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 believes that the oocyte donation program is of great importance to society, thanks to it, more couples who want to become parents have this opportunity. She was interested in information about donation programs, about various aspects and finally decided to try to become a donor.
The donor has been married for 5 years, her husband is a military man, now the opportunity to be at home with his family is very limited. Therefore, she and her husband value every minute spent together, they invest in their relationship, build them on trust, love, respect. They raise two children - a 6-year-old girl and a 4-year-old son. The eldest daughter is in 1st grade, she is a calm, creative, dreamy girl. The younger one is more mobile, active, fast, inquisitive, cheerful.
For her, the family is a support, a fortress, a shelter.
The donor has two younger sisters. Her mother actually raised them and her sisters herself. After the parents divorced, the father did not participate in their upbringing. The donor's mother is purposeful, easy to perceive the world, if she has something in mind, she immediately implements it. The donor considers herself more serious, collected, she needs time to think, weigh and make a decision. The mother is more cheerful, humorous, sociable.
Mom said that in early childhood the donor was more active, restless, always hanging around her mother. And then she became more balanced, prudent, serious. When her younger sisters appeared, the donor became more independent and responsible, helped her mother. The donor was more of a “home child”, she was not attracted to noisy companies. She studied well, rather she was a humanitarian. She loved creativity, drawing, music, literature. And to this day she reads a lot.
After graduating from 11 grades, she got married and became pregnant, so she did not go to study further, but she would like to. She plans to enter further education. She is interested in the field of psychology, dreams of trying herself in this in the future. Now the donor works as an operator of attractions in an amusement park.
Her main achievement for now is her strong family, good relationships, and the ability to protect the most valuable things.
Her specialty is that she knows how to find contact with other people, conduct a dialogue, negotiate and cooperate.
She dreams of a better future for her children, so that they have a good education, prospects, financial security.
Her loved ones describe her as "the sun in cloudy weather". She brings joy, happiness, positivity to her family.
The donor tends to control her own emotions, is balanced, polite, well-mannered. But at the same time positive, cheerful. She needs more time to open up to a new person, but is sincere, direct. She loves children, she is interested in them, she would like to work with children.
She is hardworking, kind, responsive and friendly. When someone nearby needs help, she will not refuse, she will support. In matters and agreements, she is conscientious and responsible.
