Diagnosing haemophilia

A factor assay is the test that names the disorder. Ordinary clotting times are not enough.

Tests that screen vs tests that diagnose

A complete blood count and prothrombin time may be normal in haemophilia. Diagnosis requires a factor VIII or IX assay, and sometimes tests for von Willebrand disease or other factors.

If a hospital only checked ‘clotting time’ and said results were fine, that does not rule out haemophilia. Ask specifically for a factor assay.

Where testing happens in Nepal

Capacity varies by month and by hospital. NHS can help a family ask where an assay is run near them. Bir Hospital and other centres have historically performed testing — confirm with the office before you travel.

Keep copies of every report. Diagnosis may be revised as a child grows and factor levels are remeasured.

After the result

Take the report to a treatment centre before you buy any product. Do not start treatment from a pharmacy or a relative’s leftover factor.

Register with Nepal Hemophilia Society so you receive community support and advocacy that reflects real patient numbers.

Testing family members

Siblings, mothers, and daughters may need carrier or factor testing. Planning prevents surprises at surgery or childbirth.

This page is general information from Nepal Hemophilia Society. It is not a diagnosis or a treatment plan. A bleed, a head injury, or bleeding after an accident needs urgent hospital care. Ask your treatment centre before you change any treatment.