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Dr Anil Kumar
Dr Anil Kumar, Doctor
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Experience:  M.D with over 30 years of experience in practice.
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Is it unnecessary to have a Hep vaccine if you have sex with

Resolved Question:

Is it unnecessary to have a Hep B vaccine if you have sex with prostitutes?
Submitted: 9 months ago.
Category: Medical
Expert:  Dr Anil Kumar replied 9 months ago.

No.

It is necessary to get vaccinated as having sex with prostitutes is a risk factor for transmitting HBV.

HBV has been found in vaginal secretions and can be transmitted by sex.Promiscuous individuals are more likely to get HBV.

Customer: replied 9 months ago.
What if you are having protected sex with prostitutes, is Hep B vaccine still necessary then?
Expert:  Dr Anil Kumar replied 9 months ago.

Better to get vaccinated.

Rarely condom rupture may happen.

Customer: replied 9 months ago.
But prostitutes take care of themselves so a condom breaking is highly unlikely, right?
Expert:  Dr Anil Kumar replied 9 months ago.

Also HBV can transmit from deep kissing.So i strongly suggest getting vaccinated.

Expert:  Dr Anil Kumar replied 9 months ago.

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Customer: replied 9 months ago.
How many years does Hep B vaccine last for?
Expert:  Dr Anil Kumar replied 9 months ago.

Usually it is a 3-dose series at 0, 1, and 6 month.

Studies indicate that immunologic memory remains intact for at least 20 years among healthy vaccinated individuals.

Customer: replied 9 months ago.
if the Hep B vaccine had wrong blood, Can A.B.O test detect incompatible blood if blood transfusion was done a few years ago?
Expert:  Dr Anil Kumar replied 9 months ago.

If wrong blood is transfused the patient may had transfusion reaction at that time.

Usually blood is checked for hepatitis B before transfusion and also checked for HIV and HCV.

Also cross-match is also done to check compatibility.

Customer: replied 9 months ago.
Ok so you're saying that because it's been 4 years since I had a blood transfusion (Hep B vaccine). I can't find out if there is wrong blood present in my immune system because it's been too many years? Wouldn't the A.B.O Incompatibility reveal if there is wrong blood present? If not what is the correct test? I've done normal blood tests many times and they came out fine.
Expert:  Dr Anil Kumar replied 9 months ago.

As of now if you think you have been transfused wrong blood you can ask the lab to do following test now.

HbsAg ELISA

HCV ELISA

HIV ELISA

Customer: replied 9 months ago.
Won't the A.B.O incompatibility test reveal if you have A.B.O incompatibility reaction or not after you had a blood transfusion?
Expert:  Dr Anil Kumar replied 9 months ago.

It would have revealed at the time of transfusion reaction but not now.

Customer: replied 9 months ago.
Why not now?
Expert:  Dr Anil Kumar replied 9 months ago.

An ABO incompatibility reaction can occur if you receive the wrong type of blood during a blood transfusion. Bit it is very rare.

Blood grouping and cross matching is performed before transfusion.

I think in 4 years new blood cells RBC WBC and platelets have already been formed many times.

Customer: replied 9 months ago.
what tests should you do now 4 years later? Is it absolutely certain A.B.O test won't reveal anything 4 years later?
Expert:  Dr Anil Kumar replied 9 months ago.

ABO test will tell your blood group.

A different test called Coombs test can be tried.An abnormal (positive) Coombs test means you have antibodies that act against your red blood cells.

But it is most likely to be reported as Negative after 4 years.

Customer: replied 9 months ago.
What about A.B.O Incompatibility test?
Expert:  Dr Anil Kumar replied 9 months ago.

ABO incompatibility is an immune system reaction that occurs when blood from two different and incompatible blood types are mixed together.

Coomb's test can help to diagnose this and is a type of ABO incompatibility test.

Customer: replied 9 months ago.
can the ABO incompatibility test still reveal if you have two different and incompatible blood types mixed together 4 years after the blood transfusion?
Expert:  Dr Anil Kumar replied 9 months ago.

No.

Dr Anil Kumar, Doctor
Category: Medical
Satisfied Customers: 8709
Experience: M.D with over 30 years of experience in practice.
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