Tips For Preventing Transmission Through Sex
If youre sexually active with a person who has hepatitis C, there are ways that you can prevent contracting the virus. Likewise, if you have the virus, you can avoid infecting others.
A few steps you can take to reduce the likelihood of sexual transmission include:
- using a condom during every sexual contact, including oral sex
- learning to use all barrier devices correctly to prevent ripping or tearing during intercourse
- resisting engaging in sexual contact when either partner has an open cut or wound in their genitals
- being tested for STIs and asking sexual partners to be tested too
- practicing sexual monogamy
- using extra precautions if youre HIV-positive, as your chance of contracting HCV is much higher if you have HIV
If you have hepatitis C, you should be honest with all sexual partners about your status. This ensures that youre both taking the proper precautions to prevent transmission.
Blood Transfusion/receipt Of Blood Products
Early case-control studies of patients with newly acquired, symptomatic non-A, non-B hepatitis found a significant association between disease acquisition and a history six months prior to illness of blood transfusions, injection drug use, health care employment with frequent exposure to blood, personal contact with others who had hepatitis, multiple sexual partners or low socioeconomic status. Today, HCV is rarely transmitted by blood transfusion or transplantation of organs due to thorough screening of the blood supply for the presence of the virus and inactivation procedures that destroy bloodborne viruses. In the last several years, blood banks have instituted techniques that utilize nucleic acid amplification of the hepatitis C virus, which will detect the presence of virus even in newly-infected patients who are still hepatitis C antibody-negative. These techniques are estimated to have prevented 56 transfusion-associated HCV infections per year in the U.S. since 1999, and have lowered the current risk of acquiring HCV via transfused blood products to 1 in 2 million.
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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Who Is At Risk For Hepatitis C
Some people are at increased risk for hepatitis C, including:
- Current injection drug users
- Past injection drug users, including those who injected only one time or many years ago
- Recipients of donated blood, blood products, and organs
- People who received a blood product for clotting problems made before 1987
- Hemodialysis patients or persons who spent many years on dialysis for kidney failure
- People who received body piercing or tattoos done with non-sterile instruments
- People with known exposures to the hepatitis C virus, such as
- Health care workers injured by needlesticks
- Recipients of blood or organs from a donor who tested positive for the hepatitis C virus
- HIV-infected persons
- Children born to mothers infected with the hepatitis C virus
Less common risks include:
- Having sexual contact with a person who is infected with the hepatitis C virus
- Sharing personal care items, such as razors or toothbrushes, that may have come in contact with the blood of an infected person
Can Hepatitis C Be Spread Through Sexual Contact
Yes, but the risk of transmission from sexual contact is believed to be low. The risk increases for those who have multiple sex partners, have a sexually transmitted disease, engage in rough sex, or are infected with HIV. More research is needed to better understand how and when hepatitis C can be spread through sexual contact.
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How Many People Have Hepatitis C
During 2013-2016 it was estimated that about two and half million people were chronically infected with HCV in the United States. The actual number may be as low as 2.0 million or as high as 2.8 million.Globally, hepatitis C is a common blood-borne infection with an estimated 71 million people chronically infected according to the World Health Organization .
What Are The Symptoms Of Hepatitis C
During the acute phase most persons have no symptoms or might experience a mild illness. Symptoms of acute HCV infection, when present, may include:
- Dark-colored urine, light-colored stools
During the chronic phase hepatitis C usually progresses silently, with no symptoms at all during the first 10-20 years. Signs of severe liver scarring may include:
- Star-shaped vein pattern developing on the swollen belly
- Easy bruising and bleeding
Because symptoms of hepatitis C are usually absent, persons with risk for HCV infection should be tested. The blood test for hepatitis C infection is called the hepatitis C antibody test. People who have hepatitis C infection will show positive antibodies on this test. In many cases, it is necessary to confirm a positive hepatitis C antibody test with a more specific test, such as a test for HCV virus RNA.
If you think you have hepatitis C or have risk for hepatitis C, you should contact your doctor. The Communicable Disease Control Unit may be able to help answer your questions.
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How Is The Virus Spread
Like hepatitis B virus, hepatitis C virus is spread when blood of an infected person enters the body of a person who is not infected, such as through sharing needles or “works” when shooting drugs or occupational needle stick injury. The risk of sexual transmission has not been thoroughly studied but appears to be low in long-term, monogamous relationships. There is no evidence that the hepatitis C virus can be transmitted by casual contact such as hugging or shaking hands, through foods, by sharing eating utensils or drinking glasses, or by coughing or sneezing. Hepatitis C is not spread by breastmilk.
How To Prevent Transmission
Between 2% and 6% of adults infected with hepatitis B virus will develop chronic hepatitis B. Chronic hepatitis B can lead to liver failure and liver cancer, so protecting yourself is important.
The hepatitis B vaccine is safe for almost everyone and about 95% effective for providing long-term protection against hepatitis B infection.
While anyone can benefit from the vaccine, people who are at a greater risk of being exposed to the virus because of their work, lifestyle or medical history are strongly encouraged to be immunized. In many countries, babies born to infected mothers get vaccinated at birth. All babies born in the United States are routinely vaccinated.
Hepatitis B immune globulin , is another way to prevent hepatitis B infection in babies born to infected mothers or after exposure to the virus. This uses concentrated antibodies to provide immediate protection. According to the Centers for Disease Control and Prevention, it is given as a shot and can provide short-term protection against hepatitis B.
Because the hepatitis B vaccine does not protect against HIV, hepatitis C or other diseases spread through sex and contact with blood, it’s still important to keep using basic protective strategies. Practicing safer sex and not sharing needles are recommended even if you’re immune to hepatitis B.
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How Are Hepatitis B And Hepatitis C Spread From Person To Person
Like HIV, the hepatitis B and hepatitis C viruses spread:
- From mother to child: Pregnant women can pass these infections to their infants. HIV-HCV coinfection increases the risk of passing on hepatitis C to the baby.
- Sexually: Both viruses can also be transmitted sexually, but HBV is much more likely than HCV to be transmitted sexually. Sexual transmission of HCV is most likely to happen among gay and bisexual men who are living with HIV.
Types Of Hepatitis C Infection
There are six major identified hepatitis C virus genotypes, that is, specific genetic sequencing of the virus. In the United States, genotypes 1, 2 and 3 are most common, with genotype 1 accounting for the majority of cases.
Your child’s genotype is important because certain genotypes respond better to treatment than others and the treatment regimen is different depending on the genotype. Your child’s doctor will test to see which genotype your child has before starting therapy for your child’s infection.
In addition to the genotypes of hepatitis C, there are two common forms of hepatitis C infection: acute and chronic.
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General Tips For Prevention
Refrain from engaging in IV drug use and be cautious with all procedures that involve needles.
For example, you shouldnt share needles used for tattooing, piercing, or acupuncture. The equipment should always be carefully sterilized for safety. If youre undergoing any of these procedures in another country, always make sure the equipment is sterilized.
Sterile equipment should also be used in a medical or dental setting.
No Identifiable Source Of Infection
According to the Centers for Disease Control and Prevention, injection drug use accounts for approximately 60% of all HCV infections in the United States, while other known exposures account for 20-30%. Approximately 10% of patients in most epidemiological studies, however, have no identifiable source of infection. HCV exposure in these patients may be from a number of uncommon modes of transmission, including vertical transmission, and parenteral transmission from medical or dental procedures prior to the availability of HCV testing. There are no conclusive data to show that persons with a history of exposures such as intranasal cocaine use, tattooing or body piercing are at an increased risk for HCV infection based on these exposures solely. It is believed, however, that these are potential modes of HCV acquisition in the absence of adequate sterilization techniques.
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How Do You Test For Hepatitis C
A simple blood test carried out by a healthcare professional will show whether you have the virus. You may also be given an extra test to see if your liver is damaged.
If youve got hepatitis C you should be tested for other STIs. It’s important that you tell your recent sexual partner/s so they can also get tested and treated. Many people who have hepatitis C do not notice anything wrong, and by telling them you can help to stop the virus being passed on. It can also stop you from getting the infection again.
Ways You Wont Spread Hepatitis C
There are some ways in which you wont spread HCV, though. Go ahead and let your significant other have a bite of your sandwich or dessert. According to the CDC, hepatitis C isnt spread by sharing silverware or drinking glasses, or through water or foods. Showing affection by holding hands, hugging, or kissing is also safe, Lee says. And although germs from sneezing or coughing might cause you to get a cold, they wont give you hepatitis C.
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Is Hepatitis C Sexually Transmitted
Can hepatitis C be spread through sexual contact?
Hepatitis C is a contagious liver disease caused by the hepatitis C virus . The disease can be passed from person to person.
As with many infections, HCV lives in blood and bodily fluids. You can contract hepatitis C by coming into direct contact with an infected persons blood. It can also be transmitted by contact with bodily fluids including saliva or semen of an infected person, but this is rare.
Researchers in found that 1 out of every 190,000 instances of heterosexual sexual contact led to HCV transmission. Participants in the study were in monogamous sexual relationships.
HCV may be more likely to spread through sexual contact if you:
- have multiple sexual partners
- participate in rough sex, which is more likely to result in broken skin or bleeding
- dont use barrier protection, such as condoms or dental dams
- dont use barrier protection properly
- have a sexually transmitted infection or HIV
Theres no evidence that HCV can be spread through oral sex. However, it may still be possible if blood is present from either the person giving or receiving oral sex.
For example, a slight risk may exist if any of the following are present:
- menstrual blood
- genital warts
- any other breaks in the skin in the involved areas
Though sexual transmission is rare overall, HCV may be more likely to spread through anal sex than oral sex. This is because rectal tissue is more likely to tear during intercourse.
What Blood Tests Are Used To Test For Hepatitis C
Several different blood tests are used to test for hepatitis C. A doctor may order just one or a combination of these tests. Typically, a person will first get a screening test that will show whether he or she has developed antibodies to the hepatitis C virus. Having a positive antibody test means that a person was exposed to the virus at some time in his or her life. If the antibody test is positive, a doctor will most likely order a second test to confirm whether the virus is still present in the person’s bloodstream.
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Getting Tested Is The Only Way To Know If You Have Hepatitis C
A blood test called a hepatitis C antibody test can tell if you have been infected with the hepatitis C viruseither recently or in the past. If you have a positive antibody test, another blood test is needed to tell if you are still infected or if you were infected in the past and cleared the virus on your own.
- Are 18 years of age and older
- Are pregnant
- Currently inject drugs
- Have ever injected drugs, even if it was just once or many years ago
- Have HIV
- Have abnormal liver tests or liver disease
- Are on hemodialysis
Can Hepatitis C Be Prevented
There is no vaccine for hepatitis C. But you can help protect yourself from hepatitis C infection by
- Not sharing drug needles or other drug materials
- Wearing gloves if you have to touch another person’s blood or open sores
- Making sure your tattoo artist or body piercer uses sterile tools and unopened ink
- Not sharing personal items such toothbrushes, razors, or nail clippers
- Using a latex condom during sex. If your or your partner is allergic to latex, you can use polyurethane condoms.
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
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Can A Person Have Normal Liver Enzyme Results And Still Have Hepatitis C
Yes. It is common for persons with chronic hepatitis C to have a liver enzyme level that goes up and down, with periodic returns to normal or near normal. Some infected persons have liver enzyme levels that are normal for over a year even though they have chronic liver disease. If the liver enzyme level is normal, persons should have their enzyme level re-checked several times over a 612 month period. If the liver enzyme level remains normal, the doctor may check it less frequently, such as once a year.
Who should get tested for hepatitis C?
Talk to your doctor about being tested for hepatitis C if any of the following are true:
- You were born from 1945 through 1965.
- You are a current or former injection drug user, even if you injected only one time or many years ago.
- You were treated for a blood clotting problem before 1987.
- You received a blood transfusion or organ transplant before July 1992.
- You are on long-term hemodialysis treatment.
- You have abnormal liver tests or liver disease.
- You work in health care or public safety and were exposed to blood through a needlestick or other sharp object injury.
- You are infected with HIV.
Getting Tested For Hepatitis C
Seek medical advice if you have persistent symptoms of hepatitis C or there’s a risk you’re infected, even if you do not have any symptoms.
A blood test can be carried out to see if you have the infection.
GPs, sexual health clinics, genitourinary medicine clinics or drug treatment services all offer testing for hepatitis C.
Early diagnosis and treatment can help prevent or limit any damage to your liver, as well as help ensure the infection is not passed on to other people.
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Articles On Hepatitis C
If you’ve just been diagnosed with hepatitis C, you may wonder how you got it and worry about passing on the virus to a loved one. If you’ve had the disease for a long time without knowing it, you could dwell on every little incident in the past where you might have accidentally exposed a family member to the disease.
It’s important to remember that hepatitis C isn’t easy to catch. If you take a few precautions, it’s almost impossible to pass on the disease to someone else.
What The Cdc Recommends
Were you born between 1945 and 1965? If so, then youre a member of the Hepatitis C generation. The CDC recently recommended that all people born between during this time have a 1-time screening test for Hepatitis C. We now have new drugs that can treat and cure Hepatitis C so you should go get tested today.
The life you save may be your own! Please contact your local healthcare provider.
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