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Hemoglobin electrophoresis

Also called: Sickle cell test, Hemoglobinopathy evaluation, Hb electrophoresis

Hemoglobin electrophoresis identifies the types of hemoglobin in your blood. It diagnoses sickle cell disease, sickle cell trait, and thalassemia.

SampleA small tube of blood from a vein in your arm
Fasting?Usually not needed
ResultsSeveral days
Good to knowOne result rarely tells the whole story. Your provider looks at your results together with your symptoms, exam, and other tests.

What the test is

All U.S. newborns are screened for sickle cell disease.

Why it's done

  • Family history of sickle cell or thalassemia
  • Anemia with small red cells but normal iron
  • Before or during pregnancy for carrier screening

Getting ready and what happens

  • No special preparation is needed. A recent transfusion can affect results.

How the test is done

  • A health worker cleans the skin, puts a band around your arm, and draws blood from a vein with a small needle. It takes a few minutes.

What the results mean

Hemoglobin S

Some S with mostly normal A is sickle cell trait, which usually causes no problems. Mostly S is sickle cell disease.

Abnormal A2 or F levels

Can point to thalassemia trait or disease.

Questions to ask your provider

  • What do my results mean for me?
  • Do I need to repeat this test or have other tests?

Risks

A blood draw is very safe. You may have slight pain or a small bruise where the needle went in.

Related conditions

Related tests

Sources

Last updated 2026-11-13.