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It has to do with the genetic differences between males and females.

If the woman only carries it on one X chromosome, she can pass on the condition but does not have it herself as it is a recessive gene and would be dominated by the corresponding dominant trait on her other X chromosome.

But females can indeed inherit the traits for hemophilia, but they generally do not survive to adulthood. If they carry the hemophilia gene on both their X chromosomes they generally bleed to death around the onset of menarche.

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Q: Why do guys get hemophilia and not girls?
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A woman with hemophilia and a man without hemophilia get married. What are the chances that their first child will have hemophilia?

There is no chance that the child will have hemophilia even if the spouse has hemophilia. Any girls the couple has will be carriers if the spouse has hemophilia.


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