How can young adults with hemophilia manage bleeding?

Hi doctor,

My 20-year-old friend with a known diagnosis of hemophilia has severe bruising that has become increasingly frequent and concerning over the past few months. He reports experiencing spontaneous bruising on his arms and legs, often without any apparent cause, as well as prolonged bleeding after minor cuts or injuries. His family history is significant for hemophilia, and he has been receiving regular factor replacement therapy. However, he has noticed a decrease in the effectiveness of his current treatment regimen, leading to anxiety about potential complications. The patient is also experiencing joint pain, particularly in his knees, likely due to recurrent bleeding episodes. This query seeks guidance on optimizing his factor replacement therapy and any additional treatments or interventions that may help manage his symptoms more effectively. We would also like recommendations for lifestyle modifications to reduce the risk of bruising and bleeding, as well as any necessary monitoring protocols to evaluate the severity of his condition and prevent complications. Insights into support resources for young adults with hemophilia would also be appreciated.

Please help.