<s>[INST] hello doctor  i am 23 yrs old girl  and is hbsag +ve. Value observed of hbsag test is 11.3. I also have ultrasonic test and found no harm to my liver till now.what should be treatment for this.... in my family my brother and mother were also infected..... Is this sexually transmited disease? Plz help me [/INST] Hi welcome to the Chat Doctor You are bag carrier as per history You have to do regular follow up to the physician and repeat liver enzymes testing with every four to six months Before labelling you as carrier repeat bag testing after six months, if positiver than you will be lifetime carrier No active treatment needed just now If your carrier state confirmed after six months than viral load HBV DNA done along with bag estimation and if found in active stage than only antiviral medication needed This infection Spread sexually as well as through secretions Take care Consult physician for examination and regular follow-up Hope this will help you </s>