Third party fertility

Frequently Asked Questions

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At the Psychological Evaluation Center of North America (PECNA), we understand that the surrogacy and egg donation journey can be filled with questions and uncertainties. Our goal is to provide you with the knowledge, guidance, and support needed to navigate this process with confidence.

Whether you’re an intended parent, gestational carrier, egg donor, a partnering agency, or a referring clinic, we’ve compiled a list of frequently asked questions to address your concerns and provide clarity about the psychological evaluation process for third-party fertility journeys.
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General FAQs

  • Does PECNA offer remote or in-person evaluations?

    PECNA offers remote evaluations exclusively, conducted via secure online platforms, allowing clients from all 50 states to access our psychological evaluation services without the need to attend in person. Our remote evaluations are designed to provide the same high-quality, comprehensive assessments as in-person sessions, ensuring convenience and flexibility for all patients. Through this approach, we can accommodate clients from any location, providing the support they need without geographical limitations.

  • What qualifications do PECNA psychologists hold?

    PECNA psychologists are highly qualified, holding advanced degrees and specialized training across a range of psychological evaluation fields, including immigration, fitness-for-duty, and other legal and occupational assessments. All PECNA psychologists have earned doctorate-level degrees (Ph.D. or Psy.D.) in psychology, ensuring they possess the expertise needed to handle complex emotional, psychological, and behavioral aspects relevant to each type of evaluation. They are licensed in their respective states and certified by relevant regulatory bodies, adhering to the highest ethical and professional standards.

    In addition to their formal education, PECNA psychologists have extensive training and experience in specialized psychological assessment areas, including immigration evaluations, fitness-for-duty determinations, and trauma-informed assessments. They follow guidelines established by professional organizations such as the American Psychological Association (APA) and American Society for Reproductive Medicine (ASRM), ensuring every evaluation aligns with best practices in mental health care and psychological evaluation.

    By combining their advanced qualifications with a broad understanding of diverse evaluation needs, PECNA psychologists ensure that every assessment is conducted with the highest level of professionalism, empathy, and precision, supporting both clients and their legal or occupational requirements.

  • How soon can we expect results after an evaluation?

    PECNA strives to provide a 48-hour turnaround on evaluation reports to ensure that you receive timely feedback. In most cases, you can expect to receive your results and any recommendations within this timeframe. However, in certain situations where more detailed analysis or additional information is required, it may take up to a week to finalize the report. Our goal is to ensure that the results are thorough, accurate, and tailored to your specific needs, so while we aim for a quick turnaround, we prioritize the quality and completeness of each evaluation.

  • What happens if a client disagrees with the findings of the psychological evaluation?

    If a client disagrees with the outcome of their evaluation, PECNA is committed to open communication and ensuring that all clients fully understand the findings. We are open to discussing the results in detail, offering clarity on the conclusions drawn and the reasoning behind the recommendations. If, after this discussion, a client continues to have concerns or disagrees with the outcome, PECNA is willing to explore additional steps to address those concerns.

    These steps may include offering follow-up sessions to revisit specific aspects of the evaluation or providing additional counseling to explore unresolved issues. In some cases, we may recommend seeking a second opinion from another qualified reproductive psychologist or mental health professional. Our goal is to provide a thorough, transparent, and supportive process, ensuring that all clients feel heard and confident in the path forward, regardless of the evaluation outcome.

  • Can PECNA’s evaluations be used for legal purposes?

    Yes, PECNA’s evaluations can be used in legal contexts to demonstrate psychological readiness for various situations, including immigration cases, fitness-for-duty determinations, and other evaluations where mental health documentation is required. Our comprehensive reports are designed to meet the standards needed for legal proceedings and provide reliable, evidence-based insights.

  • Where does PECNA offer psychological evaluation services?

    PECNA offers secure, HIPAA-compliant telehealth services in California, Hawaii, and all PSYPACT participating states.

    Our PSYPACT service area includes:

    Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, District of Columbia, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

  • What languages do PECNA's clinicians speak?

    Our multilingual clinicians can provide services in Mandarin, Cantonese, Spanish, Thai, Japanese, German, and Farsi, ensuring that each evaluation respects and reflects the client’s language and cultural background.

  • Are psychological evaluations for surrogacy covered by insurance?

    Insurance coverage varies. Please check with your provider to determine if third-party fertility evaluations are covered.

  • What support does PECNA offer post-evaluation?

    PECNA offers comprehensive post-evaluation support to ensure that all clients feel prepared, informed, and emotionally supported throughout the surrogacy or egg donation process. This includes:

    1. Follow-up Consultations: After the evaluation, PECNA provides follow-up consultations to discuss the evaluation results in detail, address any questions or concerns, and offer further guidance as needed. These consultations are an opportunity to ensure that clients fully understand the outcomes and feel comfortable with the next steps.
    2. Ongoing Counseling: PECNA offers ongoing counseling sessions for intended parents, gestational carriers, and donors to help manage the emotional and psychological challenges that may arise during the surrogacy or donation journey. This ongoing support helps clients navigate stress, relationship dynamics, and any unexpected issues that may emerge throughout the process.
    3. Emotional Support: Recognizing that surrogacy and egg donation can be emotionally complex, PECNA provides continuous emotional support for clients at every stage. Whether through individual sessions or joint sessions with other parties involved, PECNA helps clients maintain emotional resilience and offers guidance for handling difficult emotions.
    4. Resources and Referrals: PECNA also provides access to additional resources, such as educational materials and referrals to specialized professionals if needed. If clients require further support in areas outside of emotional counseling, PECNA can refer them to relevant experts, ensuring holistic care throughout the process.

    Through these ongoing services, PECNA remains committed to supporting clients from the initial evaluation to the successful completion of their surrogacy or donation journey, helping to ensure a positive and supported experience.

  • What is a psych evaluation for surrogacy?

    A psychological evaluation for surrogacy is an assessment designed to ensure that gestational carriers are emotionally, mentally, and psychologically prepared for the surrogacy journey. This evaluation typically involves a clinical interview and standardized tests, such as the Personality Assessment Inventory (PAI) or Minnesota Multiphasic Personality Inventory (MMPI). The evaluation explores motivations, emotional readiness, mental health history, and the ability to manage the emotional and relational aspects of surrogacy. It also assesses the gestational carrier’s support system and their understanding of key aspects like prenatal testing, pregnancy reduction, and their role in the surrogacy process.

    The goal is to ensure that the surrogate is fully prepared and capable of handling the emotional demands of carrying a child for another family while maintaining a healthy and positive relationship with the intended parents.

  • What is the Personality Assessment Inventory (PAI) for surrogacy?

    The Personality Assessment Inventory (PAI) is a psychological test used during the surrogacy evaluation process to assess a gestational carrier's emotional and psychological stability. The PAI evaluates various personality traits and mental health factors, such as stress tolerance, anxiety, depression, and interpersonal relationships, to determine whether the individual is well-prepared to handle the emotional complexities of surrogacy.

    For surrogacy, the PAI helps psychologists assess whether a gestational surrogate can manage the emotional demands of carrying a child for another family, navigate relationships with the intended parents, and handle any challenges that may arise during pregnancy. The results of the PAI are combined with clinical interviews to provide a comprehensive picture of the surrogate’s emotional readiness and overall suitability for the role.

Intended Parent FAQs

  • How does the intended parents session differ from typical consultations on third-party reproduction?

    Pre-surrogacy counseling at PECNA is specialized and goes beyond a typical counseling session. It focuses on the unique emotional, psychological, and logistical aspects of third-party reproduction. Unlike general counseling, which addresses broader emotional concerns, pre-surrogacy counseling prepares intended parents for the complexities of working with a gestational carrier. This includes exploring expectations around the surrogacy process, navigating the emotional impact of not carrying the child, managing relationships with the gestational carrier, and preparing for legal and ethical challenges. The session is designed to ensure intended parents are fully informed, emotionally prepared, and ready to engage in a collaborative and supportive relationship with their gestational carrier, while maintaining healthy boundaries throughout the journey.

  • What principles guide the intended parents session at PECNA?

    PECNA's sessions are guided by the American Society of Reproductive Medicine's (ASRM) principles, which emphasize empathy, understanding, and emotional support. ASRM guidelines focus on ensuring the psychological well-being of all parties involved in third-party reproduction, including intended parents, gestational carriers, and donors. The guidelines recommend comprehensive evaluations that assess emotional preparedness, the ability to manage complex relationships, and the importance of informed consent. They also emphasize the need for ongoing psychological support throughout the reproductive journey to address emotional, ethical, and legal challenges that may arise.

  • Can the intended parents session help if we're just starting to consider using a gestational carrier or egg donor?

    Yes, the Intended Parents Session is an excellent opportunity to explore whether using a gestational carrier or egg donor is the right path for you. This session serves as a preliminary discussion where PECNA’s licensed psychologists will guide you through the emotional, psychological, and practical aspects of third-party reproduction. You’ll have the chance to talk about your motivations, expectations, and any concerns you may have regarding working with a gestational carrier or egg donor.

    The session is designed to prepare you for the next steps by helping you understand the unique dynamics involved in these arrangements, such as managing relationships with the carrier or donor, setting boundaries, and navigating the legal, medical, and emotional complexities of the process. It also offers you a space to discuss how these decisions may impact your family and future child.

    By the end of the session, you’ll gain a clearer sense of your emotional readiness, as well as insights into potential challenges and how to approach them, ensuring that you move forward with confidence and preparedness.

  • Is this session only for initial consultations, or can we maintain an ongoing connection with PECNA?

    While the Intended Parent session provides a comprehensive initial consultation, we encourage an ongoing relationship, ensuring continued support throughout your journey.

  • Do both partners need to attend the intended parents session?

    Yes, it is highly recommended that both partners attend the intended parents session. This is essential for fostering a unified understanding and approach toward the surrogacy or egg donation process. By attending together, both partners can openly express their thoughts, concerns, and expectations, ensuring that they are aligned on important decisions. The session also provides an opportunity for both partners to ask questions, address emotional concerns, and ensure they are equally prepared for the journey ahead. Attending together also helps the psychologist assess the dynamics between the couple, offering personalized advice to strengthen emotional readiness and enhance communication throughout the process.

  • What if we have more questions after our initial consultation?

    PECNA strongly encourages ongoing communication and is fully prepared to address any concerns or questions that may arise after your initial consultation. We understand that the journey to surrogacy or egg donation can raise new questions as circumstances evolve, and we are committed to providing you with continuous support and detailed answers throughout your entire journey.

    Ways to Contact for Further Questions:

    • Direct Call: You can reach out to your assigned psychologist or our client support team directly via the contact number provided at the end of your consultation.
    • Email: Send your questions via our website. We aim to respond to all email inquiries within 24 hours.
    • Scheduled Follow-Up Appointments: If your questions require a more detailed discussion, you can schedule a follow-up appointment. This can be done either through our online booking system available on your client portal or by contacting our office directly.
    • Online Client Portal: Access our online client portal at any time to send messages directly to your healthcare team, view appointment notes, and manage your appointments.

    We are here to assist and guide you through every step of your journey, ensuring that you feel confident and well-informed.

  • How long does the intended parents evaluation typically take?

    The session typically lasts around 60-90 minutes, depending on the depth of discussions and specific concerns of the intended parents.

  • Can the intended parents evaluation be done virtually?

    Yes, PECNA offers secure virtual consultations for intended parents. We provide services to parents across the globe who are pursuing surrogacy or egg donation in any of the 50 United States.

  • How should we prepare for the intended parents session?

    Be prepared to engage in an open and honest discussion about your expectations for the surrogacy or egg donation process, including what you hope to achieve and how you envision the journey unfolding. This will involve sharing your motivations for choosing third-party reproduction, whether they stem from personal, medical, or logistical reasons, and how these factors influence your decision. You’ll also have the opportunity to express any concerns you may have, such as the emotional complexities of working with a gestational carrier or donor, managing relationships with involved parties, or navigating the legal and ethical considerations of third-party reproduction. Additionally, it will be helpful to discuss any previous reproductive experiences, such as past fertility treatments, pregnancies, or challenges, and how they have shaped your current decisions and emotional state. This will allow PECNA’s psychologists to gain a holistic understanding of your readiness and provide tailored guidance and support as you move forward.

  • What can we expect during the intended parents evaluation session?

    During the session, PECNA's psychologists will take a personalized and thorough approach to explore your motivations for pursuing third-party reproduction, such as surrogacy or egg donation. They will assess your emotional readiness to embark on this journey, taking into account the unique emotional challenges and expectations you may face as intended parents, donors, or gestational carrier. This includes discussing your feelings about not carrying the pregnancy yourself (if applicable), your ability to build and maintain a healthy relationship with the gestational carrier or donor, and how you envision your role throughout the process. Any specific concerns, such as legal, ethical, or family dynamics, will be addressed to ensure you are fully prepared and confident in moving forward with your reproductive plan. PECNA aims to provide emotional support, resources, and guidance tailored to your individual needs.

  • How does PECNA support intended parents emotionally throughout the process?

    PECNA provides ongoing emotional support and counseling for intended parents, ensuring they feel equipped to navigate the emotional complexities of the surrogacy or egg donation journey. From the initial consultation to post-delivery, PECNA’s licensed psychologists offer personalized support tailored to the unique needs of intended parents. This includes helping intended parents manage feelings of anxiety, uncertainty, or loss of control that can arise when entrusting someone else with the pregnancy. Counseling sessions focus on developing healthy communication strategies with the gestational carrier or donor, addressing concerns about the parent-child bond, and preparing emotionally for the arrival of the baby. PECNA also offers support in processing any unexpected challenges or delays that may occur during the journey. With a focus on compassion and understanding, PECNA ensures intended parents have access to continuous guidance and a safe space to explore their emotions, while remaining emotionally resilient and informed at each stage of the process.

  • Does PECNA work with intended parents who are pursuing surrogacy without an agency?

    Yes, PECNA works with intended parents who are pursuing surrogacy independently, without the involvement of an agency. We understand that some intended parents prefer to manage their surrogacy journey on their own, and we provide the same expert psychological evaluation services to ensure that all parties are emotionally prepared and informed.

    PECNA offers comprehensive psychological evaluations for both the intended parents and the gestational carrier, helping to ensure a successful and smooth surrogacy process. Our team is experienced in supporting independent surrogacy arrangements and will guide you through the evaluation process, offering personalized feedback and recommendations based on ASRM guidelines. Whether you are working with an agency or independently, PECNA is committed to providing the psychological support and evaluations necessary for a positive surrogacy journey.

Gestational Carrier FAQs

  • What is a gestational surrogate psychological assessment?

    A gestational surrogate psychological assessment is a comprehensive evaluation designed to assess the mental, emotional, and psychological readiness of potential gestational surrogates. This evaluation ensures that gestational surrogates are well-prepared for the unique challenges they may face throughout the surrogacy journey. PECNA's trained reproductive psychologists conduct these assessments to determine whether the gestational surrogate is emotionally equipped to handle the complex physical and emotional responsibilities of carrying a child for intended parents.

    During the assessment, several key areas are explored, including the gestational surrogate's motivations for becoming a gestational surrogate, her understanding of the medical and legal aspects of surrogacy, and her expectations for the surrogacy process. The psychologist will also assess the gestational surrogate's emotional stability, support system, and ability to manage potential stressors, such as navigating the relationship with intended parents, medical procedures, and the emotional complexities of carrying a child for someone else.

    The evaluation will also explore the gestational surrogate’s attitudes toward issues such as the relinquishment of the child after birth, communication with the intended parents, and any potential emotional challenges she may encounter during and after the pregnancy. This ensures that gestational surrogates fully understand the emotional and psychological demands of the journey and are prepared to cope with these challenges in a healthy and supportive environment.

    In addition to assessing the gestational surrogate’s current mental health and emotional readiness, PECNA's psychologists may explore her past experiences with pregnancy, relationships, and family dynamics to ensure she has the emotional resilience needed for surrogacy. The overall goal is to safeguard the well-being of both the gestational surrogate and the intended parents, ensuring a smooth and successful journey for everyone involved.

  • How does a gestational carrier psychological evaluation differ from a traditional psychological assessment?

    Gestational carrierpsychological evaluations differ from traditional psychological assessments in that they focus specifically on the unique psychological aspects related to surrogacy. While traditional psychological assessments may broadly evaluate mental health and emotional well-being, gestational carrier evaluations delve into surrogacy-specific concerns, such as the emotional impact of carrying a child for another person and the potential complexities that may arise from this arrangement.

    One key difference is the focus on the gestational carrier’s understanding of the emotional, ethical, and legal responsibilities involved in surrogacy. Unlike traditional assessments, gestational carrier evaluations emphasize how the gestational carrier feels about carrying someone else’s child, her ability to manage any emotional attachment to the baby, and her preparedness for relinquishing the child after birth. These assessments also explore how the gestational carrier envisions her relationship with the intended parents, including communication preferences and the ability to maintain healthy boundaries throughout the pregnancy.

    Additionally, gestational carrier evaluations assess the gestational carrier’s support system, which is crucial during the surrogacy journey. This evaluation explores whether the gestational carrier has family members or close friends who are supportive of her decision, which can greatly impact her emotional well-being during pregnancy.

    Furthermore, while traditional psychological assessments often focus on diagnosing mental health conditions, gestational carrier evaluations are more centered on ensuring that the gestational carrier is emotionally resilient, stable, and capable of handling the specific challenges of surrogacy. This includes the gestational carrier’s ability to cope with medical treatments, navigate potential emotional stress, and manage relationships with the intended parents.

    In essence, gestational carrier evaluations are designed to ensure that the gestational carrier is fully aware of and emotionally prepared for the surrogacy journey, whereas traditional psychological assessments may focus on broader mental health concerns without the surrogacy context.

  • Why does a gestational carrier need a psychological evaluation?

    A psychological evaluation is a critical step in the surrogacy process to ensure that a potential gestational carrier is emotionally, mentally, and psychologically prepared for the unique challenges of carrying a child for someone else. The evaluation serves several key purposes, including assessing the gestational carrier's emotional readiness and stability, her understanding of the surrogacy process, and her ability to manage the complex emotions that may arise during and after the pregnancy.

    Surrogacy can be an emotionally demanding experience, as the gestational carrier must navigate not only the physical aspects of pregnancy but also the emotional bonds that may form. A psychological evaluation helps ensure that the gestational carrier is capable of maintaining healthy emotional boundaries with the intended parents and is prepared to manage the relinquishment of the child after birth. The evaluation also assesses whether the gestational carrier has a strong support system in place—such as family and friends—who can provide emotional support throughout the journey.

    Additionally, surrogacy involves numerous medical procedures and legal agreements, and a psychological evaluation ensures that the gestational carrier fully understands these commitments and is prepared to follow through with them. It helps identify potential emotional stressors that could arise during the process and provides tools to help the gestational carrier manage any psychological or emotional challenges.

    Ultimately, the psychological evaluation helps protect the well-being of both the gestational carrier and the intended parents. It ensures that the gestational carrier is entering the process with full awareness and confidence, and that she is emotionally prepared for all aspects of the journey, creating a smoother and more successful experience for everyone involved.

  • Who administers gestational carrier psychological assessments?

    Gestational carrier psychological assessments are administered by highly qualified, licensed psychologists or mental health professionals who specialize in reproductive psychology and third-party reproduction. These professionals are trained to understand the unique emotional, psychological, and relational challenges that come with surrogacy. At PECNA, all assessments are conducted by doctorate-level clinicians with extensive experience in evaluating the emotional readiness of gestational carriers.

    These professionals use a combination of specialized tools, such as standardized psychological tests and in-depth interviews, to assess various aspects of the gestational carrier’s emotional and mental well-being. The interviews explore her motivations for becoming a gestational carrier, her understanding of the medical and emotional demands of the surrogacy process, and her preparedness to navigate complex relationships with intended parents. They also assess her emotional resilience and ability to cope with potential challenges that may arise during pregnancy and after the child’s birth.

    Additionally, psychologists evaluate the gestational carrier’s support system—such as family and friends—ensuring that she has the necessary emotional backing throughout the surrogacy journey. The assessment may include personality tests or mental health screenings to provide a comprehensive understanding of the gestational carrier’s emotional stability and readiness for the surrogacy process.

    These evaluations are not just about determining whether a gestational carrier is “qualified,” but also about ensuring that she is emotionally supported, well-informed, and capable of maintaining a healthy, positive experience for herself and the intended parents. The expertise of these professionals ensures that all parties involved are well-prepared and that the surrogacy journey is a safe, positive, and successful experience.

  • How is the privacy of an individual undergoing a gestational carrier assessment safeguarded?

    PECNA adheres to strict privacy laws, including the Health Insurance Portability and Accountability Act (HIPAA), to ensure that all personal and evaluation-related information remains fully confidential. We utilize a secure, HIPAA-compliant electronic health records (EHR) platform, where all client data is securely stored and encrypted. This platform ensures that only authorized personnel have access to your information, and it allows us to manage records in a secure, streamlined manner. Information is only shared with third parties, such as gestational carriers, egg donors, or referring clinics when explicit consent is provided by the client. Whether conducting evaluations in person or remotely, PECNA is committed to safeguarding your privacy at every step, providing peace of mind that your sensitive information is protected.

  • What is the process for conducting a gestational carrier psychological assessment?

    The gestational carrier psychological assessment is a comprehensive process designed to evaluate a potential gestational carrier's emotional and mental readiness for the surrogacy journey. The process includes a combination of personality assessments and in-depth interviews to ensure she is well-prepared for the physical, emotional, and psychological demands of surrogacy.

    1. Personality Assessments:
      As part of the assessment, gestational carriers may be asked to complete standardized psychological tests that measure personality traits and emotional stability. One commonly used test is the Minnesota Multiphasic Personality Inventory (MMPI), which helps assess mental health and detect any underlying psychological issues. Another frequently administered test is the Personality Assessment Inventory (PAI), which evaluates emotional functioning, personality traits, and potential areas of concern. These tests help the psychologist determine if the gestational carrier is emotionally resilient and well-suited for the complexities of surrogacy.
    2. In-Depth Interviews:
      The psychologist will conduct one or more interviews with the gestational carrier to explore her motivations for becoming a gestational carrier, her understanding of the surrogacy process, and her ability to maintain healthy boundaries with the intended parents. The interviews will also address how the gestational carrier envisions her role throughout the pregnancy, her thoughts on relinquishing the child after birth, and her emotional preparedness for any challenges that may arise. Additionally, the psychologist will discuss the gestational carrier’s communication preferences with the intended parents and explore any concerns she might have about the process.
    3. Support System Evaluation:
      An important part of the assessment is evaluating the gestational carrier’s support system. The psychologist will explore whether the gestational carrier has a strong network of family and friends who support her decision to become a gestational carrier, which is crucial for her emotional well-being during the surrogacy process.
    4. Final Feedback and Recommendations:
      After the assessment is complete, the psychologist will provide detailed feedback to the gestational carrier and, if applicable, the agency or intended parents. This feedback will include an assessment of her emotional readiness, any potential areas of concern, and recommendations for additional support or counseling if needed. The goal of the process is to ensure that the gestational carrier is fully informed, emotionally prepared, and capable of managing the physical and emotional demands of the surrogacy journey.
  • What if I fail my gestational carrier psychological evalutation?

    It's important to understand that there is no "pass" or "fail" when it comes to a gestational carrier psychological evaluation. The evaluation is designed to assess your emotional readiness and ensure that you are fully prepared for the unique challenges of surrogacy. If concerns arise during the evaluation, it doesn’t mean that you’ve “failed”—it simply indicates that certain areas may need further attention before moving forward in the surrogacy process.

    If the psychologist identifies concerns about your emotional well-being, mental health, or readiness for surrogacy, PECNA will provide you with detailed feedback and guidance on the next steps. This might involve recommending additional counseling, education, or support to help you better prepare for the emotional and psychological demands of surrogacy. You may be referred for further evaluation or therapy to address specific concerns, such as managing stress, understanding the complexities of surrogacy, or strengthening your support network.

    The goal of the evaluation is to ensure that both you and the intended parents have a positive, healthy, and emotionally secure surrogacy experience. Addressing any concerns upfront helps protect your well-being and ensures that everyone involved is well-prepared for the journey ahead. After receiving additional support or completing any recommended steps, you may have the opportunity to re-assess your readiness for surrogacy.

    Ultimately, the evaluation is meant to support you, not judge or disqualify you, and PECNA will work closely with you to ensure you are emotionally and mentally prepared for the surrogacy process.

  • Do I have to travel for my gestational carrier psychological evaluation?

    No, travel is not necessary. PECNA provides remote psychological evaluations for gestational carriers through secure video conferencing platforms in all 50 U.S. states.

  • How long does a gestational carrier psychological evaluation typically take?

    The evaluation typically takes 1-2 hours, depending on the complexity of the case and the depth of the discussions.

  • What happens after the psychological evaluation is completed for gestational carriers?

    After the gestational carrier’s psychological evaluation is completed, PECNA will provide detailed feedback to both the gestational carrier and, with the gestational carrier’s consent, the intended parents. This feedback helps ensure transparency and alignment for everyone involved, fostering trust and clarity as the surrogacy journey moves forward.

    The feedback will include an assessment of the gestational carrier’s emotional readiness, her ability to handle the demands of surrogacy, and her psychological suitability for the process. It also highlights any specific recommendations, such as continued counseling or additional support, if necessary. PECNA’s goal is to ensure that the gestational carrier is fully prepared for the emotional, psychological, and relational aspects of surrogacy, promoting a healthy and successful experience for all parties.

    If the gestational carrier is deemed ready to proceed, the feedback will reflect this, and the process can continue to the next steps, including legal agreements, medical procedures, and planning the pregnancy. Should any concerns arise, the psychologist will offer guidance on how to address those concerns, whether through additional counseling or further evaluations.

    Overall, the post-evaluation feedback process ensures that the gestational carrier and intended parents have a shared understanding, creating a supportive and informed environment as they embark on the surrogacy journey together.

  • What is the MMPI for surrogacy?

    The Minnesota Multiphasic Personality Inventory (MMPI) is a psychological assessment used during the surrogacy evaluation process to assess the emotional and psychological health of gestational carriers. The MMPI is a comprehensive tool that evaluates various aspects of mental health, including personality traits, stress management, and potential emotional challenges. It helps identify any underlying psychological conditions that might affect a gestational surrogate's ability to manage the emotional complexities of carrying a child for another family.

    In the context of surrogacy, the MMPI is used to ensure that the surrogate is emotionally stable, capable of handling the demands of pregnancy, and prepared to maintain a healthy relationship with the intended parents. The results provide valuable insights that help determine whether a surrogate is well-suited for the surrogacy process.

  • What questions are asked in a psych evaluation for surrogacy?

    During a psychological evaluation for surrogacy, several key areas are explored to ensure the gestational carrier is emotionally and mentally prepared. Questions typically cover the following topics:

    1. Motivations for Becoming a Gestational Surrogate:
      • Why do you want to be a gestational carrier?
      • What are your expectations for the surrogacy process?
    2. Emotional Readiness:
      • How do you feel about carrying a child for another family?
      • How do you plan to handle the emotional challenges, including separating from the baby after birth?
    3. Support System:
      • Who will provide you with emotional support throughout the pregnancy?
      • How do your family and close friends feel about your decision to become a surrogate?
    4. Medical and Pregnancy History:
      • Have you experienced any emotional challenges in previous pregnancies?
      • Do you have a history of mental health issues, such as depression or anxiety?
    5. Relationship with Intended Parents:
      • How comfortable are you with establishing a relationship with the intended parents?
      • What are your expectations regarding communication during and after the pregnancy?
    6. Legal and Ethical Considerations:
      • How do you feel about important decisions like prenatal testing, pregnancy reduction, or termination?
      • Are you prepared to follow the legal and ethical guidelines of the surrogacy arrangement?

    The evaluation ensures that the gestational carrier is well-prepared for the emotional, psychological, and relational aspects of the surrogacy process, helping to foster a positive experience for both the surrogate and intended parents.

Egg Donor FAQs

  • What is the purpose of an egg donor psychological evaluation?

    The evaluation assesses psychological well-being, motivations, and suitability of potential donors, ensuring a safe and informed donor selection process.

  • How long does the egg donor evaluation session typically last?

    The session usually lasts between 40 to 60 minutes, depending on the complexity of discussions.

  • Will the results of my egg donor evaluation be shared with me?

    Yes, the primary findings and recommendations will be shared with you to guide your decision-making process.

  • How does PECNA ensure the privacy and confidentiality of the egg donor's information?

    PECNA adheres to strict privacy laws, including the Health Insurance Portability and Accountability Act (HIPAA), to ensure that all personal and evaluation-related information remains fully confidential. We utilize a secure, HIPAA-compliant electronic health records (EHR) platform, where all client data is securely stored and encrypted. This platform ensures that only authorized personnel have access to your information, and it allows us to manage records in a secure, streamlined manner. Information is only shared with third parties, such as gestational carriers, donors, or referring clinics, when explicit consent is provided by the client. Whether conducting evaluations in person or remotely, PECNA is committed to safeguarding your privacy at every step, providing peace of mind that your sensitive information is protected.

  • What qualifications do PECNA psychologists have to conduct psychological evaluations for egg donors?

    All PECNA psychologists are highly trained, doctorate-level clinicians specializing in reproductive psychology. They bring a wealth of experience in conducting thorough psychological evaluations for egg donors, ensuring the highest standards of care. PECNA’s psychologists follow the guidelines set forth by the American Society of Reproductive Medicine (ASRM), which emphasize the importance of assessing a donor's emotional well-being, motivations, and readiness for the egg donation process. The ASRM guidelines recommend that psychologists evaluate the donor’s understanding of the medical procedures, legal obligations, and potential emotional challenges involved in egg donation. These evaluations ensure that donors are fully informed, emotionally prepared, and capable of making autonomous decisions regarding their participation in the donation process. PECNA's evaluations aim to protect the well-being of both the donor and the intended parents, ensuring that all parties are emotionally supported and informed throughout the journey.

  • How should I prepare for my egg donor psychological evaluation?

    Be prepared to engage in a thoughtful discussion about your motivations for becoming an egg donor. This could include personal, altruistic, or financial reasons, and how these motivations have shaped your decision to donate. You will also be asked to reflect on any past experiences that may be relevant, such as previous donations, fertility treatments, or significant medical or emotional experiences that could impact your readiness to proceed. Additionally, you’ll be encouraged to outline your expectations regarding the donation process itself. This includes your understanding of the medical procedures involved, the potential emotional impact of the donation, and how you envision your role moving forward, particularly in cases where intended parents or offspring may wish to contact you in the future. Reflecting on these aspects before the evaluation will help you articulate your thoughts clearly, and it will allow PECNA’s psychologists to provide tailored guidance and ensure that you are emotionally prepared and fully informed. This preparation will also contribute to a smoother evaluation, enabling the psychologist to address any concerns you may have about the process.

  • What topics are discussed during an egg donor psychological evaluation?

    During an egg donor psychological evaluation, PECNA’s psychologists will discuss a range of important topics to ensure that you are fully prepared for the donation process, both emotionally and mentally. The evaluation will begin with an exploration of your motivations for donating eggs, whether they stem from personal, altruistic, or financial reasons, and how you feel about the impact your donation could have on intended parents. The psychologist will also assess your understanding of the medical procedures involved in egg donation, such as hormone treatments, egg retrieval, and any potential side effects or risks.

    In addition, the evaluation will delve into your emotional readiness, including your ability to manage the psychological aspects of the donation process. This may include discussing your feelings about the anonymity (or lack thereof) of the donation, any future contact from the child or intended parents, and your expectations around the outcomes of the donation. The psychologist may ask how you envision your role moving forward and explore whether you are comfortable with the potential for future updates or relationships with the intended parents or child.

    Other areas of discussion may include how your family or close support network views your decision to donate, and how their support may influence your emotional journey. PECNA also addresses how donors may react to future developments, such as knowing a child has been born from their donation, and provides resources to help you process these emotions. The overall goal of the evaluation is to ensure you feel confident, informed, and emotionally prepared for every aspect of the donation experience, allowing you to move forward with clarity and assurance.

  • How often do egg donors need to undergo evaluations?

    Typically, an egg donor is evaluated once per donation cycle, but follow-up evaluations may be recommended if necessary.

  • What are the next steps if the evaluation reveals concerns about an egg donor’s readiness?

    If the psychological evaluation reveals any concerns about the donor's readiness, PECNA will provide detailed feedback, explaining the specific areas of concern. The psychologist will discuss these concerns with the donor in a supportive and non-judgmental manner, ensuring that the donor understands why these factors are important for a successful and positive egg donation experience. Common areas of concern might include emotional preparedness, understanding of the process, or potential psychological challenges that the donor may face during or after the donation.

    Following this discussion, the donor may be referred for additional counseling or support services to address the identified concerns. This could involve meeting with a counselor to explore emotional challenges, attending sessions that provide further education about the egg donation process, or receiving guidance on managing expectations and potential outcomes. The goal of these referrals is to ensure that the donor feels fully informed, emotionally supported, and confident before proceeding with the donation.

    PECNA's top priority is the well-being of both the donor and the intended parents, so it’s important that the donor is in the right emotional and psychological state before continuing. After completing the additional support or counseling, the donor may have the opportunity to undergo a follow-up evaluation to reassess their readiness. PECNA ensures that donors have access to all the resources they need to feel empowered and well-prepared for the journey ahead.

Joint Session FAQs

  • Why is a joint session necessary?

    A joint session is necessary to bring together all parties involved in the surrogacy process—intended parents, gestational carriers, and their support networks—to ensure open communication, align expectations, and address any concerns in a collaborative environment. These sessions are essential for establishing clear roles, boundaries, and relationships early on, promoting transparency and trust throughout the journey. The American Society for Reproductive Medicine (ASRM) specifically recommends joint counseling sessions as part of its guidelines for third-party reproduction. ASRM emphasizes the importance of joint discussions to ensure that all parties understand their emotional and psychological commitments and are prepared for the unique challenges and dynamics that can arise.

  • When does the joint session typically take place?

    A joint session typically takes place after each party—whether the intended parents and gestational carrier—has completed their individual psychological evaluations. This ensures that everyone comes to the session with a full understanding of their role and has had the chance to address any individual concerns or uncertainties in a private setting. Once individual assessments have confirmed that all participants are emotionally and mentally ready to proceed, the joint session is scheduled. By holding the joint session at this stage, it allows all parties to come together with a clear mindset, focused on working collaboratively toward a successful surrogacy or egg donation experience.

  • Who attends the joint session?

    The joint session typically includes the intended parents, the gestational carrier, and their respective partners or support persons, if applicable. Additionally, professionals who are overseeing the arrangement, such as agency representatives, reproductive psychologists, or legal advisors, may attend to facilitate the session and ensure that all necessary topics are covered. The inclusion of support persons and professionals ensures that all parties are fully supported and that any issues or questions that arise can be addressed immediately by those with the necessary expertise. The participation of all key stakeholders in the session helps create a cohesive, supportive team dynamic, ensuring that everyone is on the same page as they move forward in the process.

  • What topics are discussed in a joint session?

    The joint session covers a wide range of topics that are essential for establishing clear expectations and ensuring a successful surrogacy or egg donation journey. Common discussion points include each party’s roles and responsibilities, communication preferences (such as how often and in what ways they will stay in touch during the process), and how they envision their relationship evolving throughout the pregnancy and beyond. The session also provides a space to address any concerns or unresolved questions that may have emerged during the individual evaluations. Ethical considerations, emotional boundaries, legal aspects, and the logistical details of the surrogacy or donation process are often part of the conversation as well. By covering these topics, the joint session aims to create a shared understanding and ensure that everyone feels confident and supported as they move forward together.

  • What if conflicts arise during a joint session?

    Joint sessions are designed to provide a safe and supportive environment for open communication, including the discussion of any potential conflicts or disagreements that may arise. If conflicts do occur during the session, the professionals facilitating the session—typically reproductive psychologists or mediators—will guide the conversation toward finding mutually beneficial solutions. These professionals are trained to help parties express their concerns constructively and work through any emotional or practical issues that may emerge. The goal is to ensure that all parties feel heard and respected, and that conflicts are addressed early on to prevent misunderstandings or tension later in the process. By resolving conflicts in a joint session, participants can move forward with a clearer sense of mutual understanding and trust, fostering a smoother and more cooperative journey for everyone involved.

  • Can we have more than one joint session?

    Yes, multiple joint sessions can be scheduled throughout the journey, especially during pregnancy and post-delivery, to ensure open communication.

FAQs for Referring Agencies

  • How can my surrogacy or egg donation agency work with PECNA?

    Referring agencies can collaborate with PECNA to provide their clients with expert psychological evaluations specifically tailored for surrogacy and egg donation.

    We encourage agencies to request an initial meeting with PECNA to discuss your agency’s specific needs, review the evaluation process, and outline how we can best support your clients. During the meeting, we can coordinate logistics, establish communication protocols, and address any questions or concerns the agency may have regarding the evaluation process. To schedule a meeting, please visit https://calendly.com/dri-pecna/partnership-meeting-with-pecna

    Alternatively, you may visit our website and click the "Refer a Patient" button to submit your client's information directly. This online submission form makes it easy to refer clients for evaluations, allowing us to promptly begin the process.

    If you have any questions about our referral process, please contact us and we will be happy to assist you!

     

  • What information do referring agencies need to provide to PECNA?

    Agencies should provide client details, including medical and reproductive history, to support the psychological evaluation process.

  • Does PECNA offer feedback to referring agencies after evaluations?

    Yes, PECNA provides detailed feedback to referring agencies after evaluations to ensure seamless communication and ongoing support for both clients and agencies. Our feedback includes an in-depth, comprehensive report that not only addresses the psychological assessment findings but also offers personalized recommendations to ensure the success of the surrogacy or egg donation process.

    PECNA's evaluation reports go beyond the basic requirements and exceed the guidelines set forth by the American Society for Reproductive Medicine (ASRM). This ensures that agencies and their clients receive thorough insights into the psychological readiness and emotional preparedness of gestational carriers, donors, and intended parents. By providing such detailed feedback, we help referring agencies stay informed and fully aligned with the evaluation process, promoting the best possible outcomes for all parties involved.

  • How quickly can PECNA schedule evaluations after a referral is made?

    PECNA strives to offer next-day appointments whenever available to ensure timely access to psychological evaluations. However, the exact timing of the appointment will depend on the availability of the patient and other scheduling factors. In some cases, it may take 1-2 weeks to finalize an appointment based on the client's and psychologist’s schedules.

    We understand the importance of moving quickly in the surrogacy and egg donation process and will do our best to accommodate urgent requests and coordinate with clients to ensure that evaluations are scheduled as promptly as possible. Once the referral is received, our team will reach out to arrange the soonest available appointment that aligns with the patient’s availability.

  • Does PECNA provide post-evaluation support for agency clients?

    Yes, PECNA offers continued emotional support and follow-up sessions for agency clients, ensuring that they are well-prepared for the next steps in their surrogacy or egg donation journey. We understand that ongoing emotional support is crucial for both gestational carriers, donors, and intended parents, and we are committed to providing this care beyond the initial evaluation.

    In addition to individual follow-up sessions, PECNA also offers optional post-evaluation support packages. These packages are designed to provide ongoing emotional care and guidance throughout the surrogacy or egg donation process. They include additional counseling sessions, check-ins at key milestones, and resources to help manage any emotional challenges that may arise.

    By offering these customizable packages, agencies can ensure that their clients receive consistent, high-quality psychological support from PECNA, helping to promote a smoother and more emotionally secure journey for all parties involved.

FAQs for Referring Clinics

  • How do fertility clinics benefit by referring their third-party fertility patients to PECNA?

    Fertility clinics benefit greatly from PECNA’s expert psychological evaluations, as they ensure that patients are not only physically ready for third-party fertility treatments but also emotionally and psychologically prepared for the challenges that can arise during surrogacy or egg donation. PECNA’s evaluations assess the emotional resilience, mental well-being, and readiness of both intended parents and gestational carriers or donors, helping clinics ensure that their patients are entering the process with a strong emotional foundation. This support minimizes potential emotional complications and enhances the overall success of third-party fertility treatments.

    By partnering with PECNA, clinics can offer their patients a comprehensive approach that prioritizes both physical and emotional health, helping to create a more supportive, positive, and successful fertility experience. PECNA’s in-depth reports, which exceed ASRM guidelines, provide valuable insights that clinics can integrate into their treatment plans, ensuring patients receive the holistic care they need at every step of their fertility journey.

  • How can fertility clinics refer their third-party fertility patients to PECNA?

    While some clinics may be able to directly refer patients to PECNA for psychological evaluations, most clinics typically provide PECNA as a recommended resource rather than a direct referral. In these cases, patients are given PECNA’s information and encouraged to contact us to schedule their evaluations independently.

    For clinics that can provide direct referrals, you can either request an initial meeting with PECNA to discuss the specific needs of your patients and establish communication protocols, or direct your patients to use the "Refer a Patient" option on our website. This allows clinics to easily provide PECNA as a trusted evaluation partner for their third-party fertility patients, ensuring they receive expert psychological assessments that support the overall success of their fertility treatments.

  • Can fertility clinics receive psychological evaluation reports for their third-party fertility patients?

    Yes, PECNA shares comprehensive evaluation reports with referring clinics to ensure seamless integration with the clinic’s treatment plans. Our in-depth psychological evaluations go beyond standard assessments, providing a thorough analysis of the emotional and psychological readiness of intended parents, gestational carriers, or donors. These reports exceed the guidelines set by the American Society for Reproductive Medicine (ASRM), offering valuable insights into the patient’s mental and emotional preparedness for third-party fertility treatments.

    By receiving these detailed reports, clinics can better tailor their treatment plans to the unique emotional needs of their patients, ensuring that both the physical and psychological aspects of the fertility journey are addressed. PECNA works closely with clinics to ensure that all reports are shared promptly and in a format that supports the clinic’s workflow, helping to enhance the overall success of the fertility process.

  • How does PECNA integrate with the treatment protocols of your fertility clinic?

    PECNA works closely with referring clinics to ensure that our psychological evaluations align seamlessly with the clinic’s broader treatment plan, supporting the clinic’s objectives and enhancing the overall care provided to patients. Our in-depth psychological assessments provide valuable insights into the emotional and psychological readiness of intended parents, gestational carriers, and egg donors, helping clinics address not only the physical aspects of fertility treatments but also the emotional and mental health of their patients.

    PECNA’s evaluations are tailored to fit within the clinic’s treatment timeline, ensuring that psychological assessments are completed at the appropriate stages of the fertility process. We coordinate closely with clinic teams to ensure that our reports and recommendations are shared promptly, allowing clinics to incorporate our findings into their treatment protocols without delay.

    By collaborating with PECNA, clinics can offer a more comprehensive, holistic approach to fertility care that prioritizes both the emotional and physical well-being of patients. This integrated approach helps improve treatment outcomes, fostering a supportive and well-rounded fertility experience for all parties involved.

  • Can PECNA collaborate with our fertility clinic's in-house counselors?

    Yes, PECNA is fully capable of collaborating with a clinic’s in-house counselors or mental health professionals to provide a comprehensive and holistic approach to patient care. By working together, PECNA and the clinic’s counselors can ensure that patients receive well-rounded emotional and psychological support throughout their fertility journey.

    This collaboration allows for seamless integration of PECNA’s in-depth psychological evaluations with the ongoing counseling or mental health services provided by the clinic. We can share our findings and recommendations with the clinic’s counselors, enabling them to tailor their support based on the unique psychological profiles and emotional needs of each patient. Together, we can address any emotional challenges that may arise during the surrogacy or egg donation process, ensuring that patients feel supported every step of the way.

    By combining PECNA’s expertise in reproductive psychology with the clinic’s in-house counseling services, patients benefit from a coordinated care experience that prioritizes their mental and emotional well-being alongside their physical treatment plan.

  • What is PECNA’s process for handling urgent evaluations from fertility clinics?

    PECNA prioritizes urgent referrals from clinics and can expedite the evaluation process to meet immediate needs. For urgent cases, we offer next-day telehealth appointments, allowing patients to be evaluated as quickly as possible. Additionally, PECNA strives to provide a 48-hour turnaround on evaluation reports, ensuring that clinics receive timely feedback to seamlessly incorporate into their treatment plans.

    Our team is dedicated to supporting clinics with urgent requests by fast-tracking both the evaluation and reporting processes, helping to minimize delays in patient care. Whether it’s for intended parents, gestational carriers, or egg donors, PECNA is equipped to accommodate urgent evaluations while maintaining the same high standards of thoroughness and professionalism.

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