DR. SEUNGDAMRONG is a Senior Reproductive Endocrinology and Infertility Fellow, Department of Obstetrics, Gynecology, and Women's Health, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, N.J.
Dr McGovern is Professor in the Department of Obstetrics and Gynecology, Mount Sinai West and Mount Sinai St. Luke’s Hospitals, Mount Sinai Health System, New York, New York.
Half of all adults with this autoimmune disorder don't have the classic GI symptoms, which include bloating and diarrhea. So should you screen women with otherwise unexplained infertility for it? Other ob/gyn complications in women with celiac disease include miscarriage, iron deficiency anemia, and IUGR.
Signs and symptoms
Gluten-free diet perks up tired blood
Two things cause the iron deficiency anemia in celiac disease: the malabsorption of dietary iron from the small intestine and occult blood loss from the GI tract. The good news is that the standard treatment for celiac disease-a gluten-free diet-resolves the anemia in 94% of cases.2