Yale University, Department of Anthropology, 10 Sachem Street, New Haven, CT 06520, USA.
University of Haifa, Department of Nursing, Haifa, 3498838, Israel.
Soc Sci Med. 2017 Dec;195:25-33. doi: 10.1016/j.socscimed.2017.10.031. Epub 2017 Oct 31.
Egg freezing (i.e., oocyte cryopreservation) is a new reproductive technology that allows women's eggs to be frozen and stored for future use. Over the past five years, so-called "medical egg freezing" (MEF) has begun to play a major role as a form of fertility preservation for young women with cancer and other fertility-threatening medical conditions. Indeed, women who are candidates for MEF are often facing the "double jeopardy" of fertility loss and potential death. In this article, we examine the experiences of the first generation of women to use MEF in the United States and Israel, two countries where experimental use of MEF began early, and where MEF is now offered clinically in many in vitro fertilization (IVF) clinics. Through an ethnographic, interview-based study carried out between June 2014 and August 2016 with 45 women (33 American, 12 Israeli) who had completed at least one cycle of MEF, we highlight women's reflections on their egg freezing experiences, and their considerable hopes for future recovery and motherhood. However, MEF is a Janus-faced new "hope technology." On the one hand, it holds out the promise of life in terms of recovery and future childbearing. As such, women's reflections on MEF reveal hope and gratitude for the technology's existence. However, as with IVF itself, future motherhood can never be guaranteed. This is especially true for women facing death from advanced or aggressive forms of cancers. Three ethnographic case studies of cancer patients, two from the US and one from Israel, highlight how MEF offers hope for life among women confronted with a deadly disease.
卵子冷冻(即卵母细胞冷冻)是一种新的生殖技术,可使女性的卵子冷冻并储存以备将来使用。在过去的五年中,所谓的“医学卵子冷冻”(MEF)已开始作为患有癌症和其他威胁生育的疾病的年轻女性的一种生育力保留形式发挥主要作用。实际上,进行 MEF 的女性通常面临生育力丧失和潜在死亡的“双重威胁”。在本文中,我们研究了第一代在美国和以色列使用 MEF 的女性的经验,这两个国家是最早开始进行 MEF 实验性使用的国家,并且现在在许多体外受精(IVF)诊所中都提供了 MEF 临床服务。通过 2014 年 6 月至 2016 年 8 月期间对 45 名(33 名美国,12 名以色列)已完成至少一个 MEF 周期的女性进行的基于访谈的人种学研究,我们强调了女性对自己的卵子冷冻经验的反思,以及她们对未来恢复和母性的巨大希望。但是,MEF 是一种两面派的新型“希望技术”。一方面,它在恢复和未来生育方面带来了生命的希望。因此,女性对 MEF 的反思体现了对该技术存在的希望和感激。但是,与 IVF 本身一样,未来的母性永远无法保证。对于那些因晚期或侵袭性癌症而面临死亡的女性来说,尤其如此。对来自美国的两名和以色列的一名癌症患者的三个人种学案例研究突出了 MEF 如何为面对致命疾病的女性提供了生活的希望。