Our Viewpoint
We recommend an extensive allergy evaluation based on history, family history, and allergy testing. We understand that many studies suggest differences in cytokines among serum, peritoneal fluid, and ectopic lesions in the preliminary evaluation and identification of patients with hyperallergenic and hypersensitivity conditions. These differences may be related to underlying fertility. We believe that much research is needed to evaluate the immune system in patients with endometriosis. The Endometriosis Treatment Center of America recommends precursory evaluation and identification of hyperallergenic and hypersensitivity patients as part of our quest to promote quality of life and increase fertility.

Relevance
Evaluation of the immune system may be paramount in the clinical care of patients with known, active endometriosis.
Clinical Data and Resources
- https://pubmed.ncbi.nlm.nih.gov/22369407/ (opens in new tab)
- https://pubmed.ncbi.nlm.nih.gov/18449556/ (opens in new tab)
- https://pubmed.ncbi.nlm.nih.gov/22369407/ (opens in new tab)
- https://pubmed.ncbi.nlm.nih.gov/24857310/ (opens in new tab)
- https://pubmed.ncbi.nlm.nih.gov/30826860/ (opens in new tab)
- https://pubmed.ncbi.nlm.nih.gov/28971893/ (opens in new tab)
- https://pubmed.ncbi.nlm.nih.gov/25031694/ (opens in new tab)
- https://pubmed.ncbi.nlm.nih.gov/26782366/ (opens in new tab)
- https://pubmed.ncbi.nlm.nih.gov/31424502/ (opens in new tab)

