Primary infertility as a rare presentation of celiac disease.
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.


METHODS
Case report.


METHODS
Tertiary care university hospital.


METHODS
A 30-year-old female patient with primary infertility.


METHODS
Gluten-free diet.


METHODS
Successful pregnancy.


RESULTS
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.


CONCLUSIONS
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.
Department of Medicine and Endocrinology, Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India. rajputrajmeena@hotmail.com
Rajesh
R
Rajput
Sumanto
S
Chatterjee
D000328:Adult; D001706:Biopsy; D002446:Celiac Disease / Q000150:complications* / Q000175:diagnosis* / Q000178:diet therapy / Q000473:pathology; D055050:Diet, Gluten-Free; D004386:Duodenum / Q000276:immunology / Q000473:pathology; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000175:diagnosis* / Q000178:diet therapy / Q000209:etiology* / Q000473:pathology; D011247:Pregnancy; D016896:Treatment Outcome