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 was born and raised in the countryside. From early childhood, she was raised mainly by her mother, without parental support, which to some extent influenced the formation of her emotional sensitivity, need for security and desire for independence. Since adolescence, she has demonstrated the ability to make decisions independently and take responsibility for her own life. From the age of 15, she has actually learned to live autonomously, relying mainly on her own strength. Family ties are emotionally significant for the donor. She has warm relationships with her mother, younger sister and brother, who is currently serving in the military. She shows a high level of experience and anxiety for her brother's safety. In communication with loved ones, she strives to be supportive, shows caring, emotional inclusion and willingness to help others. Today, she lives in сity with her younger sister and friends, has an established social environment and the ability to maintain stable interpersonal contacts.
She completed her education after becoming a pastry chef. Despite having creative ideas and dreams of opening her own business in the food industry, the implementation of her plans was postponed due to difficult life circumstances and the war period. At the same time, the donor demonstrates the ability to adapt to changes and continue to move forward even after failures or disappointments. The psychological profile shows a pronounced creative potential. The donor is interested in music, loves to sing, writes poems and songs, has a tendency to deeply emotionally understand her own experience. She describes herself as a person with her own thoughts and an inner desire for development. She has developed self-soothing and psychological self-support skills, is able to be aware of her own emotions and cope with stressful situations.
Emotionally, she is a sensitive and empathetic person, but at the same time quite stable and resilient. In the past, she experienced a negative experience in romantic relationships associated with betrayal, which to some extent affected the level of trust in people. Despite this, she does not show signs of emotional maladjustment, retains faith in the possibility of creating harmonious relationships in the future and a positive attitude towards life.
The decision to participate in the oocyte donation program is independent, conscious and emotionally balanced. The donor notes that she has been considering the possibility of participating in the program for a long time, analyzing her own motives and risks. Despite the initial rejection by her mother and sister, she was able to defend her position with arguments. At the time of the psychological interview, she demonstrates confidence in her decision, does not show signs of coercion or emotional instability regarding participation in the program.
During the conversation, he gives the impression of a sincere, open to contact, emotionally mature person with a sufficient level of self-reflection. He has formed moral guidelines, the ability to empathize and an inner need to be useful to other people. Despite difficult life experiences, he retains humanity, the ability to support loved ones and the desire for personal development.
