This donor has passed a rigorous medical examination to ensure absolute safety. Our screening process includes strict testing for infectious diseases (HIV, Hepatitis B/C, STIs), an evaluation of lifestyle habits, and a general physical assessment. We confirm the donor is currently in excellent health and free from transmissible conditions.
Assess your vision without corrective contact lenses
Do you wear contact lenses or have you had corrective surgery?
If yes, describe a problem:
What is the condition of your teeth?
Have you ever had braces?
Do you use nicotine products?
Do you drink alcoholic beverages?
If yes, how much alcohol do you drink?
Describe your diet
Estimate the level of nutrition:
Do you have allergies?
If yes, describe what exactly you are allergic to:
What is your sexual orientation?
How many children do you have?
Age at the time of the first menstruation:
The interval between menstruation is:
Have there been cases of multiple pregnancies in the family:
Please provide information about your biological relatives (indicate only natural hair and eye color):
Relative
Height, cm
Weight, kg
Eye color
Natural hair color
Primary medical history
Mother:
Father:
Complete the table
Family (which relative has the disease)
Age
Cause of death
Disease
The age at which was diagnosed
| Have you ever been diagnosed with or suspected of having any neurological disease (including dementia or degenerative /demyelinating disease of the CNS or other neurological disease of unknown etiology)? | No |
| Have you or any of your sexual partners ever been diagnosed with or suspected of having West Nile Virus (based on symptoms and/or laboratory results or confirmed WNV viremia), experienced symptoms of WNV infection? | No |
| Have you ever been exposed to known or suspected HIV, Hepatitis B, Hepatitis C infected blood or body fluids through skin inoculation, open wounds, non-intact skin or mucous membranes? | No |
| Have you or any of your sexual partners has had sex in the preceding 12 months with a person known to have HIV, clinically active HBV or clinically active HCV? | No |
| Have you or any of your sexual partner(s) ever received, blood, blood components, blood products, or other human tissues that are known to be possible sources of blood-borne pathogens? | No |
| Have you or your sexual partners been diagnosed with Zika virus in the past 6 months? | No |
| Have you travelled to an area with Zika virus transmission? | No |
| Alcoholism | No |
| Drug addiction | No |
| Alzheimer's disease / dementia before age 60 | No |
| Aneurysm | No |
| Fear / panic attacks | No |
| Attention deficit / hyperactivity disorder | No |
| Autism or Asperger's syndrome | No |
| Bipolar disorder | No |
| Blood coagulation disorders / hemophilia | No |
| Blindness before the age of 50 | No |
| Brain tumor / abnormality | No |
| Breast cancer | No |
| Cerebral palsy | No |
| Non-union of the lip or palate | No |
| Colorectal cancer | No |
| Flat feet | No |
| Depression | No |
| Epilepsy or seizures | No |
| Extra or fused fingers or toes | No |
| Genetic disorders | No |
| Hearing disorders / deafness under the age of 50 | No |
| Heart attack before age 50 | No |
| Heart defect | No |
| Huntington's disease | No |
| Immune disorders | No |
| Kidney defect / disorder / cancer | No |
| Intellectual disability / developmental delay | No |
| Melanoma | No |
| Mental retardation | No |
| Obsessive-compulsive disorder | No |
| Ovarian cancer | No |
| Pancreatic cancer | No |
| Parkinson's disease before the age of 60 | No |
| Pituitary disorder | No |
| Prostate cancer before the age of 50 | No |
| Schizophrenia | No |
| Speech disorders / lisping / stuttering | No |
| Split spine | No |
| Stroke under the age of 50 | No |
| Uterine cancer | No |
| Tourette syndrome | No |
| Vision disorders | No |
| Vitiligo / pigmentation disorders | No |
| Death before the age of 50, including childhood | No |
| Other cancer diagnoses before the age of 50 | No |
| Other congenital defects | No |
| Other health disorders | No |
| Diabetes | No |
| Hypertension | No |
| Rheumatoid arthritis | No |
| Pathology of the thyroid gland | No |
| Endometriosis | No |
“Big Five” personality traits of the Donor
1
Extraversion
2
Emotionality
3
Openness to New Experiences
4
Conscientiousness
5
Agreeableness
A
Psychological assessment of the donor:
She sees participation in the oocyte donation program as mutual aid – she does a good deed for other people who need it, and in return receives financial “thanks” for it, which she also needs now, since she is a mother on maternity leave and has no opportunity to earn money.
The donor is married, she made the decision to start a family at an early age – she was 16 years old when she and her husband got married. She and her husband have a 13-year age difference, her parents dissuaded her from such an early marriage, but she was stubborn and confident in her own choice. Her parents had no choice but to accept her choice. She and her husband have been together for 6 years, she does not regret her decision, they have a positive, friendly, reliable family, they are raising a wonderful son. Her son is almost 2 years old, he is restless, energetic, inquisitive, smart. The donor is actively engaged in his development in a playful way.
She recalls that in childhood she was similar to her son - active, mobile, constantly playing with friends, active walks, socializing. She eagerly studied this world. She had a wide circle of friends, a company of interests, could not sit in one place for a long time, helped her parents with household chores, etc. She studied normally at school, she was most interested in biology and natural sciences. She went in for sports - taekwondo, dancing, volleyball, which, by the way, she still plays with pleasure.
When she decided that she was ready to start her own family, she went to college after the 10th grade and worked, because she had to support herself. She became more balanced, reserved, family-oriented, and homely. After studying and receiving secondary specialized education as a painter-plasterer, she and her husband decided that they were ready to have a child. They had a son. She devoted the most of her time to her work, but after 4 months she returned to maternity leave, realizing how much she missed her son, and how much his mother's care and attention he lacked. Now her family is the closest people with whom she feels warm, comfortable, and safe.
The donor has a brother who is 5 years older than her, who already has his own family and son. They all communicate with each other, have friendly relations, support and help each other. During the war, her parents live with them, so it is easier to cope in these difficult conditions.
Relatives describe the donor as friendly, open, calm and patient. She is always ready to help and support in a difficult situation. Non-conflict, friendly, pleasant to communicate with. Tends to see good and positive traits in people first of all. She is punctual, responsible and conscientious.
