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Conceptual analysis reveals organizational tensions in company-sponsored fertility programs, highlighting how gift-exchange dynamics and intersectionality shape employee policy adoption.
Managing the work‐fertility interface is a major challenge for organizations when implementing fertility policies. These policies cover a broad spectrum of areas including clinical treatments, preservation and storage of eggs and sperm, preimplantation and diagnostics, and non‐clinical family‐building assistance. They also differ from standard work–life policies because of the need for intensive medical integration, strict legal‐privacy issues and high financial outlay by organizations and employees. The implementation of these benefits is additionally made more complex due to their interaction with intersectional, organizational, and macro‐level contexts. To understand these complexities, we integrate gift exchange theory and a contextual intersectionality perspective to propose a “FA i RE” framework. We highlight the theoretical complexities and tensions in using this framework, and we surface important theoretical and practical implications.
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MacKenzie et al. (2026) studied this question.
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