It is rare for a man with hemophilia to bleed from having sex. If you do have bleeds after sex, you may try taking factor beforehand. For most people with hemophilia, joint problems cause more problems during sex than bleeds do. If your joints hurt during sex, ask your doctor for advice. You may find it helpful to try different positions.
Women with bleeding disorders and their partners can worry about bleeding and bruising during sex. Worrying about sex can cause a lack of desire. It can make it difficult for a man to have an erection. The worry can also be caused by a poor self-image, worry about pregnancy, or concern about getting a sexually transmitted disease (STD). Sexual worries are best relieved by talking about them. Share your feelings, fears, desires, and needs with your partner. Discuss and try to agree on birth control and family planning. Learn all you can about ways to prevent giving or getting an STD. If you need more help, talk to the nurse or social worker at your HTC.