When/how to disclose hep b in a potential relationship?

ThomasTu · 26 July 2021 00:34

Thank you for your very important question.

Given your viral load is undetectable, there is only an extremely low chance of transmitting it to any potential partner. Take into consideration that a mother with a viral load of 10000 IU/mL (or lower) is unlikely to pass it onto their highly vulnerable new-born. We also allow surgeons with 1000 IU/mL (or lower) to practice surgery because there is very low risk of transmission even if there is an accidental cut. I hope these facts give you some comfort.

Regarding when you disclose your status, I guess this needs to be when you feel like you feel comfortable enough. I myself disclosed even before the first date with my now-wife, but everyone is different. Here are some tips from Hepatitis Australia:

Knowing when and how to disclose can be difficult. Some people may be supportive, whereas others may withdraw or even be angry. Often this is due to their lack of knowledge about the condition. Be prepared that a relationship may change.

Here are some tips that may help with the process:

Make sure you know the basics about hepatitis B so you can answer some of the more common questions.

Before you speak to them, practise how the conversation might go with a good friend, considering both best and worst scenarios.

Choose a meeting place where you feel comfortable and safe. Face-to-face is usually best, rather than through email, for instance.

Ask them to keep your diagnosis confidential.

Bring something you can show like a leaflet or point them to a website like Hepatitis Australia or the National Hepatitis Infoline phone number 1800 437 222.

Give the person time and space to digest what you tell them.

Look after your own mental health during and after disclosing.

Others have talked about similar issues of disclosure in other threads too:

Hope these help! Perhaps others can also share their experiences with talking to their partners about it.

Cheers,
Thomas