Muscle contusion (bruise). American Academy of Orthopaedic Surgeons. https://orthoinfo.aaos.org/en/diseases--conditions/muscle-contusion-bruise. Accessed March 14, 2022. The presence of other underlying conditions may help doctors identify if you’re losing blood somewhere. There's a small risk that people with haemophilia may have a bleed inside their skull (a brain or subarachnoid haemorrhage).

Chronic high blood pressure. High blood pressure weakens blood vessel walls. Weak walls can form aneurysms that can rupture and bleed. Mild haemophilia may only be discovered later, usually after an injury or a dental or surgical procedure. Genetic tests and pregnancy Haemophilia is a rare condition that affects the blood's ability to clot. It's usually inherited. Most people who have it are male. If you have a family history of haemophilia and you're planning to get pregnant, genetic and genomic testing can help you find out the risk of passing the condition on to a child. Fall-proofing your home. National Institute on Aging. https://www.nia.nih.gov/health/fall-proofing-your-home. Accessed March 14, 2022.If you have haemophilia, register at your local haemophilia centre. It's a useful source of advice and support. There's no cure for haemophilia, but treatment usually allows a person with the condition to enjoy a good quality of life. Clotting factors. Your body makes proteins to stop any bleeding if you’re cut or injured. If your body doesn’t make enough clotting factors, you may bleed freely.

Hoffman R, et al. Clinical approach to the patient with bleeding or bruising. In: Hematology: Basic Principles and Practice. 7th ed. Elsevier; 2018. https://www.clinicalkey.com. Accessed March 14, 2022. Endometriosis. Endometriosis is a condition where endometrium-like tissue grows outside the uterus in areas like the ovaries, abdomen, and bowel. The uterus will shed its lining and cause bleeding in a separate place, such as the pelvis. Diagnosis is made with the help of biopsies, a CT scan, an MRI, and an ultrasound. Broken bones . Most broken bones are nothing to be worried about, but breaking your body’s larger bones, such as the femur, can cause significant internal bleeding. If haemophilia is suspected after your child's born, a blood test can usually confirm the diagnosis. Blood from the umbilical cord can be tested at birth. Treatments for haemophilia Surgery . Before a surgeon completes an operation, they make sure all the bleeding has stopped. If they miss something, bleeding may continue even after the incision is closed. In some cases, this bleeding can be severe.

This may involve testing a sample of your tissue or blood to look for signs of the genetic change that causes haemophilia. Skin care and aging. National Institute on Aging. https://www.nia.nih.gov/health/skin-care-and-aging. Accessed March 14, 2022. Sometimes, identifying what’s causing internal bleeding can be simple. If you’ve been involved in an accident or had a recent injury, the bleeding is likely the result of that event. There's a small risk of these procedures causing problems such as miscarriage or premature labour, so you may find it helpful to discuss this with your doctor. Your care team at the hospital can give you advice about surgical dental procedures, such as having a tooth removed, and further information and advice about living with haemophilia. Information about you