Can hepatitis C remain dormant for two or three decades?
Generally, whether hepatitis C remains latent for two or three decades depends on individual circumstances. Most cases of hepatitis C do not remain dormant for such a long period; however, in rare cases—particularly among individuals with strong immune function or extremely low viral load—the virus may remain latent for an extended duration. A detailed analysis is as follows:

The incubation period for most hepatitis C patients ranges from 1 to 6 months. Within weeks to months after infection, some individuals may experience symptoms such as fatigue, loss of appetite, and jaundice. If the infection is not detected and treated promptly, the virus continues to damage the liver, gradually progressing to chronic hepatitis. However, this progression is not due to latency but rather continuous viral replication.
In a small number of people, the immune system can partially suppress viral replication after hepatitis C infection, keeping the virus in a low-activity state. These individuals may remain asymptomatic for ten years, or even two to three decades. This prolonged asymptomatic phase is often overlooked, yet it may silently progress to liver cirrhosis.
In daily life, avoid sharing items that may come into contact with blood, such as needles or toothbrushes, and always use reputable medical institutions for blood transfusions or donations. Individuals with a history of high-risk exposure should undergo proactive screening. Chronic hepatitis C patients should abstain from alcohol, maintain regular sleep patterns, and avoid excessive fatigue to slow down liver damage.