Although reproduction involves (at least) two sexed bodies, men are often missing from in/fertility research. Surveys such as the widely-used Demographic and Health Surveys (DHS) engage in often unintentional yet highly consequential practices of gendering. Here we identify two processes through which surveys have the potential to render male infertility invisible: defining the population at risk of infertility in an exclusionary way; and designing survey instruments to select out some groups/issues. Compiling information about survey samples and inclusion criteria in the DHS, and combining this with a qualitative examination of instrument design, we identify areas of men’s invisibility across time and place. While inclusion of men in DHS samples has increased over time, some men (e.g. single and divorced, transgender) remain missing in many survey settings. This is problematic from a reproductive justice perspective. Survey results, which both reflect and contribute to men’s invisibility, are widely used as an evidence-base for family and population policies. Moreover, reproductive health services are only made available to those whose reproductive health needs are recognized; men’s exclusion from the reproductive discourse contributes to the stratification of reproduction. Men’s underrepresentation in in/fertility data also reinforces the notion that reproduction is a woman’s domain, and so contributes to a system that places responsibility for reproduction on women. It is vital to explore how gender is enacted or ‘done’ in such research.
Agarwal, A., Mulgund, A., Hamada, A., & Chyatte, M. R. (2015). A unique view on male infertility around the globe. Reproductive Biology and Endocrinology, 13(37), 1-9.
Barnes, L. W. (2014). Conceiving Masculinity: Male Infertility, Medicine, and Identity. Philadelphia: Temple University Press.
Bell, A. V. (2015). Overcoming (and Maintaining) Reproductive Difference: Similarities in the Gendered Experience of Infertility. Qualitative Sociology, 38(4), 439–458. https://doi.org/10.1007/s11133-015-9315-2
Bell, A. V. (2016). ‘I don’t consider a cup performance; I consider it a test’: masculinity and the medicalisation of infertility. Sociology of Health & Illness, 38(5), 706–720.
Braidotti, R. (2013). The Posthuman (First Edition edition). Cambridge, UK: Polity Press.
Butler, J. (1990). Gender Trouble and the Subversion of Identity. Abington, Oxfordshire and New York: Routledge.
Butler, J. (1993). Bodies That Matter: On the discursive limits of sex. New York: Routledge.
Butler, J. (2004). Undoing Gender. New York and Abington, Oxfordshire: Routledge.
Casterline, J. B. (1989). Collecting data on pregnancy loss: a review of evidence from the World Fertility Survey. Studies in Family Planning, 20(2), 81–95.
Connell, R. (1987). Gender and Power: The person, society and sexual politics. London: Polity Press.
Corsi, D. J., Neuman, M., Finlay, J. E., & Subramanian, S. V. (2012). Demographic and health surveys: a profile. International Journal of Epidemiology, 41(6), 1602–1613.
Dudgeon, M. R., & Inhorn, M. C. (2003). Gender, masculinity, and reproduction: Anthropological perspectives. International Journal of Men’s Health, 2(1), 31.
Epstein, S. (2007). Inclusion: The Politics of Difference in Medical Research. London: University of Chicago Press.
Fausto-Sterling, A. (2012). Sex/Gender: Biology in a social world. New York: Routledge.
Fledderjohann, J. (2017). Difficulties Conceiving and Relationship Stability in Sub-Saharan Africa: The Case of Ghana. European Journal of Population, 33(1), 129–152. https://doi.org/10.1007/s10680-016-9401-5
Fledderjohann, J., & Barnes, L. W. (2018). Reimagining infertility: a critical examination of fertility norms, geopolitics and survey bias. Health Policy and Planning, 33(1), 34–40. https://doi.org/10.1093/heapol/czx148
Fledderjohann, J., & Johnson, D. R. (2015). Impaired fertility and perceived difficulties conceiving in Ghana: Measurement problems and prospects. Journal of Biosocial Science, 48(4), 431–456. https://doi.org/10.1017/S0021932015000310
Franklin, S., & Roberts, C. (2005). Born and Made: An ethnography of preimplantation genetic diagnosis. Princeton: Princeton University Press.
Greene, M. E., & Biddlecom, A. E. (2000). Absent and problematic men: Demographic accounts of male reproductive roles. Population and Development Review, 26(1), 81–115.
Greil, A. L. (1991). Not yet pregnant: Infertile couples in contemporary America. New Jersey: Rutgers University Press.
Greil, A. L., Leitko, T. A., & Porter, K. L. (1988). Infertility: His and hers. Gender & Society, 2(2), 172–199.
Greil, A. L., McQuillan, J., Johnson, K., Slauson-Blevins, K., & Shreffler, K. M. (2010). The hidden infertile: infertile women without pregnancy intent in the United States. Fertility and Sterility, 93(6), 2080–2083. https://doi.org/10.1016/j.fertnstert.2009.08.024
Hadley, R., & Hanley, T. (2011). Involuntarily childless men and the desire for fatherhood. Journal of Reproductive and Infant Psychology, 29(1), 56–68.
Harris, A. (2009). Gender as soft assembly. New York and London: Routledge.
Hollos, M., Larsen, U., Obono, O., & Whitehouse, B. (2009). The problem of infertility in high fertility populations: Meanings, consequences and coping mechanisms in two Nigerian communities. Social Science & Medicine, 68(11), 2061–2068. https://doi.org/10.1016/j.socscimed.2009.03.008
Inhorn, M. C. (2002). Sexuality, masculinity, and infertility in Egypt: Potent troubles in the marital and medical encounters. The Journal of Men’s Studies, 10(3), 343–359.
Inhorn, M. C. (2003). “The Worms Are Weak” Male Infertility and Patriarchal Paradoxes in Egypt. Men and Masculinities, 5(3), 236–256.
Inhorn, M. C. (2012). The new Arab man: Emergent masculinities, technologies, and Islam in the Middle East. Princeton University Press.
Inhorn, M. C., & Patrizio, P. (2015). Infertility around the globe: new thinking on gender, reproductive technologies and global movements in the 21st century. Human Reproduction Update, 21(4), 411–426.
Inhorn, M. C., Tjørnhøj, T., Goldberg, H., & la Cour Mosegaard, M. (2009). Reconceiving the Second Sex in Reproduction? Men, Sexuality, and Masculinity. New York: Berghahn Books.
Inhorn, M. C., & van Balen, F. (2002). Infertility around the globe: New thinking on childlessness, gender, and reproductive technologies. Berkeley: University of California Press.
Johnson, D. R., & White, L. (n.d.). National Survey of Fertilty Barriers [Computer File]. University Park, PA: The Pennsylvania State University Population Research Institute [distributor].
Leonard, L. (2002). Problematizing fertility: ‘Scientific’ accounts and Chadian women’s narratives. In M. C. Inhorn & F. Van Balen (Eds.), Infertility around the globe: new thinking on childlessness, gender, and reproductive technologies (pp. 193–214). Berkeley: University of California Press.
Leridon, H. (1991). Sterility and sub-fecundity: from silence to impatience? Population, 46(2), 225–47.
Liu, K., Case, A., Cheung, A. P., Sierra, S., AlAsiri, S., Carranza-Mamane, B., … others. (2011). Advanced reproductive age and fertility. Journal of Obstetrics and Gynaecology Canada, 33(11), 1165–1175.
Marsiglio, W., Lohan, M., & Culley, L. (2013). Framing Men’s Participation in the Procreative Realm. Journal of Family Issues, 34(8), 1011–1036.
Mascarenhas, M. N., Flaxman, S. R., Boerma, T., Vanderpoel, S., & Stevens, G. A. (2012). National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys. PLoS Medicine, 9(12), e1001356.
Mol, A. (2002). The Body Multiple: Ontology in medical practice. Durham: Duke University Press.
Okonofua, F. E., Harris, D., Odebiyi, A., Kane, T., & Snow, R. C. (1997). The social meaning of infertility in Southwest Nigeria. Health Transition Review, Health Transition Review, 7(2), 205-220.
Parrott, F. R. (2014). ‘At the hospital I learnt the truth’: diagnosing male infertility in rural Malawi. Anthropology & Medicine, 21(2), 174–188.
Polis, C. B., Cox, C. M., Tunçalp, Ö., McLain, A. C., & Thoma, M. E. (2017). Estimating infertility prevalence in low-to-middle-income countries: an application of a current duration approach to Demographic and Health Survey data. Human Reproduction, 32(5), 1064.
Roberts, C. (2007). Messengers of sex: hormones, biomedicine and feminism. Cambridge University Press.
Roberts, C. (2015). Puberty in Crisis: The sociology of early sexual development. Cambridge: Cambridge University Press.
Sartorius, G. A., & Nieschlag, E. (2009). Paternal age and reproduction. Human Reproduction Update, 16(1), 65–79.
Slauson-Blevins, K., & Johnson, K. (2016). Doing Gender, Doing Surveys? Women’s Gatekeeping and Men’s Non-Participation in Multi-Actor Reproductive Surveys. Sociological Inquiry, 86(3), 427–449. https://doi.org/10.1111/soin.12122
Solinger, R., & Nakachi, M. (Eds.). (2016). Reproductive States: Global Perspectives on the Invention and Implementation of Population Policy. Oxford ; New York: OUP USA.
Stellar, C., Garcia-Moreno, C., Temmerman, M., & van der Poel, S. (2016). A systematic review and narrative report of the relationship between infertility, subfertility, and intimate partner violence. International Journal of Gynecology & Obstetrics, 133(1), 3–8.
Thompson, C. (2005). Making parents: The ontological choreography of reproductive technologies. Cambridge, MA: MIT Press.