Factor V Leiden - Symptoms and causes (2024)

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Overview

Factor V Leiden (FAK-tur five LIDE-n) is a mutation of one of the clotting factors in the blood. This mutation can increase your chance of developing abnormal blood clots, most commonly in your legs or lungs.

Most people with factor V Leiden never develop abnormal clots. But in people who do, these abnormal clots can lead to long-term health problems or become life-threatening.

Both men and women can have factor V Leiden. Women who carry the factor V Leiden mutation may have an increased tendency to develop blood clots during pregnancy or when taking the hormone estrogen.

If you have factor V Leiden and have developed blood clots, anticoagulant medications can lessen your risk of developing additional blood clots and help you avoid potentially serious complications.

Symptoms

The factor V Leiden mutation does not itself cause any symptoms. Since factor V Leiden is a risk for developing blood clots in the leg or lungs, the first indication that you have the disorder may be the development of an abnormal blood clot.

Some clots do no damage and disappear on their own. Others can be life-threatening. Symptoms of a blood clot depend on what part of your body is affected.

A clot in a deep vein

This is known as deep vein thrombosis (DVT), which most commonly occurs in the legs. A DVT may not cause any symptoms. If signs and symptoms do occur, they can include:

  • Pain
  • Swelling
  • Redness
  • Warmth

A clot that travels to your lungs

Known as a pulmonary embolism, this occurs when a portion of a DVT breaks free and travels through the right side of your heart to your lung, where it blocks blood flow. This can be a life-threatening situation. Signs and symptoms may include:

  • Sudden shortness of breath
  • Chest pain when breathing in
  • A cough that produces bloody or blood-streaked sputum
  • Rapid heartbeat

When to see a doctor

Seek medical attention immediately if you have signs or symptoms of either a DVT or a pulmonary embolism.

Request an appointment

Causes

If you have factor V Leiden, you inherited either one copy or, rarely, two copies of the defective gene. Inheriting one copy slightly increases your risk of developing blood clots. Inheriting two copies — one from each parent — significantly increases your risk of developing blood clots.

Risk factors

A family history of factor V Leiden increases your risk of inheriting the disorder. The disorder is most common in people who are white and of European descent.

People who have inherited factor V Leiden from only one parent have a 5 percent chance of developing an abnormal blood clot by age 65. Factors that increase this risk include:

  • Two faulty genes. Inheriting the genetic mutation from both parents instead of just one can significantly increase your risk of abnormal blood clots.
  • Immobility. Extended periods of immobility, such as sitting during a long airplane flight, can increase the risk of leg clots.
  • Estrogens. Oral contraceptives, hormone replacement therapy and pregnancy can make you more likely to develop blood clots.
  • Surgeries or injuries. Surgeries or injuries such as broken bones can increase your risk of abnormal blood clots.
  • Non-O blood type. Abnormal blood clots are more common in people who have blood types of A, B or AB compared with those with blood type O.

Complications

Factor V Leiden can cause blood clots in the legs (deep vein thrombosis) and lungs (pulmonary embolism). These blood clots can be life-threatening.

By Mayo Clinic Staff

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Aug. 23, 2022

Print

  1. Factor V Leiden thrombophilia. Genetic and Rare Disease Information Center. https://rarediseases.info.nih.gov/diseases/6403/factor-v-leiden-thrombophilia. Accessed June 4, 2018.
  2. Bauer KA. Factor V Leiden and activated protein C resistance. https://www.uptodate.com/contents/search. Accessed June 4, 2018.
  3. AskMayoExpert. Factor V Leiden. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018.
  4. Venous thromboembolism. National Heart, Lung, and Blood Institute. https://www.nhlbi.nih.gov/health-topics/venous-thromboembolism. Accessed June 4, 2018.
  5. Kaushansky K, et al., eds. Hereditary thrombophilia. In: Williams Hematology. 9th ed. New York, N.Y.: McGraw-Hill Education; 2016. https://accessmedicine.mhmedical.com. Accessed June 4, 2018.
  6. Lockwood CJ, et al. Inherited thrombophilias in pregnancy. https://www.uptodate.com/contents/search. Accessed June 4, 2018.
  7. Pruthi RK (expert opinion). Mayo Clinic, Rochester, Minn. June 17, 2018.
  8. Barbara Woodward Lips Patient Education Center. Deep vein thrombosis and pulmonary embolism. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2017.

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Factor V Leiden

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Factor V Leiden - Symptoms and causes (2024)

FAQs

Factor V Leiden - Symptoms and causes? ›

The factor V Leiden mutation does not itself cause any symptoms. Since factor V Leiden is a risk for developing blood clots in the leg or lungs, the first indication that you have the disorder may be the development of an abnormal blood clot. Some clots do no damage and disappear on their own.

What should you avoid if you have factor 5? ›

If your factor V Leiden requires you to take anticoagulant medication, here are some steps that might help you prevent injury and avoid excessive bleeding:
  • Avoid playing contact sports or engaging in other activities that could result in physical injury. ...
  • Use a soft toothbrush and waxed floss.
Aug 23, 2022

What does factor 5 Leiden cause? ›

Factor V Leiden is an inherited blood clotting disorder that raises your risk of deep vein thrombosis or a pulmonary embolism. A mutation in your F5 gene causes this disorder, which follows an autosomal dominant inheritance pattern.

What medications should be avoided with factor V Leiden? ›

It is important that people with Factor V deficiency should not use Non-Steroidal Anti-Inflammatory Drugs (NSAIDs such as ibuprofen) as this greatly increases the risk of bleeding.

Is there a difference between factor V and factor V in Leiden? ›

Factor V is a protein that is needed for blood to clot properly. Some people do not have the normal Factor V protein. Instead, they have an different form called factor V Leiden. This is caused by a change (mutation) in the gene for this protein.

Should you wear a medical bracelet for factor V in Leiden? ›

Let doctors you see know that you have factor V Leiden. Wear medical alert jewelry that lists your clotting problem. You can buy it online or at most drugstores. Check with your doctor about whether you should use hormone forms of birth control or hormone therapy.

What precautions should be taken with factor 5 in Leiden? ›

Have a healthy lifestyle.
  • Stay at a healthy weight. Lose weight if you need to.
  • Eat a healthy diet.
  • Get at least 2½ hours of exercise a week. Walking is a good choice. ...
  • Do not smoke. It can increase the risk of blood clots.

What is the greatest risk factor for factor V in Leiden? ›

A family history of factor V Leiden increases your risk of inheriting the disorder. The disorder is most common in people who are white and of European descent. People who have inherited factor V Leiden from only one parent have a 5 percent chance of developing an abnormal blood clot by age 65.

Should I take aspirin if I have factor V Leiden? ›

Even people with two abnormal copies of the gene usually do not receive medication unless they have a history of a blood clot. Based on your age, it may be appropriate for you to be on aspirin, from the standpoint of your heart, regardless of the factor V Leiden.

What are the odds of having factor V Leiden? ›

Frequency. Factor V Leiden is the most common inherited form of thrombophilia. Between 3 and 8 percent of people with European ancestry carry one copy of the factor V Leiden mutation in each cell, and about 1 in 5,000 people have two copies of the mutation. The mutation is less common in other populations.

Which blood thinner is best for factor V Leiden? ›

For patients with confirmed deep vein thrombosis or pulmonary embolism, anticoagulant therapy with subcutaneous low molecular-weight heparin, monitored IV, or subcutaneous unfractionated heparin or fondaparinux can be used [5].

What activates factor V Leiden? ›

Factor V is converted to activated factor V by activated factor X and thrombin. Activated factor X and thrombin have proteolytic activity on factor V and removes a domain from factor V, converting it to activated factor V.

Can you donate blood if you have factor 5 Leiden? ›

Yes, you can donate blood with Factor V Leiden as long as you don't have deep vein thrombosis or pulmonary embolism.

Is factor V Leiden inherited from mother or father? ›

Factor V Leiden mutation is an inherited condition (i.e. from your parents). We inherited one copy of each gene from each of our parents. One (or both) of your parents will have passed the Factor V Leiden mutation on to you and you may pass the condition onto your children.

Can I fly with factor V in Leiden? ›

There are several controversies related to the importance of acquired or hereditary thrombophilias in development of long-haul flight-related VTE. However, the MEGA study found that long-haul passengers with factor V Leiden had around an eight times greater risk of developing DVT than passengers who do not.

What are the two types of factor V Leiden? ›

Having 1 Factor V Leiden gene (heterozygous type) slightly increases the chance of developing a blood clot. Having 2 Factor V Leiden genes (hom*ozygous type) makes the risk much greater. Having Factor V Leiden does not appear to increase the chances of developing a heart attack or stroke.

How to live with factor 5? ›

Most people with Factor V Leiden do not form abnormal clots and require no treatment. If abnormal clots become an issue, "blood-thinning" medications, like Coumadin, can be used to impair the clotting system. This will halt growth of the clot and reduce the risk of future clots.

Do you have to take blood thinners if you have factor 5? ›

If you have factor V Leiden and have developed blood clots, anticoagulant medications can lessen your risk of developing additional blood clots and help you avoid potentially serious complications.

What happens if you test positive for factor 5? ›

People with factor V Leiden thrombophilia have a higher than average risk of developing a type of blood clot called a deep venous thrombosis (DVT). DVTs occur most often in the legs, although they can also occur in other parts of the body, including the brain, eyes, liver, and kidneys.

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