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 learned about the oocyte donation program from an advertisement on a social network. She recalls the story of a loved one who did not have children for medical reasons. Therefore, she would like to help people who want to become parents.
The donor is married, has two children - a son and a daughter. The son is calm, vulnerable, sensitive. He is interested in mathematics, smart and inquisitive in his studies. The daughter is more like her - sociable, emotional, energetic.
The donor's parents are now far away, the war scattered everyone to different corners of the country. The donor misses them, she misses live communication with them.
The donor's mother is a leader, a born leader, like the donor. The mother is strict, demanding, but fair, kind, loving.
The donor's dad is calm, soft-spoken. He sees the positive, the good in everything first of all. If something happens, the donor will choose to turn to his dad, he will calm down, understand, help calmly resolve the situation.
The donor has a large family - she has two sisters and a brother. They are already adults, have their own families, children. The donor is the youngest child in the family.
In childhood, she was capricious, insisted on her own, sought to get what she wanted. She played football, where she could show all her leadership, strong-willed, fighting qualities. Sociable, emotional, direct and open in communication. Excellent at school, her favorite subject is mathematics. At the age of 11, she moved to a sports boarding school. Sport is the main thing in her life, every day she trains, frequent competitions, training camps. She was a member of the Ukrainian women's football team, has the title of Candidate for Master of Sports.
After a leg injury, she decided to leave professional sports. She studied at a school where she was also an excellent student, an active, responsible, conscientious student. She became independent early on, started earning her first money.
In her last year of school, the donor got married, started a family, and soon a child was born.
She has a secondary specialized education - a baker and confectioner. She currently works as a seller in a supermarket, she prefers working with people, in the service sector.
She calls her speciality emotionality, straightforwardness, honesty.
She considers the ability to keep the whole family together an achievement - she knows how to organize everyone, unite them around a common goal. She explains to her children that they are the closest people to each other.
She dreams of buying her own home for her family, because they lost theirs during the occupation.
The donor gives the impression of a positive, pleasant, sincere person. She is direct and open in communication. Smiling, talkative. She behaves like a responsible, punctual, conscientious person. She is purposeful, strong-willed, independent and confident in her own abilities. She is strong-willed, can defend her own boundaries and principles. But she is a kind, sensitive, caring and loving mother.
