Can a man with hepatitis B have children?

Dec 02, 2025 Source: Cainiu Health
Dr. Gao Jun
Introduction
In general, men with hepatitis B can have children, but necessary preventive measures must be taken. If any discomfort occurs, prompt medical attention is recommended. In daily life, comprehensive protective measures are required: the male partner should undergo regular liver function and viral load tests, maintain a healthy lifestyle, avoid alcohol and greasy foods to reduce liver strain. The newborn should receive hepatitis B vaccine and hepatitis B immunoglobulin within 12 hours of birth.

Generally, it is possible for a man with hepatitis B to have children, but necessary preventive measures should be taken. Seek medical advice promptly if any discomfort occurs. The details are as follows:

A man with hepatitis B can father a child because the hepatitis B virus does not enter sperm cells and therefore cannot directly infect offspring through fertilized eggs. Although the virus may exist in semen, transmission can be effectively blocked through scientific interventions. If the male partner has active viral replication during preconception preparation, antiviral therapy under medical guidance can reduce viral load. The female partner, if lacking hepatitis B antibodies, should receive the vaccine in advance to establish immune protection. These measures significantly lower the risk of transmission during pregnancy and after delivery, ensuring maternal and infant health.

Multifaceted daily precautions are essential. The male partner should undergo regular checkups for liver function and viral load, maintain a healthy lifestyle, and avoid alcohol and greasy foods to reduce liver strain. The newborn must receive the hepatitis B vaccine and hepatitis B immunoglobulin within 12 hours of birth, followed by completing the remaining doses according to the recommended vaccination schedule. Family members should avoid sharing personal items such as toothbrushes and razors that might come into contact with blood. The pregnant woman should undergo regular monitoring of hepatitis B-related indicators during pregnancy. Together, the family can build a strong defense for health.

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