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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
Abort
Stillbirth
Intrauterine growth restriction
Low birth-weight babies
Kejsersnit
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. tager du køb for at få en sund graviditet?
Hold strengt den glutenfri diæt!
Arbejd derefter tæt sammen med din læge og følg alle medicinske retningslinjer for en sund graviditet. Hvis du nyligt diagnosticeres med cøliaki, er det bedst at vente seks måneder på et år – at spise strengt gluten gratis og få alle cøliaki -symptomer godt under kontrol – inden det forsøger at blive gravid. Men igen, tjek med din læge om, hvad der er bedst for dig individuelt. Har du andre ideer til kvinder med cøliaki og infertilitetsproblemer?
Igen er de bedste anbefalinger at opretholde en streng glutenfri diæt-
Absolut ingen snyderi – og at arbejde tæt sammen med din læge. Derefter er alt andet rutine. For store glutenfrie opskrifter, ideer og råd, tjek at leve uden.
En sidste (og vigtig) tanke:
Før du starter en glutenfri diæt, anbefaler cøliaki-eksperter kraftigt test for cøliaki. At gå gluten gratis, før du bliver kontrolleret, vil påvirke nøjagtigheden af testresultaterne.
Alicia Woodward er redaktør af
At leve uden, nationens førende magasin for mennesker med fødevareallergi og følsomhed. Hun er også en licenseret psykoterapeut med speciale i de psykologiske og sociale aspekter af cøliaki og fødevareallergi og følsomhed. For meget mere om at rejse og spise ude med særlige diætbehov, gå til Living uden.com.
Fandt du disse oplysninger nyttige? Klik her for at vise din støtte til det sunde Mommies -magasin.
Link til dette indlæg: celiac sygdom og infertilitet
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