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 sees the oocyte donation program as a good deed. She will help other people realize their dreams, thanks to her a new life will be born, somewhere in the world there will be a piece of her genotype.
She is the mother of 2 sons – 11 and 3 years old. She is divorced, so she is raising the children on her own, her ex-husband is not involved in raising them. But she herself is strong, strong-willed and self-sufficient and happy to be a mother. Her eldest son is an independent, but a little shy, calm, well-mannered boy. The younger one is energetic, restless, inquisitive and quick-witted.
She was raised by her mother and grandmother. Her parents divorced in early childhood, her father didn't take part in her life. She has an older brother on her mother's side and 2 sisters on her father's side. Her brother is currently serving in the Armed Forces of Ukraine, she is friendly and close with him, they grew up together, she is very worried about him. She doesn't communicate with her sisters, as she does with her father.
Her mother is softer, gentle, not conflict-prone. And her grandmother had an "iron" character, direct, frank, strong-willed, the head of the family, fair. She was an interesting, creative person.
She was an obedient, well-mannered child. She recalls that her mother and grandmother were quite strict and disciplined. She studied well, attended various clubs. She also always helped her mother with household chores - cleaning, cooking dinner, etc. She loved to play sports. Learning languages was easy. She was a creative child. She graduated from 9 years of music school in the bandura, piano and vocal classes. She played volleyball and basketball.
After the 9th grade, she entered a medical college. Studying there was difficult, but she was fascinated by it. Medicine is her calling. She studied well, passed all the necessary certifications. She has a secondary education in the specialty of Medicine.
Unfortunately, now it is difficult for her to find a job according to her education, she lives in a small town. Now she works as a painter to support her family.
She dreams of working and developing in the field of medicine. She wants to achieve more, gain experience. And be independent of no one, to provide for herself and her children with everything they need.
She considers it her own achievement that despite various difficult circumstances in life, she remains humane, kind, and compassionate.
Her friends and relatives believe that she is cheerful, positive, and looks for positive moments in any circumstances. That she is strong in spirit and body, you will never get bored with her, she is the “soul of the company”.
She has a hobby that brings her pleasure and relaxation – cross-stitching. She is creative, has artistic taste, embroiders towels, paintings.
She is active, doesn't sit idle, charges everyone around with energy and positivity. She loved going to work as a counselor at a camp with children, where it is always interesting, there is a place for creativity, etc. She is responsible, conscientious and persistent in work and study. Purposeful and hardy.
