You can get celiac disease without being sexually active. Celiac disease, now known as columnar epithelial ectasia of the cervix, can be a physiologic or pathologic change. The physiologic cause is related to estrogen levels. The level of estrogen in the body affects the PH value of the cervical canal and the vaginal environment, causing the columnar epithelium to move, resulting in celiac disease-like changes. It may occur even in the absence of sexual intercourse during a woman’s adolescent years when estrogen production is high. Pathologic causes include human papillomavirus, or HPV, infection and Chlamydia trachomatis, which cause inflammation within the cervix, which in turn leads to the development of ulcers. Most patients with celiac disease do not have obvious symptoms, and may, depending on individual differences, have patients who present with bleeding vaginal discharge, bleeding on sexual contact, and pain during sex. Patients with physiologic celiac disease do not need to worry, for pathological celiac disease need timely medical treatment.