About Factor V Deficiency
Factor V deficiency is a rare autosomal recessive bleeding disorder caused by mutations in the F5 gene encoding coagulation factor V, a cofactor essential for both intrinsic and extrinsic coagulation pathways and platelet function. The condition may present as type I deficiency (proportional reduction in factor V antigen and activity) or type II deficiency (dysfunctional protein with low specific activity) or combined variants.
Factor V functions as a bridging molecule in coagulation complex formation on the platelet surface, and its deficiency results in prolonged prothrombin time (PT), activated partial thromboplastin time (aPTT), and bleeding time, reflecting its multifaceted hemostatic role. Patients experience variable bleeding manifestations depending on factor V activity levels: levels >20% typically cause minimal bleeding, while <5% causes significant spontaneous bleeding risk. Mild deficiency may go unrecognized until significant bleeding occurs after trauma, surgery, or spontaneously.
Severe deficiency presents with spontaneous bleeding including epistaxis (nosebleeds), gingival bleeding (gum bleeding), gastrointestinal bleeding, and hemarthrosis (joint bleeding). Combined factor V and VIII deficiency (FVII deficiency) occurs in rare cases with distinct inheritance pattern suggesting potential genomic organization affecting both genes.
Common Symptoms of Factor V Deficiency
Recognizing the signs of Factor V Deficiency early can lead to faster diagnosis and better outcomes. Symptoms may vary in severity from person to person. If you or a loved one are experiencing any of the following, consider speaking with a specialist.
- Easy bruising and ecchymosis
- Epistaxis and gingival bleeding
- Prolonged bleeding from minor wounds
- Menorrhagia in women
- Hemarthrosis in severe cases
- Mucosal bleeding
Who Factor V Deficiency Affects
Autosomal recessive inheritance requires mutations in both copies of the F5 gene; heterozygous carriers typically have approximately 50% factor V activity and are asymptomatic. Affects males and females equally with no gender predominance. Can manifest in infancy with bleeding from circumcision, umbilical cord procedures, or vaccination sites.
Homozygotes with mutations from different families (compound heterozygotes) may have variable severity. More frequent in populations with consanguinity and in specific ethnic groups with founder mutations. Prevalence estimated at fewer than 1 per 1,000,000 people making it very rare. Geographic and ethnic clustering documented due to founder effects.
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Trusted Factor V Deficiency Resources
Reputable organizations and medical references for learning more about Factor V Deficiency, including disease registries, foundation resources, and clinical guidelines.