Thrombophilia & Blood Clotting Test London – Full Thrombotic Risk Profile

Comprehensive thrombophilia testing in London. Detect genetic and acquired clotting risks including Factor V Leiden. Book today at Marylebone Diagnostic Centre.

Price: £900
TAT: Approximately 1 Month
Sample Type: Blood
5-minute walk from Baker Street
Near Paddington & Marylebone
Same-week appointments available
Reviewed by Dr Lauren
NHS & NICE Referenced Accuracy
Author: Tharb Faisl
Clinical Reviewer: Dr Lauren

What Is Thrombophilia?

Thrombophilia is a condition where the blood has an increased tendency to clot. It can be inherited (genetic) or acquired due to medical or environmental factors.

Inherited vs Acquired Thrombophilia

Inherited Thrombophilia

Inherited thrombophilia is caused by genetic variations, such as Factor V Leiden or prothrombin mutations, which affect normal clotting regulation.

Acquired Thrombophilia

Acquired thrombophilia develops later in life and may be linked to:

  • Autoimmune conditions
  • Hormonal factors (e.g. contraceptives, pregnancy)
  • Surgery, immobility, or chronic illness

Why Thrombophilia Matters

Thrombophilia may not cause symptoms until a clot forms. Early identification helps:

  • Reduce the risk of serious complications
  • Guide medical decisions (e.g. surgery, pregnancy, medications)
  • Support long-term prevention strategies

Risk of Serious Clotting Events

Deep Vein Thrombosis

A clot usually in the leg, causing pain, swelling, and redness.

Pulmonary Embolism

A potentially life-threatening clot that travels to the lungs.

Stroke

When a clot disrupts blood flow to the brain.

Why Testing Is Important

Because thrombophilia is often silent, blood testing is the only reliable way to assess clotting risk, particularly for individuals with a personal or family history of thrombosis.

At Marylebone Diagnostic Centre, comprehensive thrombophilia testing helps identify both genetic and acquired risk factors, supporting accurate clinical assessment and prevention planning.

What Is Included in the Thrombotic Risk Profile?

Coagulation & Clotting Markers

Antithrombin III activity
Fibrinogen
Lupus Anticoagulant
Protein C Activity
Free Protein S Antigen
Prothrombin Time (PT)
Partial Thromboplastin Time (PTT)

Autoimmune Thrombosis Markers

Anticardiolipin Antibodies IgG
Anticardiolipin Antibodies IgM

Genetic Clotting Risk Markers

Factor II Mutation (Prothrombin gene)
Factor V Leiden
MTHFR Gene Mutation

Full Blood Count & Composition

Haemoglobin
Haematocrit (HCT)
Red Blood Cell Count
White Cell Count
Platelets

Red cell indices

MCH
MCHC
MCV
RDW
MPV

White Cell Differential

Neutrophils
Lymphocytes
Monocytes
Eosinophils
Basophils

Symptoms of Blood Clotting Disorders

  • Leg pain/swelling
  • Chest pain
  • Shortness of breath
  • Recurrent miscarriage

What Causes Abnormal Clotting?

  • Genetics (Factor V Leiden)
  • Hormones (contraceptive pill)
  • Surgery / immobility
  • Autoimmune conditions

Genetic Clotting Tests Explained

Factor V Leiden

Factor V Leiden is the most common inherited thrombophilia. It affects how clotting factor V is regulated, increasing the risk of abnormal blood clots.

Carriers may have a higher risk of deep vein thrombosis, especially during pregnancy, surgery, or hormone use.

Prothrombin mutation

This mutation increases prothrombin levels, leading to a higher tendency for blood to clot. It is associated with an increased risk of venous thrombosis, particularly when combined with other risk factors.

MTHFR

MTHFR variants affect folate metabolism and may influence homocysteine levels. While some studies suggest a possible link to clotting risk, the clinical significance remains debated, and testing is usually interpreted alongside other markers.

Who Should NOT Take This Test

  • Individuals currently on anticoagulants (unless advised)
  • During an active clotting event
  • Pregnancy (interpretation may be affected)

Results Timeline Explained

Comprehensive clotting profiles require extended processing time due to the complexity of the analysis.

Genetic testing
Specialised assays
Batch processing

Total Estimated TAT: Approximately 1 Month

Frequently Asked Questions

Thrombophilia is a condition where the blood has an increased tendency to form clots. It can be inherited (genetic) or acquired due to factors such as autoimmune conditions, hormones, or inflammation. It is linked to conditions like Deep Vein Thrombosis and Pulmonary Embolism.

You may need testing if you have:

  • A personal or family history of blood clots
  • Recurrent or unexplained clotting events
  • Recurrent miscarriage
  • Clots at a young age or without clear cause

Diagnosis requires specialist blood testing, as symptoms alone are not reliable.

Factor V Leiden is the most common inherited thrombophilia. It increases the risk of abnormal clotting, especially during pregnancy, surgery, or the use of hormonal contraceptives. Many individuals remain asymptomatic, but identifying it is important for risk prevention and clinical planning.

Some clotting tests may be affected by anticoagulants such as Warfarin or Apixaban. In many cases, testing may need to be delayed or interpreted with caution. Always inform the clinic before testing to ensure accurate results and correct test selection.

Most comprehensive thrombophilia profiles take up to 4 weeks. This is because genetic analysis requires specialised laboratory processing, certain clotting markers are batch-tested for accuracy, and advanced assays require extended validation. At Marylebone Diagnostic Centre, all results follow strict quality control to meet the Marylebone High Standard.

Book Your Thrombophilia Test

£900
Same-week appointments | Central London location
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