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 gives the impression of a sociable, open, emotional person. She is talkative, straightforward. She also shows such qualities as responsibility, organization, and purposefulness. She is pleasant to talk to, well-mannered, and polite.
She learned about this program from an advertisement on social networks. This aroused her curiosity, after carefully studying the information about the program, she wanted to try to become an egg donor, because it is a charitable cause, she can help another woman become a mother.
The donor is married, she and her husband are raising a son, who is now 6 years old. Her son is inquisitive, smart. He is a healthy and developed child for his age. In addition, he is active, sociable, and friendly. Although sometimes, of course, he is naughty and stubborn.
The donor's parents divorced when she was born. She stayed with her mother, and her older sister with her father. She really missed meetings and communication with her father and sister, there were fewer of them than she would like, she misses them. She grew up with her mother and stepfather, with whom the relationship was tense. She also missed her mother's attention and love, time spent together. Her mother passed away when the donor was 14 years old, this was a heavy loss for her. She had to become independent early, responsible for herself, solve her problems and situations.
The donor was an active child, with a strong and strong-willed character. She was sociable, had many friends with whom she spent her free time - walks in nature, active games, interesting communication. She studied well, liked mathematics, physics, chemistry. She did worse in the humanities - studying languages, for example. She is more inclined to technical subjects. She was engaged in dancing, she liked to participate in performances, contests, and competitions. Since childhood, she has had a hobby - beadwork, which even now helps her to distract herself, relax from the hustle and bustle of life, and be alone with her thoughts.
When the donor was in the 10th grade, her mother died, so she decided to enter college. She became a student, lived independently, her grandmother helped her. She was interested in studying at college, she liked the team, new friends, practical classes and independent student life. She received a secondary specialized education in college - a commodity analyst. When she met her future husband, they communicated, met, he became her support and support, she was no longer alone, she had a friend, a partner, and a close person. They got married, then a son was born, they have been together for about 10 years, they have a friendly, reliable, cheerful family.
She considers her greatest achievement to be that she was able to endure and live on, despite the loss of her mother, difficult situations in life. She didn't despair, she moved on, continued to believe in a better future and trust people.
She considers her special feature to be her unquenchable optimism and strong character, as well as the ability to speak openly and directly about her thoughts.
Her family is now a new experience for her that she didn't have before, she and her husband and son now have the family that she dreamed of in childhood. She wants her son to see other relationships between parents, to grow up in love, support and trust.
She dreams of her well-being and prosperity, and, accordingly, for her loved ones - her family. She wants her son to have a better childhood than she had.
Donor tested for over 100 genes.