Mr. A is 37 years old. Originally from the region of Equatorial Guinea, of Fan ethnicity. He is an administrative agent by profession. Lived as a couple for years. Failed Insemination in 2017. Despite financial difficulties, the couple returned in 2019 for a second attempt. Suffers from trace asthenospermia. Second born of a sibling of 9. Mr. A., admits having been with a pastor who had unsuccessful prayer sessions, he consumed traditional potions in vain and is worried about this “bad luck” of which he is a victim. Determined to continue this process to the point of success. But it turns out that his problem is worse than he thought. The doctor offers him an Artificial Insemination with sperm from the Donor; there is no answer.
Themes	Descriptors	Verbatims
Data related to cultural constraints	Pressure from family and loved ones to continue the lineage	“It’s very hard for me but what should I do?”; “Is that when you stay you are only asked what you are waiting for to have your part of a child”; “My mother must see my part of a child before she dies, she is in a lot of pain as she sees me like this.”
	Respect for ancestral values, safeguarding the spiritual and social heritage	“We also want to have children like everyone else; but we seek, we seek, nothing […]”; “Hey doctor, the child is the future, isn’t it? This is our […] Change, isn’t it? of our life but normally children are not just for us […], it’s God’s gift, right? that he gives to everyone.”
	The practice of spiritual rites and traditional rituals	“The pastor made a lot of liberation with prayer but […]”; “My mother sometimes brought us traditional medicines that we drank”; “She said it’s to wash the stomach”; “People are the custom with us, with problems like that”; “When you go to the hospital, it doesn’t work, you also try at the marabouts.”
Data related to the secret of the AID	The secrecy’s weight	“We only do things together, we hide by what we only think we are going to have our own child”; “You can’t tell someone”; “it is not easy”; “The last time it failed we didn’t tell people, we kept it a secret.”
	Failure of loyalty to spouse, family and community	“You don’t have a child; how do you live? people look at you badly”. “When your age is already passing your parents start to ask you what are you waiting for to be child. My father asks me if I’m going to stay like some white people”; “I come from a polygamous family, it is I alone who do not have the children yet and we do not know why”; “Everyone complains.”
	The personal representation of ART/AID	“But it’s the suffering, we take the remedies, we come, we go, it’s all money, isn’t it? “But how are we going to do, I myself am in pain, you see that walking to the hospital all the time, all the time like that is not easy, and the child does not come?”; “As for the IAD, you know the women you can do that, one day when there are problems, she says to everyone, how am I going to do? If I can even accept that, the doctor must not tell him […], if people know what kind of father will I be, what am I going to tell my family?”
Data related to the shame of the social gaze	The feeling of guilt	“When she had the miscarriage she lost a lot of blood, I was too scared”; “I was overwhelmed, I was asking God what I did to make it like this; what did I do to make this happen to me? I think too much, I can’t sleep, I see how she is in pain like this, it bothers me a lot.”
	The feeling of loss of self-esteem and the fear of a possible divorce	“I can’t do anything else”, “This is the time of suffering, I felt very bad especially when the doctor told me that my problem was serious; I couldn’t say anything in front of her”; “I cannot tell them that I too have the problems and that I am in great pain”; “But in my case worries me a lot”, “she may leave me one day.”
	The feeling of incompleteness	“The doctor explained to me that my semen is a little weak. that it’s not very good; I don’t know what made it weak”, “ah, he’s going to see if that’s the thing that’s dead”; “We take the children of our family, you understand a little, don’t you? But you know that the family is a bit difficult in our custom”; “Currently we have eleven children in our house. But when there is the problem, we are insulted.”
Data related to mystical-religious practices	The relationship to witchcraft	“I do not understand; or it’s bad luck or bad people did this I don’t know.”
Data related to mystical-religious practices	Beliefs in evil spirits and supernatural powers	“We tried, but at home, we sometimes say that bad people do that too, that you can’t give birth”; “We drank but it didn’t work”; “We turn this over to God, we know that it is he who gives the children. If it’s the sorcerer, God will help us someday.”
The ART Process	Failure in the process	“This is the second time... we first did the other in 2015. It didn’t work out, we were still looking for the money to do the other.” “We came here, we did the infiltration, we went home, but the first month it went well we went to our clinic over there in our country to do the ultrasound. was we, but the third month, it came out”, “we cried our child so much there…”
	Doubt about the quality of the unborn child via AID	“The other than the doctor says you can take someone’s semen there is complicated”; “I’m going to think again, it’s even what a curse on me like that.”
	Doubt about therapeutic efficacy	“Eeh, ah, we are there too, what we are asked to do, we also do, we pray to God that for us also succeeds, but we spend too much. we just want them to do it just be good, so that we live as well as the others, if it works so much the better”; “Her friend who explained to her that people do that, and that when you’re lucky, it works”; “But if for me it works, one day I can also tell someone, what will also do to see.”