Coeliac disease. Non-gastrointestinal symptoms of coeliac disease may include disorders of fertility, such as delayed menarche, amenorrea, infertility or early menopause; and pregnancy complications, such as intrauterine growth restriction (IUGR), small for gestational age (SGA) babies, recurrent abortions, preterm deliveries or low birth weight (LBW) babies. Nevertheless, gluten-free diet reduces the risk. Some authors suggest that physicians should investigate the presence of undiagnosed coeliac disease in women with unexplained infertility, recurrent miscarriage or IUGR.[27][28]

Irregular or abnormal ovulation in a woman is responsible for about 25 percent of all female infertility problems. In roughly 40 percent of infertile couples, the male is either the sole cause or a contributing cause of the couple’s infertility. (14) A man may not be producing enough sperm, or the sperm make may be too slow or oddly shaped. Thus, it can be a problem of quantity or quality, or both.


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