Bleeding and Clotting Disorders

At the Center for Bleeding and Clotting Disorders (CBCD) at UC San Diego Health, you'll find expert, compassionate care for adults and adolescents living with hemophilia, von Willebrand disease, thrombosis and other bleeding or clotting disorders.

Our multidisciplinary team, led by Dr. Annette von Drygalski, includes hematologists, nurses, physical therapists, social workers and others. We work together to provide personalized care, advanced therapies and comprehensive resources to support your physical, emotional and long-term well-being.

Whether you're newly diagnosed or managing a condition for years, we're here to make your care as comfortable and convenient as possible.

Comprehensive Care and Treatment

Every patient is unique, so we tailor treatment plans to fit your needs. Our services include:

• Home infusion and supplies: Training in safe clotting factor infusion at home, with ongoing support and supplies provided through our federally supported Total Hemophilia Care program
• Emergency and clinical support: 24/7 care for urgent bleeds, inhibitor management and coordination with infectious disease and hepatology specialists (through UC San Diego's Owen Clinic and Liver Center)
• Physical and joint health: Physical therapy, guided exercise programs, massage therapy and nutrition support to help prevent joint damage, relieve pain and promote mobility and recovery after surgery
• Coordination of dental and surgical care: Home factor infusion support for dental care and surgical procedures
• Specialized surgical referrals: For interventions such as joint reconstruction, radiosynovectomy or lateral radial release
• Guided transition of care: Seamless transfer from pediatric to adult care, including education and family coordination, in partnership with the hemophilia and thrombosis program at Rady Children's Health
• Women's health: Care for women with bleeding disorders and heavy menstrual bleeding
• Genetic services for carriers: Including mutation analysis and family planning guidance

Support and Wellness for Bleeding Disorders

Our care for you and your family extends beyond medical treatment.

• Supportive services: Social work, psychological support and financial or insurance guidance for you and your loved ones
• Education and community outreach: Resources and partnerships to increase knowledge of bleeding disorders and help improve your quality of life
• Wellness programs: Activities such as therapeutic rock climbing, aquatics and family hikes to promote health and connection

Research and Clinical Trials

As the region's only academic health system, UC San Diego Health is leading the way in advancing hemophilia and thrombosis care through groundbreaking clinical trials. Our Hemophilia Research Program focuses on developing new therapies, improving care approaches and addressing the evolving needs of aging patients with hemophilia.

The program includes clinical trials as well as translational and basic research in hemophilia. As our patient, you may have the opportunity to participate in leading-edge research, contribute to vital scientific knowledge, and gain access to the latest therapies and treatments.