Abstract
Denmark has become a destination for fertility travelers in need of sperm. Through a careful ethnographic reading of how fertility travelers account for their journey to Denmark and their selection of sperm donors, I explore what comprises donor selection and ask: How can we understand accountability for inclusion and exclusion in the phenomena of donor selection that emerges when women and couples travel to Denmark for sperm? While the recently coined term ‘selective reproductive technology’ (Gammeltoft and Wahlberg in Annu Rev Anthropol 43:201–216, 2014) creates a framework for productive discussions on reproductive selection, this paper points out that the ontological premises of the notion of selection have political consequences and thus demand careful methodological examination. Based on ethnographic work on sperm selection in fertility travels to Denmark, this paper contributes a reconceptualization of the notion of the phenomena of selection. This reconceptualization reflects on and disrupts the ways in which inclusion and exclusion take place as selection emerges through both material and discursive elements, particularly national regulations, perceptions of race, the freezing ability of sperm, and the financial situations of those seeking treatment. To encompass such varying elements, the concept is analyzed by drawing on a relational ontology informed by the notion of the phenomenon, the basic analytical unit in agential realism (Barad in Meeting the universe halfway. Quantum physics and the entanglement of matter and meaning, Duke University Press, Durham, NC, 2007). This chosen reconceptualization may grant us the imaginative space to consider how the process of selection might be otherwise conducted.
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Notes
Seen from the perspective of sperm banks and fertility clinics, the regulation of the sale and use of gametes, however, has intensified at both the EU and the national levels (Adrian 2016).
This number does not indicate the number of individual fertility travelers because it includes repeat visits by the same women. It also does not include fertility travelers using IVF combined with donor sperm.
Almeling (2011), who carried out field work at sperm and egg banks in the United States, made the same point in her study.
I previously used a shorter version of the narrative told by Inken to critique ethicist Jacob Birkler’s discussion on donor selection with extended profiles (Adrian 2017). In this text, my focus was different, exclusively considering the ontology of selection.
In 2018, insemination with anonymous sperm donation could be purchased for 4200 Dkr or US$647, including all the necessary ultrasounds and clinical visits but without the cost of medication. This service also included insemination at the clinic and an initial interview with a doctor (see the Copenhagen Fertility Center’s pricelist: http://www.copenhagenfertilitycenter.com/priser.htm). IUI was US$539 and did not include the cost of donor sperm. The price including sperm purchased from the Internet was approximately US$1144, but the cost of donated sperm differed depending on the use of anonymous or non-anonymous sperm donors. The price of sperm also varied between the two Danish sperm banks and their categorizations of the value of quality, such as the number of sperm per milliliter.
European Sperm Bank, https://www.europeanspermbank.com/en/ [accessed 17 December 2016].
Cryos International, https://www.cryosinternational.com [accessed 17 December 2016].
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Acknowledgements
Thank you to the fertility travelers I interviewed, the editors and reviewers for careful reading and commenting, and the Danish Research Council on the Humanities for providing funding for the collective research project (Trans)Formations of Kinship: Travelling in Search of Relatedness, 2011‒2015, Project Number 95-26112. The author declares that she has no competing interests—intellectual or financial—in the research detailed in the manuscript.
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Adrian, S.W. Rethinking reproductive selection: traveling transnationally for sperm. BioSocieties 15, 532–554 (2020). https://doi.org/10.1057/s41292-019-00159-3
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DOI: https://doi.org/10.1057/s41292-019-00159-3