Serological testing for celiac disease in women with endometriosis. A pilot study
Observational
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CC0
⤵ 15 in-corpus citations
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This pilot study found a 2.5% prevalence of celiac disease in women with endometriosis, which is higher than the 0.66% prevalence found in the control group.
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Abstract
PURPOSE OF INVESTIGATION: Celiac disease (CD) involves immunologically mediated intestinal damage with consequent micronutrient malabsorption and varied clinical manifestations, and there is a controversial association with infertility. The objective of the present study was to determine the presence of CD in a population of infertile women with endometriosis.
METHODS: A total of 120 women with a diagnosis of endometriosis confirmed by laparoscopy (study group) and 1,500 healthy female donors aged 18 to 45 years were tested for CD by the determination of IgA-transglutaminase antibody against human tissue transglutaminase (t-TGA) and anti-endomysium (anti-EMA) antibodies.
RESULTS: Nine of the 120 women in the study group were anti-tTGA positive and five of them were also anti-EMA positive. Four of these five patients were submitted to intestinal biopsy which revealed CD in three cases (2.5% prevalence). The overall CD prevalence among the population control group was 1:136 women (0.66%).
CONCLUSION: This is the first study reporting the prevalence of CD among women with endometriosis, showing that CD is common in this population group (2.5%) and may be clinically relevant.
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Cited by (15)
- The Role of Plant-Based Diets and Personalized Nutrition in Endometriosis Management: A Review 2025
- Evaluation of HLA-DQ2 and HLA-DQ8 haplotypes in patients with endometriosis, A case-control study 2024
- Impact of lifestyle and dietary modifications for endometriosis development and symptom management 2024
- Endometriosis Therapy: Not Only Hormones and Surgery - The Importance of a Holistic Approach 2023
- Diet associations in endometriosis: a critical narrative assessment with special reference to gluten 2023
- RETRACTED: Case-control study to develop and validate a questionnaire for the secondary prevention of endometriosis 2020
- Endometriosis and inflammatory bowel disease: A systematic review of the literature 2020
- High prevalence of autoimmune diseases in women with endometriosis: a case-control study 2019
- The association between endometriosis and autoimmune diseases: a systematic review and meta-analysis 2019
- Endometriosis Knowledgebase: a gene-based resource on endometriosis 2019
- The Systemic Effects of Endometriosis 2017
- 28. Dietary intolerance and endometriosis: an immunological link in the pathogenesis of an enigmatic disease? 2014
- Celiac disease and endometriosis: an insidious and worrisome association hard to diagnose: a case report 2014
- Looking for celiac disease in Italian women with endometriosis: a case control study 2014
- Celiac disease and endometriosis: what is the nexus? 2013
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- europepmc
- last seen: 2026-10-14T06:08:39.101224+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-10-08T21:06:23.467768+00:00
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