A rare case where a woman who had failed to conceive was found to have previously undiagnosed coeliac disease. After eight months of a gluten-free diet she managed to conceive.
Primary infertility as a rare presentation of celiac disease.
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.
Tertiary care university hospital.
A 30-year-old female patient with primary infertility.
MAIN OUTCOME MEASURE(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.
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.
Rajput R, Chatterjee S Fertil Steril May 25 2010
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