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Coagulation Factor Deficiency Blood Test

What is Coagulation Factor Deficiency?

Coagulation factor deficiency is a bleeding disorder caused by low levels or absence of specific proteins called clotting factors that help blood clot properly. It is caused by genetic mutations that prevent the body from producing adequate amounts of factors I, II, V, VII, X, or other essential clotting proteins. The Prothrombin Time (PT) and Partial Thromboplastin Time (PTT) test is the most important test for diagnosing coagulation factor deficiencies because it measures how long blood takes to clot and identifies which clotting pathway is affected.

RECOMMENDED TEST Prothrombin Time (PT) (INR) and Partial Thromboplastin Time (PTT)
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What causes coagulation factor deficiency?

Coagulation factor deficiency is caused by genetic mutations that prevent your body from producing enough clotting factors, which are essential proteins that help blood clot properly. Some people are born with these genetic defects, which can be inherited from one or both parents, while others develop factor deficiencies later in life due to liver disease, vitamin K deficiency, or autoimmune conditions. The most common inherited forms include hemophilia A (factor VIII deficiency), hemophilia B (factor IX deficiency), and von Willebrand disease, though deficiencies in factors I, II, V, VII, X, XI, XII, and XIII can also occur.

What is the best test for coagulation factor deficiency?

The Prothrombin Time (PT) and Partial Thromboplastin Time (PTT) test is the most important test for coagulation factor deficiency because it measures how long your blood takes to clot and identifies which clotting factors are deficient. The PT test detects deficiencies in factors I, II, V, VII, or X by evaluating the extrinsic clotting pathway, while the PTT evaluates the intrinsic pathway and can identify deficiencies in factors VIII, IX, XI, and XII. When either test shows prolonged clotting times, it indicates a problem with one or more clotting factors, and additional specific factor assays may be ordered to pinpoint exactly which factor is deficient and how severe the deficiency is.

When should I get tested for coagulation factor deficiency?

You should get tested if you experience unexplained bruising, frequent nosebleeds, prolonged bleeding from minor cuts, heavy menstrual periods, or excessive bleeding after dental work or surgery. Testing is especially important if you have a family history of bleeding disorders, are planning surgery, or notice blood in your urine or stool. Early diagnosis helps prevent serious bleeding complications and allows your doctor to develop a treatment plan to manage bleeding risks during injuries, procedures, or childbirth.

What are the symptoms of coagulation factor deficiency?
Symptoms of coagulation factor deficiency include easy bruising, frequent or prolonged nosebleeds, bleeding gums, heavy or prolonged menstrual periods, and excessive bleeding from minor cuts or injuries. People with severe deficiencies may experience spontaneous bleeding into joints (causing pain and swelling), muscles, or internal organs without any apparent injury. You might also notice blood in your urine or stool, prolonged bleeding after dental procedures or surgery, and in newborns, excessive bleeding from the umbilical cord stump or after circumcision.
Who is at risk for coagulation factor deficiency?
People with a family history of bleeding disorders are at highest risk for coagulation factor deficiency since many types are inherited genetic conditions. Males are more likely to develop hemophilia A and B because these disorders are linked to the X chromosome, while both males and females can inherit other factor deficiencies. Additional risk factors include liver disease (since the liver produces most clotting factors), severe vitamin K deficiency, certain autoimmune conditions that destroy clotting factors, and taking blood-thinning medications that interfere with clotting factor function.
What happens if coagulation factor deficiency is left untreated?
Untreated coagulation factor deficiency can lead to life-threatening bleeding complications, including internal bleeding in vital organs, bleeding in the brain (intracranial hemorrhage), and uncontrolled bleeding during injuries or surgeries. Repeated bleeding into joints can cause permanent joint damage, chronic pain, and arthritis, significantly limiting mobility and quality of life. People with untreated severe deficiencies are at constant risk of spontaneous bleeding episodes that can occur without warning, and even minor injuries or dental procedures can become medical emergencies without proper preventive treatment.
Can coagulation factor deficiency be diagnosed with a blood test?
Yes, coagulation factor deficiency is diagnosed through blood tests that measure how long your blood takes to clot. The initial screening tests are the PT (Prothrombin Time) and PTT (Partial Thromboplastin Time), which identify abnormalities in different clotting pathways and indicate whether a factor deficiency is present. If these screening tests are abnormal, your doctor will order specific factor assays that measure the exact level of individual clotting factors in your blood to determine which factor is deficient and how severe the deficiency is.
How is coagulation factor deficiency treated?
Treatment for coagulation factor deficiency involves replacing the missing clotting factor through intravenous infusions of factor concentrates, which are medications containing the specific factor your body lacks. For mild deficiencies, medications like desmopressin (DDAVP) can stimulate your body to release stored clotting factors, while antifibrinolytic drugs help prevent clots from breaking down too quickly. People with severe deficiencies may need regular preventive (prophylactic) factor infusions to prevent spontaneous bleeding, while others receive treatment only when bleeding occurs or before surgeries and dental procedures.
How can I prevent complications from coagulation factor deficiency?
You can prevent complications by following your treatment plan consistently, including taking prescribed factor replacement therapy as directed and keeping regular appointments with your hematologist. Avoid activities with high injury risk, such as contact sports, and always inform doctors, dentists, and emergency responders about your condition before any procedures. Wear a medical alert bracelet, avoid medications that interfere with clotting like aspirin and ibuprofen unless approved by your doctor, and learn to recognize early signs of bleeding so you can seek prompt treatment.
What can I do at home to manage coagulation factor deficiency?
At home, apply firm, direct pressure to any cuts or wounds for at least 15 minutes to help stop bleeding, and use ice packs on bruises or swollen joints to reduce bleeding and swelling. Keep a well-stocked first aid kit with bandages, gauze, and medical tape, and maintain a safe home environment by removing tripping hazards and padding sharp furniture corners. Stay in close communication with your healthcare team, keep emergency contact numbers readily available, and if you self-administer factor replacement therapy at home, ensure you have adequate supplies and know proper injection techniques.
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Prothrombin Time (PT) (INR) and Partial Thromboplastin Time (PTT)
What's included
Fast & easy, results by email & SMS
No need to visit a doctor
Private & confidential
No insurance needed
Results explained
No extra fees paid at the lab

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