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Impotence

ImpotenceWhat Is Impotence?

[dropcap]I[/dropcap]mpotence is an erectile dysfunction disorder in males characterized by the distressing inability to achieve or maintain an erection satisfactory for coitus.

What Is Impotence In Celiac Disease and/or Gluten Sensitivity?

Late Menarche (Start of Periods)

Late MenarcheWhat Is Late Menarche?

[dropcap]L[/dropcap]ate menarche is a menstrual disorder in girls characterized by abnormal delay of menstruation, with or without breast development. The menarche is the first menstrual period or the start of menstruation. It should start within 3 years of breast development which usually starts after 10 years of age.

Q: How does the delay of menstruation differ from the normal start?

A:  In temperate climates such as the United States, the  menarche starts at an average of thirteen and one half years or between 10 to 15 years. Conversely, late menarche means the start is abnormally delayed past 15 years.

Causes of late menarche include stress, excessive physical activity such as athletic competitions, chronic diseases such as anemia, autoimmune diseases such as celiac disease, diabetes and thyroiditis, and nutritional deficiencies.

What Is Late Menarche In Celiac Disease and/or Gluten Sensitivity?

Early Menopause or Ovarian Failure

fimbria_ovaricaWhat Is Early Menopause?

[dropcap]E[/dropcap]arly menopause is the permanent cessation of menstruation in females before the age of 40 years characterized by vasomotor instability (hot flashes/cold episodes), psychologic and emotional symptoms and profound changes in the lower genital tract.

The most severe forms present with absent pubertal development and primary amenorrhea termed primary ovarian failure (50% of these cases due to ovarian dysgenesis), whereas forms with post-pubertal onset are termed secondary ovarian failure and are characterized by disappearance of menstrual cycles associated with premature follicular depletion.1

Q: What is ovarian failure?

A: Ovarian failure is dysfunction of the ovaries to continue developing its eggs until about 51 years of age and to produce female hormones which results in infertility.  Ovarian failure  is  diagnosed by  this criteria:

  • High levels in the blood of follicle stimulating hormone secreted by the pituitary gland, and
  • Low levels of estrogen secreted by the ovaries.

The hypothalamus located in the brain is continually monitoring blood levels of estrogen so that when levels are low, it stimulates the nearby pituitary, or master gland, to secrete follicle stimulating hormone (FSH). FSH in turn stimulates the ovaries in females to produce estrogen. In ovarian failure, the ovaries do not respond to FSH. 

Some causes in the general population of women include cigarette smoking, viral infections, surgical removal of ovaries, chemotherapy, and autoimmune disorders such as celiac disease, Addison’s disease, hypoparathyroidism, diabetes mellitus, vitiligo, and pernicious anemia.

Who is Affected in the General Population? This heterogeneous disorder affects approximately 1% of women.2

What Is Early Menopause in Celiac Disease?

Sources:
  1. Beck-Peccoz P, Persani L. Premature ovarian failure. Orphanet J Rare Dis. 2006 Apr 6;1:9. [↩]
  2. Beck-Peccoz P, Persani L. Premature ovarian failure. Orphanet J Rare Dis. 2006 Apr 6;1:9. [↩]