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 learned about the oocyte donation program from a friend who was also a donor. The donor loves children, she would like to have a large family, but understands that it is not financially possible for her yet. Therefore, she decided to “share” with people who want children and therefore have the opportunity to become parents. She would be interested to know about this child’s life in 18 years, to see and hear him. The donor is now raising a 2-year-old son. He is a mischievous boy, and his relatives say that he is just like her – he is just as active, talkative, and sociable. As a child, she was inquisitive, restless, and sociable, and needed to talk to everyone and learn about everything. She studied well, loved to read books, easily memorized poems, had a good memory, and a developed imagination. She took an active part in the creative life of the school – performances, competitions, and various events. She has been embroidering with embroidery and beads since childhood. Now this hobby is relevant for her - she embroiders icons with beads, it helps her relax psychologically, calm down, and organize her thoughts.
She grew up in a small village, where everyone knows each other, is friends, communicates with each other. In her family, traditions are respected, family holidays are important to her - comfort and a festive atmosphere.
Mom is the best for her, the donor is very grateful to her for always supporting and helping. Mom is energetic, emotional, but kind and caring, those around her call her "Mother Teresa".
Dad is always a support for her. He can solve all problems, she can trust him.
Family for her is the most important thing she has. Because people are the most valuable thing in life.
After the 11th grade, she entered college, she liked her chosen profession, interesting, rich student life. After the 2nd year, she started working, she wanted to get practical experience, gain more independence, self-reliance. After graduating, she received a secondary education in the specialty - Social Pedagogue.
After studying, she got married, gave birth to a son. Now she works as an administrator in a store. Communication and working with people are necessary for her, which is why she chooses to work in the service sector.
She considers the birth of a child and her upbringing to be her achievement today.
She sees her specialty in the ability to quickly forgive others, not to hold grudges, to be friendly and humane.
She has a dream – that her child will be fine. That her son will achieve what he wants in life, that he will be happy and successful.
Colleagues often jokingly call her a “bee” because she is interested in everything, wants to do everything in time, is active and energetic. Her relatives believe that she is cheerful, humorous, often tries to defuse the situation with a smile and positivity. She is tactile and gentle with loved ones. Sensitive and empathetic, experiences the pain of loved ones as her own. Always ready to help and support her relatives.
Donor is an energetic, active, optimistic and positive person. She is strong-willed, self-confident. In work and development - purposeful, conscientious, persistent, hardworking. She is a sociable, open, sincere, friendly and pleasant person to communicate with.
