wife with hbv,husband had 1st shot of hep b series,is sex ok?

[pregpos]

To anybody who can share their thoughts and experiences is greatly appreciated.

I was diagnosed just recently of HBV from my first prenatal visit,HBeAg and anti-HBe are negative and liver function test are normal.After the fact, my husband and I rushed to the doctor's office for him to be tested of any form of hep virus and luckily he has all negative results and not even HBsAb after he had a series of hep b shots 6 months ago (this was before I was diagnosed of having this virus).To give you a little idea about my background, I was working for more than 5 years in the hospital as a nurse without really any protection like getting a hep b shots or neither have myself tested thats why I don't have any idea when I got infected.
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BTW, we've been married for almost five years now and so glad that I did not pass it to him...and he just had a first shot of another series of hep b vaccine..and my question is if it's okay to have sex? or does he really need to complete the full series? We have been practicing abstinence since we found out about my status eventhough the my doctor told us that I am not infectious at this moment or not been for a very long time but the virus could be reactivated anytime when my immune system will be compromised as for example if an individual has AIDS or chemotheraphy where your immune system is down.

[pregpos]

I have no idea about my viral load. I have not get tested yet.When I asked my OB about it she said it will not change the diagnosis but I will tell her nest time for me to have a baseline result at least.

[zellyf]

Transmission from man to woman via intercourse is not really high risk WITH condom use.  I was married and unknowingly HBV positive for many years and my husband still tested negative.  This is commonly the case in situations like this according to anecdotal evidence.  Add that fact that he's received the first vaccine already and I don't think you need to abstain if you use a condom.  Of course, you can, but I think the risk can be overstated.

What is your viral load?  If it is low your chance of transmission with a condom gets even lower.  

[cajim]

Admire your discipline.  Time goes fast and before long antibody will show in him and HBV cannot do anything to him.

Best.

[pregpos]

Thanks cajim. Yes, that is what we are doing and we have not even try using another form of safe sex like using a condom...don't want to take a risk.

[cajim]

If you are diagnosed HBsAg positive, then HBV is in your blood and fluid.  Until your husband has positive anti-HBs, it is good caution that you practice abstinence or safe sex.

From 2007 Guideline:

Household members and steady sexual partners are at increased risk of HBV infection and therefore should be vaccinated if they test negative for HBV serologic markers.9 For casual sex partners or steady partners who have not been tested or have not completed the full immunization series, barrier protection methods should be employed. HBsAg-positive women who are pregnant should be counseled to make sure they inform their providers so hepatitis B immune globulin (HBIG) and hepatitis B vaccine can be administered to their newborn immediately after delivery.9 HBIG and concurrent hepatitis B vaccine have been shown to be 95% efficacious in the prevention of perinatal transmission of HBV, the efficacy is lower for maternal carriers with very high serum HBV DNA levels (_8 log10 IU/ ml).