Here's the CFP 154 excerpt on bleeding disorders - pretty wishy washy I know.
Bleeding Disorders / Therapeutic Anti-coagulation a. Some bleeding disorders, either acquired or congenital, can be so severe as to be incapacitating and others so mild that manifestations are only apparent following trauma or surgery. As a general rule, the more severe conditions are often of a therapeutic concern, whereas the milder cases are of a diagnostic concern. Many bleeding disorders, however, lie somewhere between these two extremes. b. As with anemias, some bleeding diatheses are secondary or associated with underlying diseases such as chronic liver disease, acute infections or malignancies etc., which may impose employment restrictions of their own. Ch 1995 1
A-MD-154-000/FP-000 ANNEX G c. Whatever the cause for the bleeding diathesis, the member is at risk for serious complications from even minor blunt or penetrating trauma; intracranial, retroperitoneal or intra-abdominal hemorrhage is a real possibility and may not be easily controllable even with prompt emergency treatment. d. There are many activities in the military environment which must be avoided by a member with a bleeding disorder, e.g. hand-to-hand combat, contact sports and even the routine activities of ship life if the seas are high. Other considerations include: ! what level and frequency of medical care follow-up is needed? ! what treatment is required? Coagulation factor concentrates or oral anticoagulants (warfarin)? ! what laboratory testing is needed to monitor the course of the disease or the response to treatment? ! is the bleeding diathesis a temporary, self-limited condition requiring only temporary employment limitations or is it a more chronic and life-long concern?
MM