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Published on: December 15, 2011
Celiac disease and obstetrical-gynecological contribution
Giovanni Casella1, Guido Orfanotti2, Loredana Giacomantonio2
1Medical Department, Desio Hospital ASST-Monza, Desio (Monza Brianza), Italy.
Celiac disease (CD) is more common in women and impacts fertility and pregnancy outcomes. Increased awareness is needed for diagnosing CD in gynecological and obstetric patients.
Area of Science:
- Reproductive Medicine
- Gastroenterology
- Obstetrics
Background:
- Celiac disease (CD) prevalence is higher in women, especially during reproductive years.
- CD is often overlooked in infertility evaluations, despite its significant impact.
- Untreated CD is linked to miscarriage, adverse pregnancy outcomes, and shorter reproductive lifespan.
Approach:
- This work presents a review of current literature on celiac disease and reproductive health.
- The study aims to raise medical awareness regarding CD screening in specific gynecological and obstetric conditions.
Key Points:
- Women with undiagnosed CD face higher risks of preterm birth and infants small for gestational age.
- Celiac patients on a gluten-containing diet experience a reduced reproductive period.
- Further research is needed to understand the connection between non-celiac gluten sensitivity (NCGS) and infertility.
Conclusions:
- Celiac disease significantly affects female reproductive health and pregnancy.
- Screening for celiac disease should be considered in women with unexplained infertility and adverse obstetric history.
- Enhanced medical awareness can improve diagnosis and management of CD in gynecological and obstetric care.
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