Information for gay men about Hepatitis A, Hepatitis B and Hepatitis C - hepinfo.org produced by Terrence Higgins Trust

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What's my risk?

Hepatitis A, B & C - a guide for gay men
This is a basic guide only and focuses on how hepatitis is passed on between gay men. For more detailed data, please see information available through the menu (right) or the organisations listed in our Links section.

  Hepatitis A Hepatitis B Hepatitis C
Where is the virus found? Shit Blood
Cum & precum
Spit
Piss
Blood
Cum
How is it passed on? Sexual contact with shit, incl. rimming
Unprotected fucking
Fingering
Fisting without gloves
Handling used condoms or sex toys
also: Contaminated food and water
Unprotected fucking
Sucking
Sharing injecting equipment
Sharing razors, toothbrushes, sex toys, etc

Sharing injecting drug equipment
Unprotected fucking, fisting without gloves
Possibly sharing things used to snort drugs

Symptoms Jaundice (yellow eyes and skin)
Pale shit, dark piss
Flu-like aches
Extreme tiredness
No appetite/weight loss
Pain in upper right stomach
Feeling sick (especially around alcohol, fatty food, tobacco smoke)
Diarrhoea
Fever
Itchy skin
Jaundice (yellow eyes and skin)
Pale shit, dark piss
Flu-like aches
Extreme tiredness
No appetite/weight loss
Pain in upper right stomach
Feeling sick (especially around alcohol, fatty food, tobacco smoke)
Diarrhoea
Fever
Itchy skin

Often none for many years but possibly same symptoms as A & B

also: Mental confusion
Depression
Water retention
Bruising

Often no symptoms for years after infection.

Vaccine Yes –
2 injections, 6 months apart
Yes –
2 or 3 injections, usually over six months
No vaccine
Prevention Vaccination, until then avoid contact with shit
(condoms for fucking, wash hands after sex, avoid rimming, gloves for fisting)
Vaccination until then use condoms for fucking
Avoid sharing injecting equipment
Avoid sharing injecting or snorting equipment
Use condoms for fucking, gloves for fisting
Carrier rate* 0% Up to 10% Around 80%
Treatment Rest, avoid alcohol for up to a year (possibly also party drugs and smoking) Same as hep A
Drugs available for carriers
Drugs taken for 6-12 months (success rate about 50%)
Liver transplant in severe cases

*The chances of not getting rid of the virus, developing long term hepatitis and staying infectious to others.

For more information, look at the individual sections on:
Hepatitis A
Hepatitis B
Hepatitis C
or visit the Links page

Hepatitis A, Hepatitis B and Hepatitis C. For more info call THT Direct Helpline 0845 1221200  
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