title: Unexplained infertility as primary presentation of celiac disease, a case report and literature review.
abstract: BACKGROUND
  Celiac sprue (gluten sensitive enteropathy) is an autoimmune disease which is hereditary and its pathology mainly bases on immunologic intolerance to gluten. It has a vast variety of signs and symptoms and its clinical features range from a silent disease to a typical gastrointestinal disorder. In this study we reviewed and summarized some other related issues about this disease and its relation with infertility.
  
  
  METHODS
  The case is a 26 years old lady who had referred to a gynecologist because of infertility for 2 years and later it revealed that she has celiac sprue.
  
  
  CONCLUSIONS
  Screening for its silent or subtle types especially among suspicious cases such as unexplained infertility seems to be a cost effective action. Meanwhile, in time administration of a gluten-free diet can lead to an almost complete cure.
authors.affiliation: Department of Gastroenterology, Qom University of Medical Sciences, Qom, Iran.
authors.forename: Mohammadreza
authors.initials: M
authors.lastname: Ghadir
authors.affiliation: Department of Gastroenterology, Qom University of Medical Sciences, Qom, Iran.
authors.forename: Abolfazl
authors.initials: A
authors.lastname: Iranikhah
authors.affiliation: Department of Gastroenterology, Qom University of Medical Sciences, Qom, Iran.
authors.forename: Mahboubeh
authors.initials: M
authors.lastname: Jandaghi
authors.affiliation: Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.
authors.forename: Farahnaz
authors.initials: F
authors.lastname: Joukar
authors.affiliation: Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.
authors.forename: Massih
authors.initials: M
authors.lastname: Sedigh-Rahimabadi
authors.affiliation: Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.
authors.forename: Fariborz
authors.initials: F
authors.lastname: Mansour-Ghanaei
keywords: CeliacDisease; Diarrhea.; Infertility; Wightloss