your viral load
is very low, that is good. You have chronic inactive hepatitis B
(that is if you have normal liver enzymes as well). The guidelines state that there is no treatment necessary with such low viral load (anything <2000), if liver enzymes normal and no evidence of cirrhosis
. However keep in mind that hepatitis B virus is carcinogenic, and increases your chances of liver cancer
exponentially. I do know of some agressive liver doctors that treat Hepatitis B no matter what, and there are many treatment options. These include interferon
(an injection given weekly, with A LOT of side effects), then Tenofovir or Entecavir (which are pills, it's taken once a day, minimal side effects). In your case with only 20 iu/ml, I would probably just watch you, as you might become negative in the future (chances are about 1-2% per year). You can't donate blood, and your sexual partner should be vaccinated against hepatitis B if he/she negative.