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 is participating in the oocyte donation program for the first time, she learned about this opportunity from an advertisement on a social network. She thought for a long time, learned more information, weighed up. She sees such programs as charity, as a benefit, helping people in need. She has been a blood donor for 2 years. Therefore, she decided to try to become an oocyte donor.
The donor is married, she and her husband are raising a son who is now 10 years old. Her son is kind, sensitive, well-mannered, sociable. He studies well, has a responsible attitude towards learning, is going to school himself. He is interested in technology and programming.
Her parents have been together for 32 years. They are an example of a strong family, trust, and love for her. She has an older brother on her mother's side. They have a kind and friendly family. Her mother is a kind, sensitive, emotional person. She taught her responsibility, discipline, and how to find an approach to different people. Her father is courageous and reserved. He is strong in spirit and physically. He is an example of a real man, a support and reliable shoulder for his family and loved ones. His father has been serving in the army since 2014.
She was an obedient child, but active, energetic, and athletic. She liked to be friends with boys more. She studied well, easily learned new things, had a good memory, was responsible and purposeful. She is sociable, in the team she shows organizational and leadership qualities. She was engaged in dancing and basketball.
After the 11th grade, she entered the university for full-time studies in the direction of hotel and restaurant business, and also entered the correspondence course in the specialty of Psychology. In the first year, she became pregnant, but she was able to give birth to a child, raise him and study at 2 universities. She is grateful that her parents supported her. Mom helped a lot with the child, her husband worked and provided for the family. Family for her is close people who will always support, understand, and be there for her.
The donor has two higher educations: Psychology and Hotel and Restaurant Business. She is currently looking for a new job. She started to burn out emotionally at her previous job, she became disappointed, so she decided to change something.
She is kind, compassionate, supports everyone, so people often come to her for a conversation and advice. She has a good sense of humor. Friends say that she is a "hero" - she has managed to do so much, done so much, copes with everything.
She dreams of peace in the world, and most importantly, that her father returns alive.
The donor makes a pleasant impression, she is open, direct and sincere in communication. She is smart, sensible, balanced. Sociable, active, empathetic. She is punctual, responsible, persistent and purposeful. She has such qualities as stubbornness, strong-willed qualities, confidence.
