Mr. C, originally from the western region. Bamileke ethnicity. 44 years old. Trader in the city of Douala. Lack of mobility, vitality and insufficient quantity of sperm in semen. Catholic religion. Last of five siblings. Only child of his mother who has not yet procreated. 7 years of married life, and therefore 11 years of perpetual child search. From the age of 30, her first marriage. Second marriage at 33. Engaged in his third union practically at the age of 37, he and his wife throw themselves into traditional decoctions of all kinds without convincing results. He therefore takes the initiative to get help from the PMA; What was done with failure, after a month of pregnancy. After the recent spermogram, the doctor offered her an IAD because her examinations revealed severe asthenospermia.
Themes	Descriptors	Verbatims
Data related to cultural constraints	Pressure from family and loved ones to continue the lineage	“We certainly have the pressure of the family, well […] but, the house is not completely empty, we have the children of the family good, at least that allows them to take it. But everyone would like us to have for ourselves.”; “It is true the look is a little strange but we live like that”. “... I come from an area where man lives to prepare for his death. It is one of the elements that allow you to mark your passage on earth, which allows you to be remembered.”
	Respect for ancestral values, safeguarding the spiritual and social heritage	“I grew up in this culture where the child is the center of everything, the beginning and the end of everything”; I told you that in our Bamileke customs, we only live for children, we live by preparing for death, and it is the child who will replace you when you are not there. Your brother’s child is not your child”; if the ancestors gave too much importance to the child and our parents did too, why am I going to stay without following the chain.”
	The practice of spiritual rites and traditional rituals	“…But I took a lot of so-called natural products, that is to say the decoctions made from the bark of trees, herbs, things, …” “we even tried to think of the ceremonies, the rites that it had to be done in the village”; “The rare times my mom came to my house, it was to give the remedies she takes from traditional healers”; “She was chatting that the custom has been neglected and these are the consequences” “she would ask that I be washed traditionally to cleanse me from the curse or certain sins that my ancestors committed in their day and which follow you.”
Data related to the secret of the AID	The secrecy’s weight	“Stuff like that can only be shared with your wife, since we started this, no one knows, even when the pregnancy broke last time there, her mother knew she had conceived normally.”
	Failure of loyalty to spouse, family and community	“I also have a lot of siblings. To my mom I am the last born, and none of my elders so far has had such a history; even in the big family. This is really my bad luck for me”; “When it’s like that you can’t be quiet like everyone else; this is a situation that is for you alone and bothers you; it even creates problems in your life, you don’t know what to say to people, or even to your wife.”
	The personal representation of ART/AID	“I have sufficiently immersed myself in the practices of medicine”; “I always remained confident despite it being really, really hard to bear”, everything I did as an exam with the urologists, the gynecologists…so all that had to be done on me for an exam until today ‘hui has never been able to understand why I am having these problems. “I took food supplements, vitamins... no positive results”; “If it weren’t for the financial means, I would have started AMP a little earlier.”
Data related to the shame of the social gaze	The feeling of guilt	“But when I see all the suffering in the hospital, really, I don’t sleep well.”; “Since it was I who was consoling madam, I told her that it was nothing, that it was only the first try and that in any case we had very little chance that it would be a success”; “My real fear is at the level of dying without leaving a child, what will I say to my ancestors? after my death? I will not have left any trace on earth. This is especially my real problem.”; “It is I alone among the children of my mother who suffers like that.”
	The feeling of loss of self-esteem and the fear of a possible divorce	“I can only have this urge, that is, there is this urge that is strong and after age is passing; at one point perhaps we will even risk not having the strength to raise them or even to do it completely”; “I no longer have the same initial motivation”; “I’ve been told about vitality, uhhh, mobility, sperm (tone drops), the amount of sperm is insufficient (the sentence is difficult to grasp); “I thought to myself that the problem would be deeper than that?” “I told myself that I was going to overcome but it was after that I started to get depressed, because I have already lost two marriages always for that.”
	The feeling of incompleteness	“I told you that having a child is at the center of my concern now, and the results are not positive […], well I will always try”; “and I also do not want to die childless”; “Taking the child of your brothers does not solve the problem”; “It’s very hard to be childless, you yourself feel an emptiness in you”; “no one will talk about you.”
Data related to mystical-religious practices	The relationship to witchcraft	“Maybe someone is attacking me mystically, this case is beyond me”; “If there are also wizards in the family, they are said to tie up or block people’s chances.”
Data related to mystical-religious practices	Beliefs in evil spirits and supernatural powers	“I mean we tried to think about supernatural things”; “we said it’s because we did this or we don’t have that that the curse catches people, hey uhhhh, I don’t know what ‘they did in their time so that this curse follows us like this.”
The ART process	Failure in the process	“So uhhh, I was still confident even though it was really, really hard to take, yes it’s really hard. [...] this is a situation where you had to go through a lot of stages and.... Well, we are only in this process and we will have to go step by step to finally get a good result.”
The ART process	Doubt about the quality of the unborn child via AID	“...that’s even what I’m afraid of and it bothers me a lot. You know your very brother’s child, you know it’s your blood, but what you take in the hospital, you don’t know what you take to bring home.”
	Doubt about therapeutic efficacy	“This is what I want to know since. Hmmmmm, I’m overwhelmed, that’s what I really want to know, if the doctors could tell me too, all the tests they did never found out what was causing this situation.”
	Doubt about therapeutic efficacy	“I always tell myself that if we had found the source, we could have solved the problem. So far all the examinations only allow us to make the observation. The sperm is not good, machiiiiiin and so on, at the beginning we thought it was an infection, we treated the infections hoping that it should come back but it never came back, we did exams we talked about varicocele, but after when we had tests... we never determined why I am having this difficulty.”