The Surrogacy Questionnaire: Nothing’s Irrelevant

By Mary Ellen McLaughlin

We recently came across a thread in a Yahoo discussion group from a would-be gestational surrogate. She had completed an agency’s questionnaire to become a surrogate. And while she understood the rationale for the questions (many of which appeared on the surface to be quite intrusive), there was one that had her puzzled for its relevance: “What is your religion?”

That’s a pretty typical question for agencies to ask. It points to the depth that principled and discerning agencies will go to in vetting prospective surrogates.

The religion question can relate to any number of considerations – beliefs that may influence a decision on selective reduction, for example. And, let’s face it, for both Intended Parents and prospective surrogates, religion may be a sticking point whether it’s relevant to the task at hand or not.

Taking a deep dive into the prospective surrogate’s background, beliefs and support network is absolutely essential to ensure she’s emotionally up to it – and, equally important, is a responsible individual who surrounds herself with people who share her principles and behaviors.

The stories about con artists who hold the baby for ransom are the exception, but they’re the ones that people remember. Not surprisingly, they weren’t properly vetted. We’re not about to take that risk.

A typical surrogacy application form can run up to 20 pages. It’s the first screen; subsequent ones include interviews with the agency’s staff and, preferably, independent mental health professionals. It is not something to be completed in an hour, or even a day. Are the questions intrusive? Some are – of necessity. And prospective surrogates should expect no less given the very important role they’re applying to play.

It asks for the candidate’s and her husband/partner’s five-year employment history and educational backgrounds. It asks about family structure – how many children and their ages, and the support network. It asks whether the candidate or her partner have criminal records or substance abuse histories. It asks health questions including a medical and pregnancy history, ranging from how the applicant relieves stress, to whether she’s had an HIV test and the results, to birth control methods and delivery experiences.

And it asks questions to gauge the candidate’s emotional state. What are her hopes, wishes and expectations? Will she work with same-sex couples or unmarried couples? What are her strengths and values? How does she manage difficult times or experiences? Her partner is asked to share feelings about her taking on this role, and how the partner’s family would feel about it, as well. Descriptions of the couple’s children are solicited, along with how they will be prepared and involved in the process.

They’re also asked about issues that must necessarily be grappled with: How will you deal with relinquishing the baby to his or her parents? How do you feel about future contact with the child and his or her parents? How do you feel about carrying multiples, and the issue of a selective reduction if you’re carrying more than two fetuses?

This is only a sampling of the ground covered in the surrogacy application form. It is exhaustive, though we prefer to think of it as thorough. But that’s what it takes to make sure the surrogacy experience lives up to its promise for everyone involved.

How Egg Donor Agencies Can Help Make Your Dreams of Pregnancy Come True

Most little girls grow up playing with their dolls, pretending they are mommies, and developing the skills they will someday need to take care of a real baby of their very own. Most little girls look forward to someday becoming a mother, being pregnant and giving life to a tiny version of themselves. Unfortunately, this is not always possible. However, there are many egg donor agencies that are there to help make your dreams of becoming a mother a reality. Women who are struggling to become pregnant have so many more options now than they ever had before. There are many reasons why some women fail to get pregnant. Tubal blockages (which can be operated on, but can increase your chances of tubal pregnancies), Hyperprolactinemia (elevated prolactin), endometriosis, early menopause, and thyroid problems can all cause fertility problems. If you are one of the women who desperately wants a baby, but is about ready to give up hope of every finding an answer, there is hope. There is always egg donation. This is a process that is not for everyone, but since nineteen eighty three, it has become a very real option for many women who would otherwise have very few other alternatives. Long ago, if you found out you were infertile, it meant that there was never going to be a chance of ever getting pregnant. Today, not only do you have the chance of having a baby, your chances of having multiples are increased as well. Donors are young females who are screened to make sure they are physically and psychologically capable of undergoing the process. Once they are found to be suitable donors, their eggs are fertilized by either your partner’s sperm or the sperm of a male donor. Once the egg has been fertilized and develops into an embryo, it can then be put into our own uterus. The egg may not be yours, but the child you carry will still be made partly of your partner, and you will experience pregnancy the exact same way you would, had the child been conceived of your own egg. Most donors are anonymous, but some agencies will provide you with profiles that detail the woman’s race, weight, height, body type, eye color, and hair color and texture. Some places may also provide you with personality description and the IQs of female donors. You may also choose to harvest eggs from a consensual family member or friend. The egg donors are not the only ones who are subjected to evaluations before they begin the process. Recipients also undergo giving detailed medical history, both male and female recipients are screened for diseases such as syphilis, HIV and hepatitis B and C. Males will have their semen analyzed. The attention given to the woman will be much more intense. This is to ensure that you are healthy enough to carry the newly implanted embryo and give you the best chances of success. Before actually being implanted, you may be required to go through a prep cycle. This is to ensure that the thickness of your endometrium lining is capable of producing optimal blood flow to support a healthy pregnancy. For a month to a month and a half, you will be given the same medication used in the real process. Progesterone and estrogen are some of the hormones that are used to help prepare your body for pregnancy. Egg donors are given fertility medication that makes it possible for her body to produce many eggs, as opposed to just one egg every month. Typically ten to twenty eggs can be harvested at a time. Once they have been retrieved from the body, they are put into a special dish and injected with sperm. After they have been fertilized they will stay in the lab and be monitored closely to see if they are maturing. When they’re ready to go, several embryos will be put into your uterus. One or several may implant into the lining, resulting in pregnancy. You will keep taking hormones all through the first trimester. These hormones will help to develop the baby’s placenta. Once the placenta has formed, it will then take over the job of producing the hormones that you and the baby need throughout the coming months. Donors are usually paid for providing their eggs, much the same way sperm donors are paid for their semen. However, it’s a much more invasive process for women donors than it is for men. Women will typically be paid several thousand dollars for their participation, which may or may not include medical expenses. Donors must be made very aware of what they are getting themselves into before they begin. The amount of money they receive may or may not be worth what they have to go through in order to complete the process. Before the nineteen eighties, this was something that could only be speculated about in futuristic movies. There is still some debate among certain groups of people as to how ethical this is, but most people tend to agree that having this option is something that makes them feel a whole lot better about their futures. Many women want nothing more than to experience carrying a baby and giving life to something that they nourished with their own body for so many months. This is something that you just can’t do with adoption. It is, of course, up to the parents of the child as to whether or not they are going to tell him or her how he or she was created. Most parents may find that their child has a much easier life if they are told from the beginning about how they were conceived. When children find out that their parents kept something from them for many years, it tends to lead to a loss of trust. With so many people using donor eggs, these days, it’s no longer such an uncommon, strange thing that many people may feel needs to be kept hidden.

New Jodi Picoult novel addresses infertility, frozen embryos

The celebrated American author Jodi Picoult, who wrote My Sister’s Keeper has tackled another subject that women face in modern society, infertility.

The plot of “Sing  You Home” centers around Zoe, who is 40 years old, female and has suffered through several unsuccessful cycles of IVF, divorce, cancer, finding true love with a same sex partner, followed by a court battle over the custody of her frozen embryos and she must also go up against her ex-husband’s powerful church which preaches intolerance.

Read the rest: http://www.seattlepi.com/books/437761_155707-blogcritics.org.html

Washington State: Paid Surrogacy Bill Moves Forward

OLYMPIA — Legislation that would make Washington the seventh state to allow surrogate mothers to be compensated for delivering babies continued its path toward the Senate floor without any changes or amendments in committee, despite Republicans’ best efforts.

Sen. Dan Swecker, R-Rochester, and his conservative counterparts on the Senate’s Government Operations Committee proposed 25 amendments ranging from mundane typographical corrections to the bill that passed through the House to ensuring that the surrogate mother and parents were United States and Washington citizens. All were voted down 4-2 along party lines.
http://www.chronline.com/news/article_4ee4fa2e-5576-11e0-bccc-001cc4c03286.html

NPR: Taming The Twin Trend From Fertility Treatments

Twins, once a rarity to marvel over, are now a common part of American culture, thanks in large part to increased use of reproductive technology. Twins are conceived naturally just 2 percent of the time; for those who get pregnant with fertility treatments the rate is more than 40 percent.

But as adorable as many of us consider twins, this dramatic rise poses serious health risks, and there are mounting efforts to curb it.

Read the article: http://www.npr.org/2011/03/30/134960899/taming-ivfs-twin-trend

Elizabeth Banks welcomes baby boy through surrogacy

Her 30 Rock character Avery Jessup is a new mom – and it turns out Elizabeth Banks is as well.

The actress and husband Max Handelman have welcomed son Felix via gestational surrogate, Banks Tweeted Wednesday.

Read the article: http://www.people.com/people/article/0,,20477493,00.html