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Living with Congenital prothrombin deficiency

A rare inherited bleeding disorder in which blood does not clot well because of low or faulty prothrombin.

Understanding Congenital prothrombin deficiency

Congenital prothrombin deficiency (congenital factor II deficiency) is a blood disorder that affects how well the blood clots.

It causes prolonged bleeding, especially after injury or surgery. Women may have heavy menstrual bleeding. Severity varies, from severe bleeding without a known cause to increased bleeding only after surgery or serious injury. There are two inherited types: type I (hypoprothrombinemia) and type II (dysprothrombinemia). A non-inherited form can be caused by vitamin K deficiency, liver disease, or an autoimmune response.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Bleeding that lasts longer than usual
  • Nosebleeds
  • Bleeding into joints
  • Bleeding in the skull
  • Abnormal clotting test results
  • Heavy periods

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include blood and bone marrow specialists and genetic specialists.

  3. Consider genetic testing

    Changes in F2 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Blood and bone marrow specialists (hematologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with National Bleeding Disorders Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which type do I have, and would F2 gene testing help my family?
How should I plan for surgery, dental work, or injuries?
Which specialist, such as a bleeding disorders clinic, should I see?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Recessive
GenesF2

It is caused by changes in the F2 gene. Both types are autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticBlood

Also known as: congenital factor ii deficiency; dysprothrombinemia; factor ii deficiency; hereditary factor ii deficiency disease; hereditary hypoprothrombinemia; hereditary prothrombin deficiency

Patient organizations

Source: NIH GARD · Congenital prothrombin deficiencyGARD ID 2926 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Congenital prothrombin deficiency.

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