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Living with Hereditary factor XI deficiency disease

A bleeding disorder that can cause long bleeding after dental work, injury, or surgery, and heavy periods.

Understanding Hereditary factor XI deficiency disease

Hereditary factor XI deficiency disease is a bleeding disorder that interferes with the body's clotting process.

People may have trouble stopping bleeding after dental extractions, injury, or surgery. Women may have heavy periods or heavy bleeding after delivery. Bleeding patterns differ a lot between people, even in one family, and cannot be predicted by factor XI level. It is most common in people of Ashkenazi Jewish descent, but affects all heritages.

Signs & symptoms

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

  • Long bleeding after dental extractions
  • Frequent nosebleeds
  • Heavy periods
  • General tendency to bleed
  • Low factor XI level

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 F11 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Hemophilia Federation of America may keep lists of experts for this condition.

Care & treatment

Care team
Blood and bone marrow specialists (hematologists); Genetic specialists (geneticists)
Expert care
Expert lists: Hemophilia Federation of America
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 Hemophilia Federation of America and other patient organizations
  • 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
What is my bleeding risk if my factor XI level doesn't predict it well?
What should I do before dental work or surgery?
What should we plan for around childbirth?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Dominant, Autosomal Recessive
GenesF11

It is caused by changes in the F11 gene. It is usually autosomal recessive, but follows an autosomal dominant pattern in some families.

GeneticBlood

Also known as: congenital factor xi deficiency; congenital factor xi deficiency disease; factor xi deficiency, autosomal dominant; factor xi deficiency, autosomal recessive; haemophilia c; hemophilia c

Patient organizations

Source: NIH GARD · Hereditary factor XI deficiency diseaseGARD ID 9670 · 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 Hereditary factor XI deficiency disease.

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