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Sexual Health Centre
Infections and Safer Sex

Hepatitis C

What is it?

Hepatitis C is transmitted through body fluids, particularly blood. Sharing needles for drug use is the most common way to get this infection, but it may also be transmitted sexually. In the last ten years, a test has been developed and used to check donated blood for Hepatitis C. Prior to that time, people got this infection through blood transfusions. Unsafe tattooing can also put people at risk. Because Hepatitis C is primarily passed through exchanges of blood, it is rarely, transmitted through sexual contact, however it is theoretically possible.

What are the symptoms?

Many people who get Hepatitis C have no symptoms or at most experience a mild, short illness with:
  • jaundice
  • fatigue
  • nausea
  • fever
  • right-side abdominal pain
Unfortunately while some people with Hepatitis C recover completely, up to 85 percent continue to carry Hepatitis C infection and may go on to develop chronic hepatitis (65-70 percent after ten years). About twenty percent develop cirrhosis (scarring and permanent damage to the liver) after twenty years.

How is it diagnosed?

Hepatitis C is diagnosed with a blood test taken 12 weeks or more after infection.

How is it treated?

If diagnosed in the first few months after infection, antiviral drug treatment decreases the chance of developing chronic Hepatitis C disease. If chronic hepatitis develops, antiviral treatment with a combination of oral ribavirin and interferon injections for a year improve chronic Hepatitis C disease in about 40 percent of those treated. However, in extreme cases, liver transplant may be the only option.

How can I protect myself from Hepatitis C?

Hepatitis C is mostly transmitted by blood contact. Sixty to eighty percent of the time people get Hepatitis C by sharing needles even once used to inject drugs. Follow these tips for safer needle use to help prevent infection.

Hepatitis C is rarely transmitted sexually unless there are open sores in the genital area - even long term partners do not seem to get Hepatitis C. To protect yourself and your partner, have genital infections treated promptly and avoid unprotected sex during your period. Be aware that sharing personal items that might carry blood, such as razors or toothbrushes, may also carry Hepatitis C.

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Reviewed: August 2005

 
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