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 possibility of becoming an oocyte donor from a friend who was also a donor. At first, she did not dare, but then curiosity took over, she decided to try. She believes that this is a help and benefit for other people. Also, she has a good number of these cells and good genetics, so it is the right choice to share this.
The donor is in a civil marriage. She has a 5-year-old son from her first marriage. He is preparing for school, will go to first grade next year. She says about him that he is similar to her in character, just as stubborn, persistent, emotional, energetic, active and sociable. Also emotional and sensitive. He has a good memory, likes learning English, loves to dance.
Also for the donor, family is also her mother and grandmother. They raised her, invested in her all the best they had. They are incredible. The donor's mother is a beautiful, sweet woman. She has a sense of humor, optimistic, positive and kind.
Donor was active, everything was interesting to her. She tried herself in various clubs, classes - drawing, creativity, dancing. She studied normally, she was more fond of creativity and sports. In her free time, she went on vacation with her family to the Carpathians, to the sea, and also visited children's camps. She loved to go on hiking trips to nature with her friends. She was combative, persistent, and strong.
After school, she entered college. Her student years were rich and exciting for her. Interesting teachers, practical experience, new friends, communication. She managed to study with ease and interest.
She has a secondary specialized education - a pastry chef.
Now she works as a cook in a restaurant. Her work is also her hobby, she gets pleasure from what she does, she spends a lot of time at work, she lives by it.
Her peculiarity is that she can intuitively feel what a person is like. She believes in the good, kind qualities in people first and foremost.
Her achievement today is who she is. That she works, develops, improves, and at the same time is a good mother and raises a child.
She dreams of emigrating to another country, starting from scratch and building her life in safety and stability.
Donor is self-confident, knows her worth, believes in her own strength, stubborn. She knows how to defend her own borders, has her own position, opinion. Very hardworking, ambitious and persistent. An independent, free, self-sufficient person. Emotional, expressive, talkative, sociable, direct and open in communication. She behaves actively, energetically, she is mobile and athletic. She speaks about her family and loved ones with a smile, with warmth and love.
