“…Prior to implantation 52,53 and in the peri-implantation period the fetal-maternal interface is also characterized by immune deviation to a proinflammatory 54 (IL-1beta, IL-6, LIF, PGE2, CXCL8, IL-17A, TNF) T2-low endotype 55–57 . Insemination, exposure to semen, initiates a short lived neutrophilic inflammatory (IL-1beta, TNF alpha, CxCL1, IL-17A) internal genital response 58–60 . The placental cytokines, IL-1beta, IL-6, TNFalpha, as well as increased PGE2 61,62 , are also associated with early onset (2 weeks after fertilization) pregnancy symptoms e.g., nausea/vomiting 62 .…”