
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Symptoms Of An Acute Infection
Few people show symptoms during acute infection . These symptoms can include: fatigue tenderness or an aching feeling on the right side of the abdomen decreased appetite perhaps with weight loss flu-like symptoms nausea tendency to bruise or bleed easily jaundice rash dark-coloured urine and light or clay-coloured stools. These symptoms often go away after a short time.
How Can Hepatitis A B Or C Be Treated
Most cases of hepatitis A will resolve spontaneously within two months. More severe liver complications will be observed in less than 1% of cases. Therefore, no treatment is necessary except in some acute cases where support and comfort measures can be used to alleviate situations such as fluid loss due to vomiting or diarrhea. In addition to rest, a healthy diet and the avoidance of substances toxic to the liver such as alcohol and certain drugs are indicated. Resolution of the infection will be accompanied by the production of antibodies against hepatitis A, which will confer lifelong immunity against subsequent infections by the virus. Immunization with a potent hepatitis A vaccine constitutes the best preventive measure, particularly for children and travellers.
The production of antibodies against the hepatitis C virus will help clear the virus within six months. But contrary to hepatitis A or B, these antibodies will not confer lifelong immunity against re-infection. Cases of hepatitis C also tend to develop in chronic infections much more often than with hepatitis A or B. Chronic hepatitis C cases can degenerate and cause serious liver complications such as cirrhosis or liver cancer. Some of these cases can only be cured by a liver transplant. As with chronic hepatitis B treatment, the use of interferon and other antiviral drugs constitutes the basis of chronic hepatitis C treatment.
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Stages Of Hepatitis C
The hepatitis C virus affects people in different ways and has several stages:
- Incubation period. This is the time between first exposure to the start of the disease. It can last anywhere from 14 to 80 days, but the average is 45
- Acute hepatitis C. This is a short-term illness that lasts for the first 6 months after the virus enters your body. After that, some people who have it will get rid of, or clear, the virus on their own.
- Chronic hepatitis C. For most people who get hepatitis C — up to 85% — the illness moves into a long-lasting stage . This is called a chronic hepatitis C infection and can lead to serious health problems like liver cancer or cirrhosis.
- Cirrhosis. This disease leads to inflammation that, over time, replaces your healthy liver cells with scar tissue. It usually takes about 20 to 30 years for this to happen, though it can be faster if you drink alcohol or have HIV.
- Liver cancer. Cirrhosis makes liver cancer more likely. Your doctor will make sure you get regular tests because there are usually no symptoms in the early stages.
Learn more about the stages and progression of hepatitis C.
Causes And Risk Factors
HCV causes hepatitis C. People contract the virus through blood-to-blood contact with contaminated blood. For transmission to occur, blood containing HCV must enter the body of a person without HCV.
A speck of blood, invisible to the naked eye, can carry hundreds of hepatitis C virus particles, and the virus is not easy to kill.
The report the following risk factors for developing hepatitis C:
- using or having used injectable drugs, which is currently the most common route in the U.S.
- receiving transfusions or organ transplants before 1992, which is before blood screening became available
- having exposure to a needle stick, which is most common in people who work in healthcare
- being born to a mother who has hepatitis C
The CDC offer advice on cleaning syringes if it is not possible to use clean and sterile ones. Although bleach can kill the HCV in syringes, it may not have the same effect on other equipment. Boiling, burning and using alcohol, peroxide, or other common cleaning fluids to wash equipment can reduce the amount of HCV but might not stop a person from contracting the infection.
It is extremely dangerous to inject bleach, disinfectant, or other cleaning products, so people should make sure they rinse the syringe thoroughly. A person should only ever use bleach to clean equipment if new, sterile syringes and equipment are not available.
People who are at risk due to these factors can have screening to rule out HCV.
- peginterferon alfa-2a
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How Soon Do Symptoms Appear
When first infected with hepatitis C virus, most people have no symptoms at all, or may have only mild symptoms. For those who do develop symptoms, the symptoms usually appear between six weeks to six months after infection. Many people with chronic hepatitis C infection do not develop symptoms until years, sometimes even decades, later. The longer people live with hepatitis C infection, the more likely they are to develop serious, life-threatening liver disease.
Hiv And Hepatitis C Coinfection
HCV infection is common among people with HIV who also inject drugs. Nearly 75% of people living with HIV who report a history of injection drug use are co-infected with HCV. All people who are diagnosed with HIV are recommended to be tested for HCV at least once. People living with HIV are at greater risk for complications and death from HCV infection. Fortunately, direct acting antivirals that are used to treat HCV work equally well in people with and without HIV infection. For more information about HIV and HCV coinfection, visit the HIV.govs pages about hepatitis C and HIV coinfection.
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Can You Prevent Hepatitis C Infection
Thereâs no vaccine to prevent hepatitis C. To avoid getting the virus:
- Use a latex condom every time you have sex.
- Don’t share personal items like razors.
- Don’t share needles, syringes, or other equipment when injecting drugs.
- Be careful if you get a tattoo, body piercing, or manicure. The equipment may have someone else’s blood on it.
Find out more on how to prevent hepatitis C.
Hepatitis C Symptoms You Should Not Ignore
Hepatitis C communicable disease spreads through contact with the blood of an individual with hepatitis C virus. Also referred to as the silent virus since most affected people dont show symptoms. Usually, hepatitis C can take up to six months before showing symptoms after infection, with 70 to 80% of persons with acute hepatitis C not showing any symptom at all.
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What Are The Symptoms Of Hepatitis B And C
In most patients, hepatitis B develops slowly over the course of several decades, and thus most patients have no symptoms. People who have advanced liver disease such as cirrhosis of the liver may experience complications and symptoms that reflect liver failure. Other symptoms include:
- A buildup of fluid within the abdominal cavity
- Confusion and tremors , which are complications due to the inability of the liver to filter out toxins that are normally cleaned out by a healthy liver
- Vomiting of blood, or blood within the stool . This is a complication in which enlarged veins within the esophagus or stomach bleed as a consequence of increased pressure around the diseased liver.
Most patients with chronic hepatitis C infection report no symptoms. But some patients may have very nonspecific symptoms related to fatigue and discomfort on the right side of the abdomen. Often, symptoms that lead to a diagnosis of hepatitis C are noticeable only at the end stage of liver disease, when the patient has developed liver cirrhosis and liver failure.
Because hepatitis B and C typically have no specific symptoms, many people who have the viruses dont even know it.
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