[Question #5968] Hep B and general update

19 months ago
Hello Drs.
Please consider this a new question, as I am writing about a new concern and not the most recent exposure.

First, please know that I took an HIV test this week and was negative! Thank you so much for your guidance.
Second, I certainly reached out to my partner via phone and text, but she is out of the country until October.

With the HIV concern behind me, I wanted a 100% clean start. I  went for more testing today and am awaiting results as I write. I wanted to put closure to the Hep C test from last month, and get a negative Hep A test so I can get vaccinated. I realize both are extremely unlikely to turn out positive.

My concern resolves around Hep B and my lifetime sexual history, as I don't recall ever being tested for it. I recall getting a couple of shots prior to college and/or grad school but that was roughly 25 years ago. I can't say 100% that I returned at Thanksgiving/Xmas for the final shot.  

My rational side wants to tell me that I am going to be ok b/c (1) I may indeed have been fully vaccinated, (2) my risky/unprotected exposures can be counted on one hand (a couple of condom breaks which led to 3-5 second exposures, a partial condom slip, and a couple of times where menstrual blood got on the condom and touched my groin area, and (3) it appears that about 95% of infections in healthy adults cure themselves anyways.

1. How much risk would you say I am at given the totality of the circumstances? 
2. In addition to the above, there were numerous acts of protected sex accompanied by unprotected oral. Are these as low risk as with HIV? 
3. If I indeed skipped the 3rd dose, would the first 2 still be protecting me all these years later?

Thank you again for your help and expertise.


Edward W. Hook M.D.
Edward W. Hook M.D.
19 months ago
Despite your request to consider this as a "new question", it is clear that you remain fixated on your low risk event. you are overthinking this, over testing, and then getting too far into the nuances of test and vaccine performance for this to be good for you.  My responses will be brief and if you have follow-up questions, they will be briefer still for al of the reasons outlined by Dr. Handsfield in his last response to you.  

1. How much risk would you say I am at given the totality of the circumstances?
Your risk is vanishingly low.  I would have no concerns whatsoever.
 
2. In addition to the above, there were numerous acts of protected sex accompanied by unprotected oral. Are these as low risk as with HIV? 
Yes

3. If I indeed skipped the 3rd dose, would the first 2 still be protecting me all these years later?
The 3rd dose of vaccine is a "consolidation" dose.  Most people who receive three doses are well protected.  EWH


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