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 considers participation in the oocyte donation program as additional financial support for her and her family. She also sees this program as good help and benefit for other people. She will be happy if someone else in the world becomes a parent thanks to her.
The donor works as a waitress in a restaurant. She has a secondary specialized education - a commodity expert.
Currently, the donor lives with her common-law husband and 10-year-old son from her first marriage. About her son, she says that he is an active, energetic, inquisitive boy. He has a kind and calm character. He is sociable, talkative, open. Sports - riding a bike, playing football.
About her mother, she says that she is a person who likes everything to be under her control, so that everything is as she said. But she is kind, caring, open, sincere, always ready to help.
Dad died 1.5 years ago. He was a serious, brave, emotional, strong-willed person. He defended his own position, respected the opinions of others. He was his own, sociable, with a sense of humor. His stories are not to be repeated. He worked all his life on a fish collective farm.
Donor has 2 older brothers who already have their own families, children. They have a cheerful, noisy, friendly, large family. On holidays they are always happy to get together, communicate, talk, smile.
Donor was an active, mobile child. With friends in the summer on bicycles, in the winter - on a hill, on skis, sleds, etc. With her parents she loved to go to the forest to pick mushrooms or swim in the river. She grew up in a village, where most of her time with friends was spent in the fresh air, actively. She was more friendly with boys, because she always walked with her brothers, played football. She studied at a secondary school. She has a penchant for humanitarian subjects. Responsible in studies, conscientious, persistent, curious about everything new. Has creative abilities, loves to draw. After the 11th grade, she entered college, where an interesting student life began. More independent, responsible.
Her greatest achievement to date is the birth of her son, his upbringing, relationships and understanding with him.
She considers her special feature to be the similarity with her father - the same emotional, hot-tempered, sensual and strong-willed.
She dreams of her own house, in which she will live with her family, be a good hostess there, be able to arrange everything there to her own liking.
Her loved ones joke that she is never bored. She is positive, optimistic. Always friendly, sociable, will find the right words of support or to cheer up.
The donor is an emotional, open, sincere person. She is sensitive, sometimes impulsive, but kind, friendly, ready to come to the aid of others. She is hardworking, loves that there is order and beauty everywhere. Responsible, punctual, conscientious. Pleasant in communication, friendly and positive.
