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Published on: December 15, 2011
Primary infertility as a rare presentation of celiac disease
Rajesh Rajput1, Sumanto Chatterjee
1Department of Medicine and Endocrinology, Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India. rajputrajmeena@hotmail.com
Objective:
To report a case of a woman presenting with primary infertility who on investigation was found to have celiac disease and had a successful conception when on a gluten-free diet for a period of 8 months.
Design:
Case report.
Setting:
Tertiary care university hospital.
Patient(S):
A 30-year-old female patient with primary infertility.
Intervention(S):
Gluten-free diet.
Main Outcome Measure(S):
Successful pregnancy.
Result(S):
On investigation she had microcytic hypochromic anemia and high titers of IgA tissue transglutaminase. Duodenal biopsy was done and histology was suggestive of celiac disease. The patient was put on gluten-free diet. Eight months later she had a successful conception.
Conclusion(S):
We suggest that celiac disease should be checked in infertile patients of unexplainable etiology with anemia, as just changing their diet can solve their fertility problem.
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