Thank you for posting query. Carrier state means that your wife is infected with HepB (HBsAg positive) but the replicating antigen of virus maybe negative and the viral load may NOT be high enough requiring treatment. Virus is in dormant phase. It is possible that the virus remains in dormant phase throughout and causes no harm to liver. Only one fourth of patients infected with HepB virus develop liver cirrhosis. therefore, one cannot be sure about her status. the viral load should be monitored and she needs to repeat test every 6 month or atleast once a year. you should also inform your treating doctor if you want to plan a baby. There is NO permanent treatment for HepB virus. however , all relatives of your wife including you need to be vaccinated against HepB (if not done yet). wish her good health. further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited . wish you good health. regards, Dr Tayyab Malik