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Specialist: Why bleeding disorder tests, counseling are important before marriage

LEGAZPI CITY (PIA) -- Couples planning to marry should consider testing and counseling for heritable hemophilia, a rare genetic illness that impairs blood clotting, according to a specialist.

Dr. Renee Myla Balang, the head of the Cancer Center at Bicol Regional Hospital and Medical Center (BRHMC) in Albay, advised that couples should discuss their family history and undergo premarital screening for hemophilia.

This is because children of men and women with a family history of the bleeding disorder are more likely to develop the condition, Balang said.

In an interview over the Ugnayan sa Bicol, Balang explained that individuals with hemophilia are likely to experience easy bruising and bleeding, which can last for a prolonged period or be excessive after an injury.

Bleeding can happen in any part of the body, such as the muscles, joints, digestive tract or even the brain, she said.

She said that if one of the couples or both partners turn out to be hemophilia carriers, the BRHMC provides counseling to prevent the risk of transmission to their future child.

Hemophilia patients must be informed about the potential outcomes and risks associated with the option of bearing children because treatment for the bleeding disorder is expensive, she said.

Balang said that having hemophilia can make life harder for low-income individuals.

She shared an example of a couple with hemophilia who ignored her advice about the condition and decided to have children with the hope that their children would not inherit the condition.

"However, all of their children had symptoms of the bleeding disorder. As a result, their financially disadvantaged sibling had to support them with hemophilia medication," she said in a mix of English and Bicol dialect.

She said that hemophilia patients face financial strain due to the unavailability of free medication, unlike readily available paracetamol.

(Courtesy: devianart.com

"The medication for hemophilia must be properly stored, including refrigeration. Free medication is available from the Department of Health, but it may not always be immediately accessible as it is requested on an as-needed basis by the BRHMC," Balang said.

Balang emphasized that there is currently no cure for this disorder.

"The only way to pause the chain of transmission of the disorder to the next generation of offspring is to educate the patients," she said.

"When individuals with hemophilia are ready to get married, they must be made aware that their children are likely to inherit the condition," she added.

Balang urged healthcare providers to teach patients and family members how to recognize the signs and symptoms of hemophilia.

The symptoms include spontaneous bleeding into the joints, nosebleeds, bruising, bleeding into the skin, bleeding into the muscle and soft tissue, bleeding after a shot, bleeding in the gums or mouth, and blood in the stool or urine.

She warned that if not diagnosed early, the constant bleeding in the joints may cause permanent joint deformities and even result in death.


"Many individuals may have hemophilia but have not been diagnosed because they believe that their bleeding disorder is normal, especially when some of their relatives also have it. It is essential to recognize the importance of diagnosis," Balang said.

In some cases, an incidental diagnosis is made after the hemophilia patient is involved in an accident, such as a road crash, she added.

Balang said that in the past, it was assumed that only people with so-called "royal blood" had the potential to develop hemophilia.

"However, in reality, the bleeding disorder can affect people from different social backgrounds. Anyone can have this condition," she said.

Citing statistics from the Philippine Council for Health Research and Development, she mentioned that around 10,000 Filipinos are living with hemophilia.

To raise awareness about the disorder, the Canada-based World Federation of Hemophilia observes World Hemophilia Day every April 17. (PIA-5)

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Ernesto Delgado

Information Officer 3

Region 5

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