“…Numerous studies have highlighted that several components of the immune system are altered in women with endometriosis. Many studies have focused on the role of natural killer (NK) cells, with the majority showing some degree of NK-cell dysfunction (Oosterlynck et al, 1991(Oosterlynck et al, , 1992Vigano et al, 1991;Tanaka et al, 1992;Garzetti et al, 1993Garzetti et al, , 1995Iwasaki et al, 1993;Wilson et al, 1994;Ho et al, 1995). Others have demonstrated increased numbers of activated macrophages in women with endometriosis (Oosterlynck et al, 1994;Becker et al, 1995).…”