Can an HBsAg-positive person with a very low viral load safely marry a

Hello everyone,

I am a 26-year-old male with chronic hepatitis B and would really appreciate guidance from hepatologists or healthcare professionals.

My current reports are:

* HBsAg: Positive
* HBeAg: Negative
* HBV DNA: 140 IU/mL (very low viral load)
* ALT (SGPT): 25 U/L (normal)
* Ultrasound: Fatty liver grade 1
* I am under follow-up with a hepatologist.

I was in a serious relationship with a doctor. One hepatologist told me that if my future spouse is fully vaccinated against hepatitis B and has a protective anti-HBs antibody level, marriage is generally possible with appropriate medical guidance.

However, another senior doctor expressed concern about vaccine-escape mutants and the possibility of occupational exposure because she works with patients. Based on that opinion, she decided not to continue the relationship.

I am not asking for relationship advice. I would like to understand the medical perspective.

My questions are:

1. According to current international guidelines, is marriage generally considered medically acceptable when one partner has chronic hepatitis B with HBeAg-negative disease and a very low HBV DNA level, and the other partner is fully vaccinated with protective anti-HBs antibodies?

2. How significant is the real-world risk of vaccine-escape mutants in this situation?

3. Does being a doctor or healthcare worker substantially change the recommendation compared with someone in another profession?

4. If you were counseling a healthcare worker in this situation, what would you advise based on current evidence?

I would be grateful for evidence-based opinions from hepatologists or physicians familiar with chronic hepatitis B management.

Thank you.