This article provides empirical data on the dynamics of marital bargaining in the use of in vitro fertilization in male infertility and the extent of the woman's agency in trying to resolve the situation, using interview data from nine married couples and three additional wives. Although there were too few cases for demographic variation among the categories, the research did indicate that choice and altruism entailed dynamics distinguishable from patriarchal bargains, and, if there was subtle coercion, it was exerted in (...) ways quite different from that experienced by the wives who felt openly pressured. (shrink)