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 learned about the oocyte donation program from her friend who participated in it. The donor also decided to try it, believing that it was a mutually beneficial program - each of the participants gets what they need. The donor receives a financial reward, and the couple will have the opportunity to become parents.
The donor's husband is a military man, so he has limited opportunities to be at home, to be with his family. The donor has a 5-year-old daughter, who is an active, energetic, inquisitive child. She likes to learn new things, loves to dance and draw. She has creative and artistic abilities. She is also sociable, talkative, and cheerful.
The donor's father died ten years ago. He was hardworking and responsible. She also believes that she inherited such personality qualities from him as stubbornness, perseverance and purposefulness.
The donor remembers her mother with warmth and tenderness. She is kind, loyal, sensitive. She was always gentle, caring and patient with children. The donor has a younger sister and a brother who was a soldier and died very young. This is a heavy loss for the whole family.
The donor recalls her childhood as a problem-free and non-conflict child. But she was sensitive, vulnerable, emotionally sensitive to experiences. She was conscientious, responsible, and persistent in her studies. She knew how to maintain the necessary contact with both teachers and peers, to establish communication. But for close communication, a couple of friends are enough for her, she does not need large, noisy companies. She has been involved in sports since childhood. She devoted almost 10 years to pole dancing (aerial gymnastics).
After the 9th grade of school, the donor continued her studies at a vocational school and moved to live with her grandmother, not far from the place of study. This brought her and her grandmother even closer, and they still have a warm, supportive, and trusting relationship.
Her student years were interesting for her, filled with new experiences; she liked the specialized training, especially the practical classes. Thanks to the reduced control from her mother, she quickly learned to be independent and responsible for her own decisions and actions.
The donor has a secondary specialized education - Hairdresser - makeup artist. She currently works in the beauty industry - as a master of eyelash lamination.
The donor considers her own originality, creative talent and energy to implement her own ideas to be her special feature. If she has any idea, she should immediately start working on it, without delay.
She considers her own independence to be her greatest achievement - she has a job, provides for herself and does not depend on anyone.
She dreams of raising her child strong, confident and successful.
The donor is concise in communication, but direct, sincere. She shows herself as a friendly, polite, conflict-free person. She has a sense of humor. She is responsible, purposeful. More focused on her experiences, her thoughts, problems. She strives to be self-sufficient, independent of the opinions of others. But she is sensitive, vulnerable, especially in personal matters or in relationships with loved ones.
