2,3) I'm going first to these, because they contain the most important information you provide -- that you were immunized against hepatitis B virus (HBV) 6 years ago.??You can be very certain you are protected.??Although it is true that the vaccine isn't perfect, it is over 90% reliable -- probably close to 99%.??If you would like to confirm your immunity, you could be tested.??Having been immunized, a test for HBV antibody would probably be positive.??If so, you will know you are 100% protected.??In that case, you can safely have any and all sexual practices with your partner, without condoms for vaginal or anal sex.
1,4) Oral sex probably rarely transmits HBV, even with oral sores.??In the slight chance your immunization didn't work, condoms are highly protective.
Your last, unnumbered question also is important. Not all people with chronic HBV infection are highly infectious; and if your partner's hepatitis B surface antigen test (HBsAg) is only intermittently positive, it is likely her blood level of the virus is low and transmission risk might also be very low.??Also, she could have a test for hepatitis B e antigen (HBeAg); if that's negative, as it is in most chronically infected persons, then she is minimally infectious.
So here is my summary advice:??You and your partner should go together to the doctor or clinic where here HBV infection is managed.??You can have a test for HBV antibody to check whether you are protected from your immunization; and the doctor can also advise the two of you about sexual transmission risks.??Most likely you need not use condoms and can be confident you'll never catch HBV.
I hope this has helped.??Best wishes--??HHH, MD
Source: http://www.medhelp.org/posts/STDs/Concerns-with-contagion/show/1816244
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