<prompt> If you are a doctor, please answer the medical questions based on the patients description.helloi m a lady of 32 years having hcv infection from last one year.my hieght is 5,8 and my wieght is 61.i have used pegasys with ribavirin theraphy for 6 months but virus is still present.at the end virus count goes down to 2184.but now its 16 lakhs raised.i want to concieve a baby now bcoz i m having only one baby.my latest test shows ALT-75 and viral load is 16 lakhs.so wht should i do now and wht would u suggest.plz reply me.  <response>: Hi You have not mentioned the genotype of HCV infection u have. Treatment guidelines of hepatitis C have been changed recently. Most important thing in HCV treatment is sustained biologic response SVR, which is persistent absence of HCV RNA in serum 6 months or more after completing antiviral treatment. As you taken course for 6 months, you must have infection with HCV genotype of 2 or 3. According to the latest guidelines, the recommendations for patients with prior PEG InterferonRiboviria treatment failure:Genotype 2: Sofosbuvir with Riboviria for 12 weeks an alternative is Sofosbuvir with PEG InterferonRiboviria for 12 weeks. Genotype 3: Sofosbuvir with Riboviria for 24 weeks an alternative is Sofosbuvir with PEG InterferonRiboviria for 12 weeks. You should consult Gastroenterologist. It is important to know you that Riboviria is teratogenic. Take care. 