When the impact of abnormal autoimmune function on female fertility is objectively examined, an unexpectedly large contribution is (auto)immune related. This may be surprising since many authorities have been dismissive of (auto)immune-associated infertility. In this article, we therefore summarize the link between abnormal autoimmune function and female infertility, based on literature searches. Abnormal autoimmune function affects female fertility at numerous levels of the reproductive process. As with autoimmune conditions in general, abnormal autoimmune function affecting fertility is often difficult to diagnose since it frequently presents subclinically, without overt clinical symptoms. It also demonstrates other characteristics of abnormal autoimmunity, such as familial occurrence and genetic predisposition, environmental cofactors contributing to phenotypic expression of genetic risk and cyclicity of occurrence, often characterized by gestational exacerbation patterns. Proven treatments for autoimmune-associated infertility have not been established to date. This fact should, however, not preclude efforts to reach correct diagnoses, since only accurate diagnoses can lead to appropriately conducted clinical trials.Expert Rev. Obstet. Gynecol. 2(4), 453-464 (2007) "Fashions are the only induced epidemics, proving that epidemics can be induced by tradesmen." Bernard Shaw Bernard Shaw's quotation astutely comments on both the fickleness of fashion and the general fickleness of thought. By utilizing epidemics as acronyms for periodic, irrational behavior, he reminds us that fashionable behavior permeates all spheres of life, including, of course, the science of medicine.The thinking on autoimmune abnormalities in reproductive medicine is a good example. A highly popular topic during the 1980s and early 1990s, autoimmunity fell out of fashion by the end of the last decade. Some prominent individuals [1,2] and professional organizations [3] succeeded to a large degree in relegating the concept that abnormal autoimmune function can adversely affect female fertility to the dustbin of undistinguished, and failed, ideas. This article aims to balance an, at times quite opinionated, discourse [2,4]. As this twopart series of articles will demonstrate, abnormal autoimmune function can indeed interfere with successful human reproduction at quite a number of different levels.