Infertility(4)

1. Chapter 7 Embodiment

1.1. Embodying the Patriarchal Bargain

1.1.1. In Nadines case, she had numerous unwanted pregnancies, a stillbirth, tumor in uterus, and history of nervousness and depression

1.1.2. Almost every woman brings with them their tortured "body history

1.1.3. Women taking responsibility for infertility

1.1.4. Women in all social classes feel pressured to become mothers, however women in happier marriages accept the body risks

1.1.5. local pressures have effects on the body

1.2. Body Histories

1.2.1. For most Egyptian couples, IVF/ICSI represents end of line of medical interventions

1.2.2. increasing numbers of Egyptian men being infertile, and many refusing to go through treatments

1.2.3. Smoking, diabetes, retrograde ejaculation, STDs, and other infectionous diseases cause male infertility

1.3. The Unhappiness of Hormones

1.3.1. the drug taking with NRTs causes hormonal side effects

1.3.2. side effects include weight gain, abdominal cramping and bloating, nausea, tiredness, and other deadly side effects

1.3.3. Women given "strengtheners" for weak ovaries before IVF or ICSI

1.4. worrying, waiting, and bedding down

1.4.1. Women move from "meds to beds" after undergoing IVF or ICSI

1.4.2. Usually bed down for a two week period

1.4.3. Women with successful Ivf or ICSI pregnancies undergo a cervical circlage procedure

2. Chapter 6 Efficacy

2.1. The "mother of the Tube"

2.1.1. Huda, a 27 year old civil engineer had abdominal surgery for an ovary cyst

2.1.2. After marriage with Omar, Huda developed a uterine fibroid tumor

2.1.3. After removal of fibroid, Huda seeks first trial of IVF and hopes to have two tube children

2.2. The Inefficacy of NRTs

2.2.1. neoclinical reliance on imported European consultants who may have little interest in Middle Eastern women

2.2.2. Unnecessary and iatrogenic surgeries that are common cause of tubal infertility

2.2.3. nonspecializing physicians who compete for infertile patients

2.2.4. Necessity of repitition

2.2.5. IVF centers not breaking down success rates

2.3. Egyptian inflation

2.3.1. Poor quality of care diminishes success rates

2.3.2. Success rates are twisted or simply lied to attract more patients

2.3.3. NRTs characterized as hope technologies

2.4. Realities of success and Failure

2.4.1. Test tube baby making in IVF centers in Egypt is a low odds proposition

2.4.2. Women keeping their expectations low

2.4.3. Multiple repeaters resulting in depression