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:
The donor decided to participate in the oocyte donation program because it is one of the ways to receive financial compensation to support herself and her family. Her youngest child is still small, she's unable to work full-time, and it takes a lot of money when you have a family and two children. Also, the donor underwent a comprehensive examination to participate in the program and made sure that she is healthy. Why not share it with others.
In a civil marriage, the donor is raising two daughters. The eldest daughter is 9 years old, her father left them immediately at birth, so she raised her alone. And she is very grateful to her parents for their help and support. The youngest girl is 1.5 years old, she's their common child with her civil husband. Her girls are active, inquisitive, stubborn, always get what they want. But at the same time, they are cheerful, kind, and sociable.
The donor's parents have been together since school. The father is a military man, the mother is currently a housewife, taking care of her grandfather. They have always worked hard for the family and achieving a better life. For the donor, her parents are a model of good relationships, love, mutual understanding and respect. Also, her parents are a reliable support for her, she always feels confident in them, in their understanding. The parents are kind, calm, caring.
The donor has a younger sister who graduated from school, has her own vision of life and future plans. The donor respects her position.
The donor says that in childhood she was an active, sporty and inquisitive child. She was engaged in gymnastics and volleyball. Constant competitions, performances, contests. She likes to perform creative tasks. She's persistent, stubborn, hardworking and strong-willed. She studied well, she managed to study easily and with interest. She's sociable, direct, easily finds a common ground with others. She likes to take the position of an organizer, a leader. If she likes or wants something, she will achieve it.
After the 9th grade, the donor entered college. At 16, she became pregnant, so her studies had to be postponed. When her daughter was 5 years old, the donor entered evening school, finished 10th and 11th grades in a year, and entered university. She believes that education is mandatory, that it helps to develop and achieve the goals set. She's studying in the field of "Physical Education and Sports". She strives to occupy leadership positions, to be a person who can interest others, lead them, organize them. The donor always produces different ideas, sets a goal for herself, towards which she moves.
She has a dream of organizing a modern children's sports studio.
The donor considers her achievements to be strong, independent, hardworking, and receiving higher education for further development and a better job.
The donor is positive, optimistic about life, confident in her own abilities, and able to defend her own opinion. She is responsible, hardworking, and prudent. She's a creative person, artistic, inquisitive, and energetic.
