Chapter 4 & 5

1. Providers

1.1. Egyptians IVF/ICSI patients attempt to evaluate their doctors care.

1.2. Concerns about the adverse effects of competition in the private medical sector.

1.3. Egyptians patients seeking IVF services often make negative trust calculations based on three factors.

1.4. Infertile patients get caught in the middle of the untoward competition between nonspecializing and specializing gynecologists.

1.5. Mistreatment from Physicians

1.6. Egyptian IVF facility industry-wide problems

2. Religion

2.1. Islam and Coptic Christianity in Egypt, represents one of the most fundamental arenas of constraint on the practice and use of new reproductive technologies in Egypt.

2.2. Religion matters deeply to most Egyptians, including both the doctors and patients who are involved in test-tube baby making.

2.3. The laws of Islam are the laws of the state, donation of sperm was not practiced. Artificial insemination with donor sperm is considered adultery.

2.4. Two sets of related issues that Egyptian IVF patients have: 1. The moral implications of third party donation for marriage. 2. The moral implications of donation for kinship and family life.

2.5. Adoption in Egypt is fraught with great difficulty-legally, religiously, and culturally. Couples would rather be childless.