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hepatitis c and sex

I have recently tested positive for hep c. I contracted it a few years ago. I have been in a monogamous relationship for almost 2 years and was positive before I started this relationship. Once we found out about my status he got tested and was negative. we started being more careful around the time I was supposed to start my period. I should also say that before we knew we actively had sex during my menses. Recently we were haveing sex and after we were done I realized that I had started my period early by about a week and a half. He works with his hands and sometimes has abrasions or cuts on his fingers. We discovered menstrual blood on his hands and on his penis. What are the chances that he has now been infected with the virus, and should he go and get tested. Any advice would be ggreatly appreciated.
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446474 tn?1446351282
"What are the chances that he has now been infected with the virus?"
The maximum incidence rate of HCV transmission by sex was 0.07% per year, ∼1 per 190,000 sexual contacts.
"Sexual transmission of HCV among monogamous heterosexual couples: The HCV partners study."

Terrault NA, Dodge JL, Murphy EL, Tavis JE, Kiss A, Levin TR, Gish R, Busch M, Reingold AL, Alter MJ.

University of California San Francisco, Division of Gastroenterology, 513 Parnassus Ave, S357, Box 0538, San Francisco, CA, 94143. Norah.***@****.

Hepatology. 2012 Nov 23. doi: 10.1002/hep.26164.



The efficiency of hepatitis C virus (HCV) transmission by sexual activity remains controversial. We conducted a cross-sectional study of HCV-positive persons and their partners to estimate the risk for HCV infection among monogamous heterosexual couples.


500 anti-HCV-positive, HIV-negative index persons and their long-term heterosexual partners were studied. Couples were interviewed separately for lifetime risk factors for HCV infection, within-couple sexual practices and sharing of personal grooming items. Blood samples were tested for anti-HCV, HCV RNA, and HCV genotype and serotype. Sequencing and phylogenetic analysis determined the relatedness of virus isolates among genotype-concordant couples.


HCV-positive index persons were mostly Non-Hispanic Whites, with median age 49 years (range 26-79) and median 15 years (range 2-52) of sexual activity with their partners. Overall, HCV prevalence among partners was 4% (n=20), and 9 couples had concordant genotype/serotype. Viral isolates in 3 couples (0.6%) were highly related, consistent with transmission of virus within the couple. Based upon 8377 person-years of follow-up, the maximum incidence rate of HCV transmission by sex was 0.07% per year (95% CI: 0.01, 0.13) or ∼1 per 190,000 sexual contacts. No specific sexual practices were related to HCV-positivity among couples.


The results of this study provide quantifiable risk information for counseling long-term monogamous heterosexual couples in which one partner has chronic HCV infection. In addition to the extremely low estimated risk for HCV infection in sexual partners, the lack of association with specific sexual practices provides unambiguous and reassuring counseling messages. (HEPATOLOGY 2012.).

Copyright © 2012 American Association for the Study of Liver Diseases.

If he is still worried tell him to get tested.
According to the VA Hepatitis C Home

"If a person exposed to hepatitis C becomes infected, virus particles (called HCV RNA) can be detected within 1-2 weeks. Liver function tests also will tend to rise during this timeframe. Hepatitis C antibodies appear after RNA is detectable and can take 3-12 weeks to appear."

Good luck!
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