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Does Hepatitis B testing use blood or urine?

Our Hepatitis B test is a blood test. Our laboratory technicians will draw a small sample during your visit to the testing center.

What do I need to do to prepare for the test?

Hepatitis B tests do not require any kind of preparation. No fasting is necessary.

When is the right time to test for Hepatitis B?

Although it is possible to detect hepatitis B as early as 3 weeks after infection, our doctors recommend waiting at least 6 weeks to test for accurate results. Because hepatitis B does not often show symptoms, most people are unaware that they have the infection. When symptoms do appear, they do so from 6 weeks to 6 months after initial infection. Half of adults infected with hepatitis B do not show symptoms, while the rest may experience extreme tiredness, tenderness and pain in the lower abdomen, loss of appetite, nausea, vomiting, pain in the joints, headache, fever and hives. Consider getting tested if you have most of these symptoms or have had contact with someone who has chronic Hepatitis B Virus (HBV) infection.

 

What will the test results say?

If your result is negative, it means there is no sign of hepatitis B in your blood. If positive, hepatitis B was found and our doctors are available to speak with you to discuss your test results or answer any questions you may have about your test.

Can Hepatitis B be cured or treated?

While there is no cure for hepatitis B, most (about 90%) of adults with an acute HBV infection will clear the virus from their systems without the need for medication. If you have tested positive for hepatitis B for longer than six months, you have a chronic infection and should make an appointment with a local physician.

Once the status of your infection has been determined, you can begin treatment to slow the progression of the virus and prevent extensive damage to your liver. Most people with a chronic hepatitis B still live long, healthy lives.

Who needs Hepatitis B testing?

Hepatitis B is a highly contagious disease that affects both men and women. Testing for the disease is recommended for those who are at risk of coming in contact with the virus. This includes anyone who has used or shared needles during intravenous drug use, had unprotected sex or lives with an infected partner.

Consider hepatitis B testing as part of routine STD screening, especially if you have had unprotected sex with someone whose STD status you do not know or are concerned about.

What Is Hepatitis B?

The hepatitis B virus (HBV) is a contagious viral infection that can cause liver scarring, failure, and cancer. It’s spread through contact with semen, vaginal fluids, and blood, which can happen during sex. According to the Hepatitis B Foundation, up to 80,000 Americans will become newly infected with hepatitis B each year.1

Hepatitis B can be potentially fatal, but most healthy adults fight off the infection in its acute (mild, early) stage and make a total recovery.

However, if hepatitis B lasts a long time, it can cause liver disease. 1 in 20 people infected with hepatitis B become carriers of a chronic (long-lasting) hepatitis B, which can be life-threatening. About 1 in 5 people with chronic hepatitis B die from it.

Acute Hepatitis B Infection

An acute hepatitis B infection is a short-term illness that runs its course within 6 months after exposure. The intensity of the infection can be mild with few or no symptoms (asymptomatic), or it can be very serious with the potential of requiring hospitalization, although this is rare.

Chronic Hepatitis B Infection

A chronic hepatitis B infection is diagnosed when HBV lasts longer than six months. If hepatitis B remains in the blood this long, it means the immune system was not able to clear the infection, putting the liver at high risk of serious complications.

It is highly recommended that people with a chronic HBV infection seek the care of a doctor to be monitored regularly for signs of liver disease and evaluated for possible treatment. If the chronic infection is not managed, over time it can cause liver damage, cirrhosis, liver cancer, and even death.

The chances that an acute infection may turn into a long-term chronic infection decrease with age.

How Is It Transmitted?

HBV may be transmitted when blood, semen, or another bodily fluid from an infected person with the virus enters the body of someone who is not infected. You can also get it by having unprotected sex with someone who has hepatitis B.

Risk Factors

All individuals who are not immune to HBV are at risk of acquiring hepatitis B. However, your chances increase if you:

  • Have unprotected sexual contact with multiple partners or with someone who is infected with HBV
  • Engage in anal sex or oral-anal contact
  • Live with someone who has a chronic HBV infection
  • Are an infant born to an infected mother
  • Have a job that exposes you to human blood
  • Travel to regions with high infection rates of HBV
  • Share items such as toothbrushes, razors, or medical equipment such as a glucose monitor with an infected person
  • Have direct contact with the blood or open sores of an infected person
  • Share needles or experience accidental needle sticks

Most pregnant women do not know whether they are infected with hepatitis B and can unknowingly pass the virus to their newborns during childbirth, putting the newborn at high risk.

According to the Hepatitis B Foundation, if they are infected with hepatitis B:

  • More than 90% of infants will develop chronic HBV
  • Up to 50% of children between 1 and 5 years will develop a chronic hepatitis B infection

If you are experiencing symptoms or find that you may have recently been exposed to hepatitis B, consider getting tested!

Can Hepatitis B Spread Through Sex?

Yes, in the United States, hepatitis B is most commonly spread through sex. In fact, this form of transmissions accounts for nearly two-thirds of acute hepatitis B cases! Also, hepatitis B is 50-100 times more infectious than HIV and can be passed through the exchange of body fluids, such as semen, vaginal fluids, and blood.3

Prevention

The number one way to prevent hepatitis B is by getting vaccinated for the virus prior to being exposed to it.  To lower your risk, practice safer sex by consistently using condoms or dental dams and don’t share needles. Being in a monogamous relationship with someone who is not infected with hepatitis B will also prevent infection. Also, talking about sexually transmitted diseases (STDs) with your new partner before engaging in a sexual relationship is another way to prevent getting hepatitis B.

Other precautions you can take to avoid acquiring HBV are:

  • Don’t use illegal drugs
  • Be selective about who/where you go to do body piercing and tattooing
  • Ask about the hepatitis B vaccine before you travel