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Words to know: Hemophilia and bleeding disorders

Hemophilia
An inherited condition where blood does not clot well because a clotting factor is low or missing.
Clotting factor
A protein in the blood that helps form clots to stop bleeding.
Factor VIII
The clotting factor that is low in hemophilia A.
Factor IX
The clotting factor that is low in hemophilia B.
Carrier
A person, usually a woman, who has one copy of the hemophilia gene and can pass it on. Some carriers have bleeding problems.
X-linked
A trait carried on the X chromosome. X-linked conditions mostly affect males.
Von Willebrand disease
The most common inherited bleeding disorder, caused by a low or poorly working von Willebrand factor.
Hemarthrosis
Bleeding into a joint.
Target joint
A joint that bleeds again and again.
Hemophilic arthropathy
Lasting joint damage caused by repeated bleeding.
Prophylaxis
Regular treatment given to prevent bleeds.
On-demand treatment
Treatment given only after a bleed starts.
Recombinant
Made in a lab using cells, not from human blood.
Extended half-life
A medicine changed to last longer in the body, so it is needed less often.
Inhibitor
An antibody the body makes against the factor used in treatment, which makes the factor work poorly.
Bethesda assay
A blood test that measures how strong an inhibitor is.
Bypassing agent
A medicine that helps blood clot by going around the missing factor. Used when inhibitors are present.
Emicizumab
A shot for hemophilia A that does the job of factor VIII to prevent bleeds.
Rebalancing therapy
A medicine that lowers the body's natural anti-clotting proteins so the blood can clot better.
Gene therapy
A treatment that gives the body a working gene so it can make its own clotting factor.
Desmopressin (DDAVP)
A medicine that releases stored factor VIII and von Willebrand factor into the blood.
Tranexamic acid
A medicine that helps clots hold together, often used for mouth and nose bleeding.
aPTT
A blood test that measures how long blood takes to clot. It is often long in hemophilia.
Hemophilia treatment center
A specialty clinic with a full team that cares for people with bleeding disorders.

Last updated: 2026-10-27. Medically reviewed by Veli Bakalov, MD, medical oncologist (October 2026). General education from Step by Step, the patient portal of HemeOncBuddy.