Request a test - مرکز جامع هموفیلی ایران

1-Blood brain

None/minor More than 5 times a year or bleeding lasting longer than 10 minutes I have only sought medical advice for nosebleeds, no treatment required I have required blood transfusions or clotting factors or products

2- Skin bleeding (bruising or hematoma)

1 I have not had any/very minor I have had more than five large bruises (greater than 1 cm) during the year I have only visited a doctor for bruises, without requiring specific treatment I have had extensive bruising or hematomas (collection of blood under the skin or muscle) Large, deep hematomas that required blood transfusions or blood products

3-Bleeding from small wounds (such as superficial cuts, scrapes, or cuts with a kitchen knife)

I have not had any / it has been very minor More than 5 times a year or each bleeding has lasted more than 10 minutes I have only visited a doctor for advice, without requiring specific treatment I have required measures to control bleeding (such as stitches or hemostatic drugs) during minor surgeries The bleeding has been so severe that I have required transfusions of blood or blood products or clotting factors

4-Bleeding from the mouth (such as bleeding from the gums, tongue, or inside the mouth after brushing your teeth or biting your cheek/lip)

No / Very minor Yes, I have had oral bleeding (mild and stopped spontaneously) I have only seen a doctor for bleeding, without requiring any specific treatment I have required special measures to control bleeding (such as stitches, dressings, or taking antifibrinolytic drugs such as tranexamic acid) I have had severe bleeding and required blood transfusions, blood products, or clotting factors

5- Gastrointestinal bleeding

No / Very minor Yes I have only received medical advice, no treatment required I have required measures to control bleeding (such as stitches or hemostatic drugs) during minor surgeries The bleeding has been so severe that I have required transfusions of blood or blood products or clotting factors

6-Hematuria (blood in the urine)

No / Very minor Yes, I have had blood in my urine (visible to the eye – macroscopically) I have only visited a doctor because of blood in my urine, without requiring any specific treatment I have required treatment because of blood in my urine (such as controlling bleeding during surgery or taking medication/iron pills for anemia) The bleeding was severe and required blood transfusions, blood products, or clotting factors

7-Bleeding after tooth extraction

I have not had/or have never had a tooth extracted Mild bleeding; has occurred less than 25% of the time after a tooth extraction Recurrent bleeding; has occurred more than 25% of the time after a tooth extraction Bleeding so much that it required re-stitching or packing Severe bleeding so much that it required a transfusion of blood, blood products, or clotting factors

8-Bleeding during surgery

I have not had/or have never had surgery I have had abnormal bleeding in less than 25% of surgeries I have had abnormal bleeding in more than 25% of surgeries I have required special measures to control bleeding during surgery (such as antifibrinolytic drugs or other hemostatic methods) I have had bleeding so severe that I have required transfusions of blood, blood products, or clotting factors

9-Menorrhagia (heavy and prolonged menstruation)

None / very light I have only sought medical advice due to menstrual bleeding or have had to change a sanitary pad less than every 2 hours My periods have disrupted my daily life (e.g. missed school or work) or required the use of medications such as iron tablets, hormonal drugs or antifibrinolytics I have required combination treatments (e.g. hormonal therapy and antifibrinolytics) or continuous treatment for more than 12 months to control bleeding The bleeding has been so severe that it has required hospitalization or more serious measures (e.g. blood transfusions, replacement therapy, curettage, endometrial ablation or hysterectomy)

10- Postpartum hemorrhage

نداشته‌ام / یا بارداری نداشته‌ام خونریزی خفیف؛ فقط نیاز به مشاوره پزشکی یا استفاده از داروی محرک انقباض رحم (مثل Syntocin) داشته‌ام خونریزی متوسط؛ نیاز به مصرف قرص آهن یا داروهای ضدفیبرینولیتیک داشته‌ام خونریزی شدید؛ نیاز به تزریق خون، فرآورده‌های خونی یا I have not had/or have not been pregnant Mild bleeding; I have only needed medical advice or the use of a uterine contraction-stimulating drug (such as Syntocin)
Moderate bleeding; I have needed iron tablets or antifibrinolytic drugs
Heavy bleeding; I have needed blood transfusions, blood products, or clotting factors
Very heavy bleeding; I have needed intensive care or more serious measures such as surgery (curettage, hysterectomy, or other treatments)فاکتورهای انعقادی داشته‌ام
خونریزی بسیار شدید؛ نیاز به مراقبت‌های ویژه یا اقدامات جدی‌تر مثل جراحی (کورتاژ، هیسترکتومی، یا سایر روش‌های درمانی) داشته‌ام

11-Muscular hematoma

Never I have had a hematoma after a specific trauma but did not require treatment I have had a hematoma spontaneously (without trauma) but did not require treatment I have had a hematoma (spontaneous or post-traumatic) that required alternative treatment (such as a factor or medication) I have had a hematoma (spontaneous or post-traumatic) that was severe enough to require surgery

12-Hemarthrosis (bleeding into the joint)

Never I have had hemarthrosis after trauma (specific trauma) but did not require treatment I have had hemarthrosis spontaneously (without trauma) but did not require treatment I have had hemarthrosis (spontaneous or post-traumatic) that required alternative treatment (such as factor injections or medication) I have had hemarthrosis (spontaneous or post-traumatic) that was severe enough to require surgery

14- Bleeding in the central nervous system (CNS)

Never had Mild or suspected bleeding (without imaging confirmation or without serious symptoms) Confirmed bleeding with clinical signs (e.g., severe headache, seizures, or neurological symptoms), not requiring surgery Subdural hemorrhage – bleeding between the brain and the dura mater Intracerebral hemorrhage – bleeding directly into brain tissue

15-Other bleeding

No / Very minor Yes, I have had bleeding (minor and stopped spontaneously) I have only sought medical advice for the bleeding, no specific treatment required I have required treatment to control the bleeding (such as antifibrinolytic drugs or iron tablets or hemostatic procedures during surgery) I have had severe bleeding and required blood transfusions, blood products, or clotting factors