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One in eight couples faces infertility, according to RESOLVE, the national Infertility Association. Infertility can be caused by a number of hormonal or anatomical problems in either partner, but in 20 percent of infertility cases, there’s no identifiable cause. recent studies indicate that women with unexplained infertility may actually have celiac disease, which could be hampering their attempts to conceive. In some of these cases, when the women switched to strict gluten-free diets, they conceived and had healthy, successful pregnancies. nearly 6 percent of women with unexplained infertility had celiac disease—a rate nearly six times higher than expected, per a recent study from the Celiac disease center at Columbia University.
Alicia Woodward, editor of LivingWithout magazine, shared her competence on celiac disease and infertility with The healthy mommies magazine recently.
What are the common symptoms of celiac disease?
Celiac disease is a genetic autoimmune disorder that occurs when the body reacts abnormally to gluten, a protein found in wheat, rye and barley. It affects about 1 in 133 people, an estimated 3 million Americans. around 85 percent of these are thought to be undiagnosed.
When someone with celiac disease eat foods that consist of gluten, an immune-mediated reaction causes damage to the small intestine, as well as to other systems in the body. Celiac disease is a lifelong condition that cannot be outgrown. often present without evident symptoms, it continues to “silently” cause intestinal damage if left untreated by the gluten-free diet.Symptoms of celiac disease vary widely from person to person. They may occur in the digestive system or in other parts of the body. It’s possible that symptoms may only be recognized in hindsight or, again, that there may be no symptoms at all.Symptoms may include classic gastrointestinal distress, such as diarrhea, cramping and bloating, as well as non-gastrointestinal signs such as short stature, anemia and liver problems. Over a lifespan, symptoms tend to shift from mostly gastrointestinal in children (diarrhea and/or constipation, bloating, pain, weight loss, vomiting) to fatigue, anemia, arthritis, depression, anxiety and numbness/tingling in the fingers and toes in adults.Left untreated, those with celiac disease are a lot more likely to be afflicted with problems relating to inflammation, mal-absorption and malnutrition, including osteoporosis, tooth enamel defects, central and peripheral nervous system disease, pancreatic disease, seizures, organ disorders (gall bladder, liver and spleen) and gynecological disorders, including infertility.When researchers at the Celiac disease center at Columbia university screened 188 women with infertility for celiac, there was no higher risk of the disease until they narrowed it to just those with unexplained infertility. Of that group, nearly 6 percent had celiac disease—a rate nearly six times higher than expected.Some studies suggest that the following reproductive disorders may be linked to untreated celiac disease:
Late puberty
Absence of menstruation
Early menopause
Endometriosis
Spontanabort
Stillbirth
Intrauterine growth restriction
Low birth-weight babies
Keisersnitt
What must you do if you suspect that you may have celiac disease?
Consult with your doctor and request a celiac blood panel to screen for the disease. The current “gold standard” for confirming a celiac diagnosis is by means of a biopsy of the small intestine, obtained through an endoscopy.
How can celiac disease impact a woman’s fertility?
Mal-absorption (resulting in malnourishment) probably isn’t the only mechanism behind celiac-induced infertility. One recent study suggests there’s something about the celiac process itself that may directly affect one’s ability to carry through a pregnancy. The study showed antibodies to tissue transglutaminase—one of the crucial markers of celiac–can have a negative effect on the placenta’s development.
A higher rate of miscarriage, stillbirth and fetal growth problems like intrauterine growth restriction has been well documented in women with undiagnosed celiac disease. treatment with the gluten-free diet seems to minimize these risks.
If you have celiac disease and you are trying to have a baby, what steps muST du tar inn kjøp for å ha et sunt svangerskap?
Hold deg strengt til det glutenfrie kostholdet!
Arbeid deretter tett med legen din og følg alle medisinske retningslinjer for et sunt svangerskap. Hvis du nylig har diagnostisert med cøliaki, er det best å vente seks måneder til et år – og spiser strengt gluten gratis og får alle cøliaki -symptomer godt under kontroll – før forsøk på å bli gravid. Men sjekk igjen med legen din om hva som er best for deg individuelt. Har du noen andre ideer for kvinner med cøliaki og infertilitetsproblemer?
Igjen, de beste anbefalingene er å opprettholde et strengt glutenfritt kosthold-
Absolutt ingen juks – og å jobbe tett med legen din. Etter det er alt annet rutinemessig. For gode glutenfrie oppskrifter, ideer og råd, sjekk ut Living Without.
En siste (og viktig) tanke:
Før du starter et glutenfritt kosthold, anbefaler cøliaki eksperter på det sterkeste å teste for cøliaki. Å gå gluten gratis før du blir sjekket vil påvirke nøyaktigheten av testresultatene.
Alicia Woodward er redaktør for
Å leve uten landets ledende magasin for mennesker med matallergier og følsomhet. Hun er også en lisensiert psykoterapeut, som spesialiserer seg på de psykologiske og sosiale aspektene ved cøliaki og matallergier og følsomhet. For mye mer om å reise og spise ute med spesielle kostholdsbehov, gå til LivingWithout.com.
Fant du denne informasjonen nyttig? Klikk her for å vise din støtte til magasinet Healthy Mommies.
Link til dette innlegget: celiac sykdom og infertilitet
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