Please help me understand my test results

[emily155]

My doctor ordered Completed Blood Count and # of other tests.  Initial test on (blood drawn)1/25/2013: HBsAg Screen confirm indicated Reference Interval: Negative, RPR: non-reactive, HIV 1/o/2 Abs, Qual: non-reactive, HBsAg confirmation positive Abnormal – positive hep b surface antigen was confirmed by neutralization assay.

What HBsAg confirmation positive Abnormal – positive hep b surface antigen was confirmed by neutralization assay mean?

Why/what reason doctor asked to drawn blood on my third day of menstrual cycle for blood test above?

Second test 2/6/2013 results: AST 23 Reference Interval 0-40, ALT 20 Ref Intr 0-32, Hep B core ab igm negative ref intr negative, positive HBV DNA detected qualitative only, Hep B surface ab 0.18 index value: 0.00-0.99 inconsistent w/immunity 0.00 – 0.99 Consistent w/immunity >0.99, HCV ab .01 s/co ratio Ref Intr 0.0-0.9, Hep Be Ag: negative ref intr negative.

My OB/Gyn referred me to Gastroenterology regarding hep b. And Gastr doctor didn’t say much except ordered the following to tests: Ultrasound on liver, blood test on HBV surface ab and AFP, Serum Tumor Marker. Should I take these tests?

Based on the results above, am I hep b positive? If so, is it acute? Am I contagious to my spouse if we were xx because we are trying to have a baby?  Is it safe to be pregnant while having this disease?

BTW, my spouse is immune (tested 4 yrs ago).

[OrientS]

StephenCastlecrag ..

can you comment on this:

http://www.medhelp.org/posts/Hepatitis-B/HBV-Carrier--my-latest-liver-ultrasound-report--your-opinion-pls-/show/1905916#post_8892119

?

[StephenCastlecrag]

Unfortunately, I think you do have chronic Hepatitis B - your HBsAg is positive (therefore is abnormal as people should not have positive HBsAg) and hbvdna is detected qualitatively. Because your Hep B core Ab Igm is negative, it is unlikely to be acute.
Good news is your ALT is normal. How contagious you are will depend on your viral load (hbvdna quantitative). The tests your Gastro doctor ordered are quite normal, may be you should add HBeAg, HBeAb and viral load to the list.
If your spouse has protective immunity, sex should be safe and there is no reason not to have a family. Your spouse should be tested again as a precaution, if HBsAb level is low, your spouse should get a booster vaccination shot.