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印度辅助生殖技术中的衰老与生殖能力下降:探寻卵子与子宫的“管理”情况

Ageing and Reproductive Decline in Assisted Reproductive Technologies in India: Mapping the 'Management' of Eggs and Wombs.

作者信息

Majumdar Anindita

机构信息

Department of Liberal Arts, Indian Institute of Technology Hyderabad, Kandi, Telangana, India.

出版信息

Asian Bioeth Rev. 2021 Jan 13;13(1):39-55. doi: 10.1007/s41649-020-00161-z. eCollection 2021 Mar.

Abstract

In this paper, I discuss the ethical underpinnings to the anthropological analysis of age and reproductive decline in the 'management' of infertility, by suggesting that assisted reproductive technologies (ART) 'use' age and reproductive decline to further endanger women's bodies by subjecting it to disaggregation into parts that do not belong to them anymore. Here, the category of age becomes a malleable concept to manipulate women seeking fertility management. In ethnographic findings from two Indian ART clinics, amongst women aged between 20 and 35 years visiting an IVF/ART clinic in Hyderabad city in South India, and women above 50 years of age visiting an IVF/ART clinic in Hisar in North India-reproductive bodies are similarly disaggregated. In case of younger women, the treatment is fixated on rescuing eggs that may be in 'decline', and in case of older women, the aim is to engineer a viable pregnancy. Thus, the constant focus on eggs and wombs in infertility treatment creates a body that is not only not whole but also completely without agency. Age becomes a category that has rhetorical value to 'push' or persuade women into particular forms of fertility management through infertility medicine. I undertake a problematization of the egg and the uterus through the identification of the recurring motif of the menstrual cycle within IVF treatment to suggest that bodily holism is not part of ART discourse that unethically thrives on promoting technological intrusions to promote its use and normalization.

摘要

在本文中,我探讨了对不孕症“管理”中年龄与生殖能力衰退进行人类学分析的伦理基础,指出辅助生殖技术(ART)“利用”年龄和生殖能力衰退,将女性身体分解成不再属于她们的各个部分,从而进一步危及女性身体。在此,年龄范畴成为一个可被操纵的概念,用以操控寻求生育管理的女性。在印度两家ART诊所的人种志研究结果中,在印度南部海得拉巴市一家IVF/ART诊所就诊的20至35岁女性,以及在印度北部希萨尔一家IVF/ART诊所就诊的50岁以上女性——她们的生殖身体同样被分解。对于年轻女性,治疗专注于挽救可能“衰退”的卵子,而对于年长女性,目标是促成一次可行的妊娠。因此,不孕症治疗中对卵子和子宫的持续关注塑造出一个不仅不完整而且完全没有自主性的身体。年龄成为一个具有修辞价值的范畴,通过不孕医学“推动”或说服女性接受特定形式的生育管理。我通过识别IVF治疗中月经周期这一反复出现的主题,对卵子和子宫进行了问题化分析,以表明身体整体观并非ART话语的一部分,ART话语不道德地依赖于推动技术干预以促进其使用和常态化。

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引用本文的文献

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Social Sciences, Bioethics, and the Question of Population.社会科学、生物伦理学与人口问题
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本文引用的文献

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Reproductive ageing and conflicting clocks: King Midas' touch.生殖衰老与时钟冲突:美狄亚之触。
Reprod Biomed Online. 2013 Dec;27(6):722-32. doi: 10.1016/j.rbmo.2013.09.012. Epub 2013 Sep 24.

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