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Dr. Enrique Jacome |
Incidence
Approximately one in 100 Americans has celiac disease, but because people with the condition may not notice symptoms for years, the majority of those people don't know they have it. When you have celiac disease, consuming gluten-containing grains causes an immune system reaction that destroys the lining of your small intestines. Your intestinal lining helps you absorb nutrients from your food, and once it's destroyed, you often become malnourished. Because your reproductive system relies on vitamins and other nutrients to function, it often can't function properly in people with celiac disease. In many cases, women with undiagnosed celiac disease have undiagnosed amenorrhea, or missing periods. This can lead to early menopause.
Menopause
Menopause -- when you stop having periods and lose the ability to bear children -- normally occurs between the ages of 45 and 55, with an average age of 51. When you enter menopause, your body's production of the female hormones estrogen and progesterone slows dramatically, and your ovaries stop producing monthly eggs. Women with celiac disease suffer from premature menopause, with menopause occurring prior to age 40, more often than other women, especially if they continue to consume gluten. Even if they don't enter menopause before age 40, their periods end earlier, on average, than those of non-celiac women.
Menopause -- when you stop having periods and lose the ability to bear children -- normally occurs between the ages of 45 and 55, with an average age of 51. When you enter menopause, your body's production of the female hormones estrogen and progesterone slows dramatically, and your ovaries stop producing monthly eggs. Women with celiac disease suffer from premature menopause, with menopause occurring prior to age 40, more often than other women, especially if they continue to consume gluten. Even if they don't enter menopause before age 40, their periods end earlier, on average, than those of non-celiac women.
Research
In a study published in 2010 in the medical journal "BMC Gastroenterology," researchers looked at reproductive life disorders in 62 Italian women with celiac disease, including the age of menopause when compared to control subjects. Two-thirds of those women reported menstrual cycle disorders, and many said that they had experienced those menstrual problems before gastrointestinal symptoms appeared. In addition, many reported experiencing menopause at an earlier age than the control group.
ConsiderationsIn a study published in 2010 in the medical journal "BMC Gastroenterology," researchers looked at reproductive life disorders in 62 Italian women with celiac disease, including the age of menopause when compared to control subjects. Two-thirds of those women reported menstrual cycle disorders, and many said that they had experienced those menstrual problems before gastrointestinal symptoms appeared. In addition, many reported experiencing menopause at an earlier age than the control group.
In many cases, menstrual cycle disorders correct themselves once you receive a celiac diagnosis and begin following the gluten-free diet. In addition, following a gluten-free diet may help protect you from early menopause. If you've already gone through menopause, it's possible but unlikely that you'll begin menstruating again once you get diagnosed and stop consuming gluten. In all cases, though, you need to adhere to the diet strictly; cheating, even occasionally, causes ongoing inflammation and damage in your small intestines, which can lead to continuing nutritional deficiencies and place you at risk for additional medical conditions, including osteoporosis.