Basic information

Year of birth:
1996
Age:
28
Number of children:
2
Eyes slant:
European
Eyes:
medium
Hair (type):
wavy
Nose shape:
straight
Nose size:
Medium
Face type:
round
Forehead:
medium
Complexion:
fair
Body build:
medium
Marital status:
married
BMI:
22.86
Education:
Secondary special education
Occupation: Computer typing operator
Favorite color: White
Favorite season: Winter
Hobby: Painting
Favorite holiday: Birthday
What are you proud of? I'm proud of my children, the best husband in the world, and my achievements
Favorite sport: Basketball
Favorite movie genre: Horror, drama, comedy
Why did you want to become a donor? To give other families the opportunity to have children. To improve my financial situation.
Favorite subject at school: Literature, Geography, Biology
What languages does she speak? Ukrainian, Russian
Goals for life: Own business

Medical profile

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.

Overall health

Assess your vision without corrective contact lenses

Excellent

Do you wear contact lenses or have you had corrective surgery?

No

If yes, describe a problem:

What is the condition of your teeth?

Good

Have you ever had braces?

No

Do you use nicotine products?

No

Do you drink alcoholic beverages?

No

If yes, how much alcohol do you drink?

Describe your diet

Regular

Estimate the level of nutrition:

Average

Do you have allergies?

No

If yes, describe what exactly you are allergic to:

What is your sexual orientation?

Heterosexual

How many children do you have?

2

Age at the time of the first menstruation:

11

The interval between menstruation is:

21–35 days (regular menstrual cycle)

Family history

Have there been cases of multiple pregnancies in the family:

Yes

Please provide information about your biological relatives (indicate only natural hair and eye color):

Relative

Mother
Father
Maternal grandmother
Maternal grandfather
Paternal grandmother

Height, cm

160
175
160
180
170

Weight, kg

55
75
80
85
70

Eye color

Brown
Brown
Brown
Brown
Blue

Natural hair color

Black
Blonde
Blonde
Black
Blonde

Primary medical history

What is the ethnic origin (place of birth) of your parents?

Mother:

Ukrainian (Transcarpathia)

Father:

Russian

Complete the table

Family (which relative has the disease)

Age

Cause of death

Disease

The age at which was diagnosed

Maternal grandmother
0
Heart attack
67
Maternal grandfather
0
Pneumonia
64
Paternal grandmother
0
Pneumonia
75
Paternal grandfather
0
Stroke
70
Mother
46
0
Disease of the donor

Disease

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
AlcoholismNo
Drug addictionNo
Alzheimer's disease / dementia before age 60No
AneurysmNo
Fear / panic attacksNo
Attention deficit / hyperactivity disorderNo
Autism or Asperger's syndromeNo
Bipolar disorderNo
Blood coagulation disorders / hemophiliaNo
Blindness before the age of 50No
Brain tumor / abnormalityNo
Breast cancerNo
Cerebral palsyNo
Non-union of the lip or palateNo
Colorectal cancerNo
Flat feetNo
DepressionNo
Epilepsy or seizuresNo
Extra or fused fingers or toesNo
Genetic disordersNo
Hearing disorders / deafness under the age of 50No
Heart attack before age 50No
Heart defectNo
Huntington's diseaseNo
Immune disordersNo
Kidney defect / disorder / cancerNo
Intellectual disability / developmental delayNo
MelanomaNo
Mental retardationNo
Obsessive-compulsive disorderNo
Ovarian cancerNo
Pancreatic cancerNo
Parkinson's disease before the age of 60No
Pituitary disorderNo
Prostate cancer before the age of 50No
SchizophreniaNo
Speech disorders / lisping / stutteringNo
Split spineNo
Stroke under the age of 50No
Uterine cancerNo
Tourette syndromeNo
Vision disordersNo
Vitiligo / pigmentation disordersNo
Death before the age of 50, including childhoodNo
Other cancer diagnoses before the age of 50No
Other congenital defectsNo
Other health disordersNo
DiabetesNo
HypertensionNo
Rheumatoid arthritisNo
Pathology of the thyroid glandNo
EndometriosisNo

Psychology Test

“Big Five” personality traits of the Donor

1

Extraversion

The donor demonstrates a high level of sociability, energy and social activity. She shows pronounced openness to people, self-confidence and readiness for active communication. She is characterized by an optimistic attitude to life, quick adaptation in a new environment and ease in establishing contacts, which helps her feel confident.

2

Emotionality

She is friendly and respectful towards others. She is oriented towards constructive cooperation and understanding, capable of showing empathy and tolerance. At the same time, she maintains a healthy pragmatism and clear personal boundaries, which allows her to avoid unnecessary sacrifice and act in a balanced way.

3

Openness to New Experiences

Demonstrates an extremely high level of self-organization, responsibility, and volitional regulation. The girl is characterized by exceptional discipline, accuracy, commitment, and a serious attitude towards any obligations. She is able to flawlessly control her own impulses, carefully follow established rules, protocols, and schedules, demonstrating high reliability.

4

Conscientiousness

She exhibits pronounced emotional sensitivity, a tendency to rapid mood swings, and increased anxiety. The girl may react sharply to stressful factors or unpredictable situations. She needs the most caring, empathetic attitude, detailed prior explanation, and the creation of a psychologically comfortable, calming atmosphere.

5

Agreeableness

Demonstrates a high level of cognitive interest, flexibility of thinking and creativity. The donor is distinguished by a developed imagination, broad horizons and intellectual curiosity. She easily perceives new information, is open to non-standard ideas and modern approaches, which allows her to consciously and progressively relate to her participation in the program.

A

Psychological assessment of the donor:

The donor is married, raising two children. Her husband is in the military. At the time of the consultation, she gives the impression of an open, friendly, sociable and emotionally involved person. She is willing to communicate, demonstrates sincerity and a sufficient level of reflection.
She grew up in a single-parent family. Until the age of ten, she was raised by her mother, grandmother and grandfather, who provided a stable, caring environment. After that, she lived with her mother. Her biological father did not participate in her upbringing. Despite the absence of her father, she describes her childhood as calm and prosperous. She maintains a close, trusting and supportive relationship with her mother, and maintains constant contact.
According to the donor, in childhood she was an obedient, responsible and non-conflict child. She devoted a significant part of her time to studying, reading and creative activities. She was characterized positively in the school team, had no disciplinary difficulties, was not prone to risky forms of behavior. She was distinguished by diligence, perseverance and a desire for self-development. After graduating from the ninth grade, she independently entered college with a degree in accounting, which was the first important step towards independence. Later, she created her own family, gave birth to two children. Currently, she works as an individual entrepreneur in the field of beauty, is engaged in manicure and plans further professional development with the prospect of opening her own business.
Despite the significant workload associated with raising children while her husband is in the military, she demonstrates a high level of organization, responsibility, and ability to adapt to life's challenges. She is actively involved in the development of her children, pays attention to their education, attending clubs, and creating favorable conditions for harmonious development.
Regarding participation in the donor program, the decision was made consciously and voluntarily. The main motive is to improve the financial situation of the family in conditions of increased financial burden. At the same time, the donor is aware of the social significance of the program and expresses a desire to help people who face difficulties in implementing reproductive plans. An important factor is the support of her immediate environment - her husband and mother, who positively reacted to her decision.
She received information about the program and the clinic through social networks, independently familiarized herself with the conditions of participation, and showed sufficient interest in undergoing the selection.

Genetic testing

EUROFINS GENOMA Laboratory (30 genes panel): Genescreen Focus Reproduction – Extension GeneScreen ® is a screening which allows carrier testing for multiple genetic diseases and has been developed to identify the reproductive risk for monogenic inherited conditions.
Genetic test: Extended
Genetic matching: Yes
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