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 the existence of the oocyte donation program from advertising on social networks. She decided to try and make sure that her eggs were healthy and could be useful to someone.
She is married, her husband is in the military. They are raising a son who will soon be 2 years old. He is an active, energetic, healthy, developed boy.
Her mother raised her and her two brothers and sister alone. Her father died when she was 3 months old, she doesn't remember him at all. She and her mother are not very similar, her mother is emotional, strict, taught her discipline and responsibility, while the donor is more gentle and sensitive. The family is large - they lived modestly, but amicably. She is very close to her sister, and in general, everyone in the family is friendly, communicates, and supports each other. Family is the meaning of her life, it is what she does everything for in life.
Donor was a sensitive, kind child. She grew up in the company of boys, mostly brothers at home, all the boys were in the class. She was so comfortable, she easily found a common ground with them. She spent her free time with friends on walks, active games or with her family - family holidays, helping her mother with household chores. She studied well, she was better at the humanities and drawing. She still has a hobby - drawing. After the 9th grade, she entered college, where she studied to be a builder. Therefore, there she was best at drawing, her studies were easy and interesting. She received a diploma of secondary education with honors.
Now the donor is not working, she is on maternity leave, looking for a new job. Now she devotes most of her time to her son, they travel together, visit various interesting parks, water parks. She wants her child to see the World, develop in a diverse way, have more opportunities than she did in childhood.
She considers her achievements to be that she received an independent education, that she became a mother, that she graduated from driving school and can drive a car.
Her special feature is that she is kind, positive, doesn't know how to be offended and hold a grudge against someone.
She dreams of traveling a lot, learning new things – seeing different worldviews, cultures and countries. Previously, her dream was to become a mother – and it happened.
Her relatives believe that she is cheerful, talkative, cheerful, positive, always ready to help.
Donor is sociable, open, direct, sincere. She is friendly and pleasant in communication. She is gentle, responsive and kind to her loved ones. She is characterized by responsibility, accuracy, punctuality. She is purposeful, conscientious and persistent in her studies and work.
