Do I need to take medication for hepatitis B small three positives?

Hepatitis B 'small three positives' refers to a state after hepatitis B virus infection, characterized by positive results for hepatitis B surface antigen (HBsAg), hepatitis B e antibody (HBeAb), and hepatitis B core antibody (HBcAb). This condition generally indicates low viral replication activity, but it does not necessarily mean the disease is inactive.

Whether medication is needed mainly depends on two factors: viral load (HBV DNA level) and liver function. If the viral load is low and liver function is normal, antiviral therapy usually is unnecessary, and regular monitoring suffices. However, if the viral load increases or liver function becomes abnormal, doctors may recommend starting antiviral treatment to prevent further liver damage.

Patients are advised to undergo regular medical examinations, including liver function tests and viral load measurements, and to decide on the necessity of drug treatment according to the physician's guidance.