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This edited collection proposes an interdisciplinary and integrated approach to the study of reproductive technologies (RTs), which reflects the fact that many people use different technologies throughout their lifecourse and resists the disciplinary siloing of research on these technologies. The ever-expanding availability of RTs, the continued roll-out of ‘family planning’ and maternity services across low- and middle-income settings and the rapid development of the fertility industry mean that it is more likely than ever that individuals, especially women and trans* people, will engage with more than one RT at some point in their life. These multiple engagements with RTs will affect users' expectations and uptake, as well as the technologies' availability, commercial success, ethical status and social meanings. We offer this book as part of a wider movement in the study of reproduction and RTs, which takes inspiration from the reproductive justice framework to address forms of exclusion, discrimination and stratification that are perpetuated in the development and application of RTs and the ways in which they are studied and theorised. Here, we introduce the project and outline the structure of the book.

Here we provide a short reflection on the persistent themes from the volume and relate it to wider reproductive studies.

Here we provide a short reflection on the persistent theme of choice in reproductive studies which allows us to draw out further insights from each of the chapters.

Here we provide a short reflection on the persistent theme of knowledge in reproductive studies which allows us to draw out further insights from each of the chapters.

Here we provide a short reflection on the persistent theme of relationality in reproductive studies which allows us to draw out further insights from each of the chapters.

Menopause discourse plays a powerful cultural role in the west, serving to mark a (negative) shift in women's social status, shaping both social norms and women's self-appraisals and dividing women's lifecourse into two: fertile and post-fertile, with value attributed only to the former. However, in 2019 a new ‘solution’ to the problem of menopause entered public discourse in the form of a new surgical technology, offered by the private health provider ProFam, to delay menopause via ovarian freezing techniques. Aimed in the first instance at women seeking to avoid the disruptions of severe symptoms, it also quickly became framed as a way in which (especially childless) women might extend their fertility. In this chapter I explore menopause discourse as it appears in medical and popular sources associated with this new technology, looking at the continuities and discontinuities with earlier forms of menopause discourse. I also take a broader view in placing technologies for delaying menopause in the context of reproductive technologies used by women at all stages of the lifecourse, critically examining the claims that they give women choice, freedom and control over time. I suggest that in fact they are implicated with rather more complex temporal structures, captured in the concept of ‘ambivalence’ and characterised by a mixture of gendered expectation, anticipation and suspension of agency. Finally, I explore whether it is menopause itself, rather than its delay, that, in serving to disrupt such temporal ambivalence among other things, can in fact introduce the possibility of freedom.

This chapter describes how ambitious, educated, professional women engage with a range of reproductive technologies across their lifetime in an attempt to achieve the much-lauded post-feminist ideal of the perfect ‘work-life balance’ and ‘having it all’. Drawing on interviews, this chapter shares women's experiences of using several reproductive technologies over a 15-year period and how their configurations of bodies, technologies and responsibilities change. In our initial conversations, bodies were seen as a source of disruption to well-laid plans; bodies bled, throbbed, conceived, aborted and were often incompatible with the many social expectations and demands on young women's lives to balance their professional and private lives. At this time, women were attempting to control and direct their malleable bodies using different technologies, a tool, that were accompanied with new gendered responsibilities to make the right choices about if and when to menstruate, to get pregnant, to become a mother and to be intimate. Over time these technologies proved to be imperfect and often failed to deliver the promised future and a counter-narrative emerges in which bodies are not so malleable and technologies are less of tool and more of an additional burden. By looking at interactions of several reproductive technologies over time, experiences of bodies, of technologies and of responsibilities change; they are not static but more cumulative.

This chapter discusses an instance of spectacular reproduction that circulated in US media during the late 2010s. Through the use of commercial DNA tests, it was revealed that a fertility doctor, Donald Cline, had used his own sperm to impregnate scores of women who had sought fertility treatment from him during the 1980s. More than 60 biogenetic children, now in their mid to late 30s, were identified by early 2020. This instance illustrates several concepts and concerns that might further guide the social and cultural study of human reproduction and especially the uses of reproductive technologies: (1) Most of us encounter instances of extraordinary reproduction from a mediated distance, yet they may shape and inform our expectations and experiences of ordinary reproduction in our everyday lives. How might the concept of spectacle help us understand what is perceived and understood about reproductive technologies? (2) Reproductive technologies offer ‘fixes’ for disruptions of not only reproduction but also kinship. A focus of this chapter is on genetic genealogy tests as a re(tro)productive technology, which produces children, parents, and kinship in hindsight. (3) The social and cultural study of reproductive technologies ought to take a longitudinal approach that both includes a lifecourse perspective and takes into account the historical contexts in which the technologies become developed and individuals encounter them.

For the millions of women living with endometriosis, significant disruption to normative life expectations and a considerable impact on everyday life are common. Whilst for many women concerns about and experiences of infertility may be a central feature of life with the condition, little work has considered the impact that chronic illness has on reproductive decision-making or on the ways in which a medical condition is managed in relation to plans for conception. This chapter considers how heterosexual women with endometriosis and their male partners experience the intersection of fertility desires with the use of reproductive technologies (contraceptive and conceptive) and how these experiences intersect with the medical and surgical management of endometriosis. Three themes drawn from interview data are presented: the first considers how the uncertain and indeterminate character of endometriosis shapes imaginaries about future fertility, conception and childbearing. The second focuses on how endometriosis mediates expectations about the success of fertility treatments and technologies; exploring in particular the manifestation of low expectations in relation to possible success. The third theme considers how endometriosis and fertility pathways intersect, creating specific disruptions whereby fertility treatment may be delayed by endometriosis care, and where endometriosis care may be interrupted or paused by fertility desires. Our data show how endometriosis shapes reproductive desires, decision-making and experiences and has important implications for understanding how for those living with a chronic illness, plans for having children are made within a context of biographical and biomedical contingency.