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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
Endometriosi
Cattiva amministrazione
Stillbirth
Intrauterine growth restriction
Low birth-weight babies
Taglio cesareo
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 che prendi in acquisto per avere una gravidanza sana?
Adeenti rigorosamente alla dieta senza glutine!
Quindi lavora a stretto contatto con il medico e segui tutte le linee guida mediche per una gravidanza sana. Se ti viene diagnosticato la celiachia, è meglio aspettare da sei mesi a un anno, mangiando strettamente il glutine e ottenere tutti i sintomi celiaci ben sotto controllo, prima di tentare di concepire. Ma, ancora una volta, controlla con il tuo medico su ciò che è meglio per te individualmente. Hai altre idee per le donne con celiachia e problemi di infertilità?
Ancora una volta, le migliori raccomandazioni sono mantenere una dieta rigorosa senza glutine—
Assolutamente nessun imbroglio e lavorare a stretto contatto con il tuo medico. Dopodiché, tutto il resto è di routine. Per grandi ricette, idee e consigli senza glutine, dai un’occhiata a vivere senza.
Un pensiero finale (e importante):
Prima di iniziare una dieta priva di glutine, gli esperti celiaci raccomandano vivamente di test per la celiachia. Andare a glutine in omaggio prima di essere controllato influenzerà l’accuratezza dei risultati dei test.
Alicia Woodward è editrice di
Vivere senza, la rivista principale della nazione per persone con allergie alimentari e sensibilità. È anche una psicoterapeuta autorizzata, specializzata negli aspetti psicologici e sociali delle allergie e delle sensibilità della celiachia e degli alimenti. Per molto di più sul viaggio e sul cenare fuori con esigenze dietetiche speciali, vai su LivingWithout.com.
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Link a questo post: celiachia e infertilità
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