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:
She learned about this program from an advertisement on social networks. After learning more about it, she decided to become an oocyte donor to help those people who dream of becoming parents.
The donor is married, has a son, who is now 3.5 years old. Her child is active, kind, gentle. He likes to play active games, go for walks in the park, to the cinema. For the donor, family always comes first. Her husband and son are the closest people to her. They are sporty, active, inquisitive, and like to spend time together.
As for friendship, now they are mainly friends with the same families with children, where they have more in common, more curiosity.
The donor's parents divorced 8 years ago, but they all maintain good, friendly relations with each other. Her mother is kind, sympathetic, always ready to help. She is a former athlete, was engaged in wrestling. She sews outerwear. Her father is also an athlete, a master of sports in boxing. Courageous, strong-willed, decisive. She has an older sister who is a close friend and a close, dear person. Constantly in touch, pleasant communication, close relations.
The donor was an active, naughty, stubborn child. She was an athlete - gymnastics, equestrian sports. She always wanted to try something new, get new experience, achieve her goals. She took part in competitions, performances, various meetings. She wanted to study at a sports school, but her parents insisted on refusing, as they were worried that it would be traumatic. The donor studied well, was fond of music and sports. She did well in mathematics and chemistry. The donor always needed communication, company based on interests, and joint walks. She doesn't like being alone.
After the 9th grade, she entered college and simultaneously completed three classes of evening school. She received a secondary specialized education - shoemaking. She was interested in this profession, a business, but later realized that this was not what her soul was into. Now the donor works as a cook in a pizzeria.
In the company of mutual friends, the donor met her husband, after meetings, they got married, and a son was born.
She considers sports to be her hobby, which occupies an honorable place in her life. She can't do without movement.
She considers her sports spirit, strong-willed qualities and “winner” abilities to be her special feature.
She considers the birth of her son to be her greatest achievement.
Her dream is to earn money for her own house, to have an interesting job that can provide prosperity for her and her family. She also dreams of returning to equestrian sports and achieving success.
Those around the donor describe her as a kind, balanced, cheerful person. As adequate, persistent and purposeful. She's also hardworking, resilient, responsible, reliable, rational and pragmatic.
