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's desire to help people inspired her to participate in the oocyte donation program, because she believes that "good will always be returned with good." It will be nice for the donor to know that thanks to her, another life will be born into the world, perhaps more than one.
The donor is a mother of two children - a 5-year-old girl and a 9-year-old boy. She is married, lives with her children and husband. Her husband is a builder, he travels to different cities of the country for work. Therefore, she is home only on weekends or during vacations. They appreciate every opportunity to spend time together.
She talks about her children with love and warmth. Her children are active, energetic, inquisitive and intelligent. They are sociable, learn new things with interest, and have creative abilities.
The donor's parents are divorced. Each of them has new families. The donor has good, close and trusting relationships with both parents. Her father has always helped, she considers her dad the most reliable, strong, and courageous. Her mother always supports her and understands her. She also has friendly relations with her stepfather. She has a younger sister, whom she is happy to help with understanding and support with advice, stories about her own experiences. The donor believes that their family is friendly, reliable, loving, they all help and support each other.
She recalls her childhood as a secondary school student. She changed schools three times because she moved with her family, this fact, according to the donor, also affected her academic performance. At school, she was initially calm and quiet, but later learned to defend her interests and opinions, to defend herself.
She fondly recalls moments of her childhood. For example, how she and her mother went to live in the village with her grandmother. They lived near the river, ran with friends to her to swim and play, sometimes without warning her mother - for which they later received a "reprimand". They had many children on the street, there was someone to play with, walk with - it was noisy and fun.
After the 9th grade, she entered a vocational school. She studied there better than at school, because it was more interesting, a more conscious choice of direction of study, a new experience of student life - good teachers, new friends, company, interests. In the second year of college, she got married, then her first child appeared. Later, her second was born.
The donor has a secondary specialized education - a seamstress-tailor. She does not work in her professional field, in search of a sphere of her interests and a path to self-realization.
Usually, the donor behaves calmly, balanced. In communication, she is reasonable, logical, and argues her own opinion. The donor gives the impression that she is a sociable, open, and fairly direct person. She is also responsible, purposeful, and persistent. At the same time, the donor is emotional, sensitive, and sensual in relationships with her loved ones.
