There's a great book by Lois McMaster Bujold called Ethan of Athos that somewhat explores this idea expanded to encompass an entire planet. Technically it's par

There's a great book by Lois McMaster Bujold called Ethan of Athos that somewhat explores this idea expanded to encompass an entire planet. Technically it's part of a series, but it's standalone. It follows an obstetrician from the planet that has to leave to acquire ovarian tissue cultures they need to produce more children.