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. In addition, it is helping others, “some limitations or health problems can happen to anyone, it is good that I can help someone.”
In a civil marriage, the donor raises a 4-year-old son, who is an active boy, plays football and attends developmental classes. He is sociable, talkative, energetic, inquisitive and cheerful.
The donor’s father died when she was 10 years old. The mother lives in another place, but they often communicate, meet and have a warm relationship. The donor has an older brother.
The donor says that in childhood she was the same as her son. She had many friends, liked to spend time in cheerful companies. She loved to gather everyone around her, organize fun. She danced, played in the theater. She was active, energetic, mobile and emotional. The donor studied well at school, but she was less good at math, and she liked literature and music more. She played sports.
After the 9th grade, she entered college to study at a specialty - director of pop and mass holidays. Student life was very eventful and fun - they created sketches, various scenes, performances, festivals. Studying was interesting, creative and imaginative.
After college, the donor worked in education, they organized the "Santa Claus Manor" for children. They held various games, quests, and fun there. Unfortunately, during the war, it was destroyed.
She and her husband studied together at school, after school they started dating, then they started living together, receiving permission from their parents. At 18, they had a son, the donor was very supported by her husband and mother-in-law at that time. Her parents always helped and supported us. Now she and her husband already have their own house, live separately, their relationship has become even better.
The donor's father was kind, open, sociable, the "soul of the company", in this the donor is very similar to him. Her father was warm and sincere, he spoiled her with sweets, played with her, and took her to the playground.
Mom is more strict, serious, purposeful and responsible. The donor felt resentment in childhood that her mother left her with her grandmother, but now their relationship is good, they have understood each other, they have become closer.
The donor considers her achievement to be a good mother, she would never leave her child, no matter how difficult it was. After the death of her father, her mother left her to live with her grandmother in order to be able to work. The donor lived with her grandmother until her marriage. Her grandmother became like a mother to her, she taught her to love, appreciate life, be kind and caring.
The donor dreams of having another daughter, because a girl in the family will be her “ally”, they will understand each other and support each other.
The family for the donor is an important support, she and her husband created it on mutual respect and understanding, she cannot imagine her life without them.
The donor believes that a close friend can be one, and the others are a circle of acquaintances, for interesting communication and spending time. When her friend betrayed her, she began to appreciate true friendship and loyalty even more.
The donor believes that what makes her special is her strength of spirit, optimism, positivity and her constant laughter. That she is a bright person. She loves to cook, especially bake.
The donor is positive, optimistic about life, laughs often, has a good sense of humor. But at the same time, she is responsible, punctual, and prudent. She is a creative person, artistic, inquisitive, energetic. She is emotional, can be impulsive, but quickly withdraws, capable of dialogue and understanding.
It is important for the donor to have maximum workload in everyday life, this gives her resources and strength, otherwise she will feel a loss of strength if she does not act. She is currently engaged in fitness and yoga. She plans to learn how to extend eyelashes and work in this field.
