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 participates in the oocyte donation program because she believes that she has good genetics, which she is not ashamed to “share”, and besides, it is a noble, good deed of helping others. She believes that donation is undervalued in our country. That it is an idea that helps someone give a child. She believes that she has a “stock of beautiful children”.
She is divorced, has a 10-year-old son. He is an inquisitive and sociable boy. He is active, athletic. Sensitive and kind. He is fond of programming and astronomy, and is studying English.
Now she lives with her parents, because it is easier during the war, they help and support each other. The donor is a “daddy’s daughter”, she is as hot-tempered, emotional, sociable as he is. Also, the dad is a leader, an organizer, has a good sense of humor.
And the mother is calmer, gentle, sensitive, conflict-free, understanding, caring.
She also has a brother, who is now 35, he already has his own family and child.
The donor herself was an obedient child, but strong-willed, independent, responsible, decisive. She is creative, draws well, graduated from art school. She always went in for sports. She studied well, especially mathematics, physics, geometry. She is open, emotional, self-confident in her abilities.
After the 9th grade, she began to study at a pedagogical college. The study was interesting, but during the practice she realized how difficult it is - responsibility for other people's children. She received an education in the specialty - Primary school teacher, bachelor's degree.
Then she entered the pedagogical university at the physics and mathematics faculty. But she became pregnant in her first year, so they decided to leave her studies.
She has a dream - to take her son abroad so that he can get an education abroad, have better prospects than her.
Her greatest achievement today is her child, his upbringing.
She loves communication, interesting companies, but sometimes she also needs silence, solitude for recovery and rest.
Her special feature is that she is punctual, responsible and meticulous. Well, she really loves order, comfort and cleanliness.
Her relatives say that she is cheerful, energetic, positive. "Easy to get up" and is able to motivate and interest others with her ideas.
Donor is pleasant and polite in communication. But she knows how to defend her own boundaries, and respect of others one's. She is independent, strong-willed, has her own position. Serious and prudent. Responsible, persistent, purposeful. She is an emotional, impulsive, characteristic person, but kind, sensitive and empathetic.
