Your panel is consistent with chronic hepatitis with low viral load.

Every year, among HBV carriers, there are 0.7% patients spontaneously clear the virus from their body using their own immune response. However, medications such as DNA polymerase inhibitor can only inhibit the virus but not clear the virus. If you are taking anti-viral medication, you should continue with it. Otherwise, there could be rebound.

Either way, you should still monitor your liver enzyme every 6 mon and have all your close family members get vaccination.

AST and ALT are enzymes found in liver cells. They will get released and become detected in the blood when there is liver cell damage. The higher the enzyme level, the more liver cells have been damaged. Viral damage cause ALT higher than AST. ALcoholic damage causes AST elevated more. This is the reason that I said you have chronic hepatitis, mild form.

Have you tried any medication?

Could you please tell me more about your history? When you were found to be HBV +? How was the Ag and Ab panel originally? How was your enzyme panel originally?

It seems that the infection occured sometime between 2002 and recently. Now you are in the recovery phase. You need f/u. I would recommend you get a referal from you family doctor for GI doctor instead of the "3 mon f/u". Although nobody will initiate any antiviral treatment now for you because there is no indication for your case, you need to f/u with a specialist in the field instead of a family doctor.

HBV panel may not be a rountine OB exam. Your wife needs to get her HBV panel asap.

Your new born should get HBV vaccination #1 already, which is now a required vaccine for all children in US. Please double check with the peds doctor.

One thing that you need to think about is your newborn's status. If you don't know exactly when you got infected and your HBV e Ab is now positive, there must be a period in the past that you were HBV e Ag +. At that time, you were highly contagious. If I were you, I would get the baby's HBV panel when he or she needs some other blood workup in the near future and make sure that all 3 HBV vaccinations will be given meanwhile. It is really a pain in the neck to get blood from newborns and whether you know it or later will not change the management. I recommend you do it when there is some other need for blood draw.

Both your wife and baby need HBV booster every 5-10 years, because the HBs Ab titer gradually decrease and lose the protection effect finally. There is quantative test for HBs Ab titer now. Your wife can have the blood draw every 5 yrs and have booster if necessary. Your baby need at least one blood draw with HBV full panel (HBs Ab-Ag, HBV c Ab, E Ag and Ab) and HBV s Ab titer by age 1 1/2 to make sure there is protective titer of Ab. A booster is necessary immediately if S  Ab titer is not high enough. Babies sometimes have problem of generating enough immune response because their systems are still in the developing stage.

Remember, the only protective Ab is HBV s Ab.

Moreoever, I would recommend you be cautious regarding close contact with your baby. Avoid your body fluid get into any skin broken area or mucosa of the baby.