The question of whether celiac disease impairs a woman’s fertility is discussed in a new study published in the journal Gastroenterology. Nutritional deficiencies (eg, zinc, iron, folate, selenium), lower levels of ghrelin and leptin, and a shortened reproductive period (delayed menarche, early menopause) have all been linked to potential fertility problems in women with celiac disease, but there is no conclusive evidence that these factors truly impact fertility.