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 saw an advertisement for oocyte donation on social networks a long time ago. She became interested and decided to find out more information. She knows that there are enough women in the world who would like to become a mother, but cannot for certain reasons. Therefore, she is happy to be useful to someone, to help, to do a good deed.
The donor is married, she and her husband are raising two children - a 6-year-old son from the donor's first marriage and a 2-year-old son together. "Children like me are choleric," says the donor. They are energetic, active, and cannot sit still. The eldest is actively involved in sports, trains in kickboxing, skates, and rides a bicycle. He is interested in technology and modeling. The younger one is also very active and playful, inquisitive and talkative.
The husband is the head of a department in the police, so they are a very active and sporty family. Together on vacation, together in sports.
The donor's parents always supported her, helped her, tried to give her the best, get an education, make her childhood happy, etc. Her mother is smart, active, businesslike, and constantly on the move. She is also a homemaker, caring, very kind, and loving.
Dad is a sailor - he is strong, courageous, athletic. Energetic and active. He is the support and reliability of the family. He worked a lot, provided for the family. And mom was more involved in raising children, their education, and housekeeping. The donor was always closer to her mother, who spent most of her time with her and her younger sister. They are 2 years apart in age from her sister, so in childhood they walked together, had common friends, company, and interests. They are very close to their sister, have warm, friendly relations.
Family for the donor is those close and dear people who are always there, support and help, and will understand.
The donor was a creative, active child. Sports were always in her life. She went dancing, attended a tourism club. She loved to knit, embroider, and watch movies. When her mother worked, she helped take care of her sister and do household chores. She studied well, had a mathematical mindset, read a lot. After the 9th grade, she entered a medical college. Studying there was quite difficult, but very interesting. She was more interested in biology, chemistry. She really liked learning everything interesting and new. Especially practical classes, work. She has a secondary medical education - Nurse.
After college, she entered university and received a higher education as a rehabilitation physician.
She currently works as a nurse in the intensive care unit. A rehabilitation center is being built in the city, and she plans to go work there after it opens. She wants to develop in her profession, gain experience, and a title.
She considers her achievement to be the ability to drive a car, her parents said it wasn't for her, but she managed, learned, and drives actively.
Her specialty is the ability to do 10 things at once, to be in time everywhere, and to be productive.
She dreams of vacationing in the mountains, time for herself, relieving stress and fatigue, etc.
Her mother says about her that she will break through everywhere, achieve her goals. That she is stubborn, persistent, purposeful. She is emotional, sensual, and sensitive.
The donor is responsible, conscientious, and ambitious. She is sociable, open, and direct. Strong in spirit, self-confident, hardworking and strong-willed.
