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karen throsby<br />
40 will be entitled to a single funded cycle, with no timetable given for<br />
<strong>the</strong> full implementation of <strong>the</strong> NICE recommendations. 5 This move<br />
confi rms <strong>the</strong> status of IVF in <strong>the</strong> United Kingdom as a necessary and<br />
effective medical treatment, fur<strong>the</strong>r normalizing both <strong>the</strong> technology<br />
and <strong>the</strong> engagement with it.<br />
Fundamentally, from <strong>the</strong> patients’ perspective, <strong>the</strong> imperative to<br />
undergo IVF stems from <strong>the</strong> need, which participants frequently cited,<br />
to have “done everything possible” to get pregnant before becoming<br />
reconciled to <strong>the</strong> prospect of a life without children. Indeed, for <strong>the</strong><br />
participants in this study, <strong>the</strong> engagement with IVF was experienced<br />
as a precondition to being able to even begin to accept childlessness.<br />
IVF, <strong>the</strong>n, even when it fails, functions as a means of distinguishing<br />
<strong>the</strong> self from those who would be candidates for treatment but who<br />
have chosen not to undergo it, as well as from those who have chosen<br />
to live without children—a life choice widely assumed a priori to be<br />
indicative of selfi shness. 6 This, in turn, produces a novel, legitimized<br />
form of childlessness:<br />
Claire: . . . I can say, “At least I tried.” So <strong>the</strong>re can be no stage in <strong>the</strong><br />
future when I might say to myself, “Oh well, if only I’d tried, it could<br />
have been different.” Erm . . . it’s almost like I can say to society,<br />
“Look, I tried to be <strong>the</strong> typical female, I tried to be <strong>the</strong> mo<strong>the</strong>r, you<br />
know, but it conspired against me, so I now have <strong>the</strong> right to go off<br />
and spend my money on nice holidays or whatever and don’t need<br />
to feel guilty.”<br />
Having undergone IVF serves not only to preempt Claire’s own<br />
potential future regrets, but also performs a silencing function toward<br />
o<strong>the</strong>rs—“society”—who might choose to evaluate her negatively because<br />
of her life without children. IVF takes on a public, confessional dimension<br />
(Foucault, 1978, p. 62) through which <strong>the</strong> intention and desire to<br />
parent is made clear, in spite of <strong>the</strong> absence of a child. As Tim noted<br />
in an interview with him and his wife, Katy, “our consciences are clear.”<br />
Indeed, for Claire, only by trying IVF is <strong>the</strong> “right to go off and spend<br />
my money on nice holidays . . .” earned—an understanding that refl ects<br />
<strong>the</strong> powerful association of certain kinds of consumption with <strong>the</strong><br />
presumed “selfi shness” of childlessness. Several o<strong>the</strong>r women repeated<br />
this sentiment, expressing concern that overseas holidays, a new car,<br />
or new soft furnishings might be misread by o<strong>the</strong>rs as indicative of<br />
being too “selfi sh” to be a parent, causing <strong>the</strong>m ei<strong>the</strong>r to conceal <strong>the</strong>ir<br />
consumption, or to spread out purchases to make <strong>the</strong>m less noticeable<br />
to o<strong>the</strong>rs. This highlights <strong>the</strong> extent to which IVF, while conventionally