for Veterans and the Public
Sex and Sexuality: Entire Lesson - Hepatitis C for Patients
Sex and Sexuality: Overview
Many people with hepatitis C are worried about spreading the virus to their sex partners. If you have hepatitis C, it is not very likely that you will spread the virus through sex. But it is still possible. That is why it is very important to talk honestly and openly with your sex partner(s).
This program talks about the risk of spreading the hepatitis C virus through sex.
Can you pass hepatitis C to a sex partner?
Yes, but it is not likely. Compared to hepatitis B virus and the human immunodeficiency virus (HIV), it is less likely that you will spread the hepatitis C virus to your sex partner.
If you have one long-term sex partner, and one of you has hepatitis C and one of you does not, you do not need to change your sex habits at all. But, if either you or your partner is worried about the small chance of spreading the hepatitis C virus, you can use latex condoms. This will make it almost impossible to spread the virus. Long-term partners of people with hepatitis C should get tested for the virus. If the test is negative, you will probably not need to repeat it.
If you have more than one sex partner, you are more likely to spread the virus. In this case, reduce the number of sex partners you have, practice safer sex, and always use latex condoms.
Can you pass hepatitis C through other types of sexual contact, such as oral and anal sex?
We do not know if the virus can be spread by oral or anal sex. There is no proof that anyone has ever spread the virus through oral sex, although it may be possible. Anal sex may damage the lining of the rectum and make it easier to pass the virus through the blood.
Using condoms will help prevent spreading the hepatitis C virus and will also protect you against other sexually transmitted diseases, such as HIV (human immunodeficiency virus) and hepatitis B.
You cannot spread the hepatitis C virus through other types of contact, such as hugging or kissing someone on the cheek.
Is the hepatitis C virus in saliva, semen and vaginal secretions, as well as blood?
Some studies show that the virus may live in your saliva, semen, or vaginal secretions, but no one knows for sure. We also don't know exactly how much of the virus may live in these bodily fluids or if it can be passed on to a sex partner from these fluids.
If you have large amounts of virus in your blood, are you more likely to spread the disease to a sex partner?
Some studies suggest that a lot of the virus in the blood might make it easier to spread the virus. But even with high levels of the virus, you are still not very likely to spread the virus through sex. You do not necessarily have to change your sex habits if you have higher levels of the hepatitis C virus.
Can birth control prevent the spread of the hepatitis C virus?
Other types of birth control methods, like birth control pills, vasectomy, intrauterine devices (IUDs), or diaphragms do NOT decrease the risk of spreading the hepatitis C virus.
What is the risk of a pregnant woman passing hepatitis C to her baby?
It is possible to get pregnant if you or your partner has hepatitis C. If you are a man with hepatitis C, and your female partner does not have hepatitis C (throughout the entire pregnancy), then there is no chance that the baby will contract the virus from the mother. If you are a pregnant woman who already has hepatitis C (or gets hepatitis C at some point during the pregnancy), the chance of passing the virus to your baby is low, less than 5 percent. The risk becomes greater if the mother has both hepatitis C and HIV. With proper prenatal care, babies born to hepatitis C-positive mothers or fathers are usually quite healthy.
If you are pregnant and have hepatitis C, the chance of your baby being infected with hepatitis C is the same whether your baby is born by vaginal delivery or c-section. With either method of delivery, the chance is around 5%, which is extremely low.
Do you need to use birth control methods when you are on a combination treatment of direct acting antivirals and ribavirin?
Yes! Ribavirin can cause severe birth defects, and you or your partner should NOT get pregnant while you are taking it. If you are taking ribavirin to treat your hepatitis C, you must use two effective forms of birth control, one for you and one for your partner. For example: the man uses a condom, and the woman uses a diaphragm or birth control pill. You must continue this type of birth control for six months after your last dose of combination treatment.
What makes a person more likely to spread the hepatitis C virus to a sexual partner?
You may be more likely to spread the virus if you
- do not use latex condoms
- have had more than 10 sexual partners
- have had, or currently have, a sexually transmitted disease (STD)
How can you reduce the chances of spreading the hepatitis C virus through sexual contact?
To reduce this chance, follow these guidelines:
- Have sex with only one person, or not at all.
- Decrease the number of people you have sex with.
- Tell your sex partner(s) that you have hepatitis C and that it is unlikely, but still possible, to spread it to them.
Use latex condoms correctly and every time, especially if you
- have more than one sex partner;
- have 'rough' sex, which might make one of you bleed;
- have sex during your menstrual period or your partner's menstrual period;
- have sex when you or your partner has an open sore or cut on either of your genitals.