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 on a social network about an oocyte donation program. It touched her, she decided to try to become a donor. If she has the opportunity, why not help others fulfill their dream of becoming parents. She has such a beautiful child, so someone will be lucky too.
The donor is unmarried, has a son who is 1 year and 8 months old. He is a healthy, active, inquisitive, well-developed baby. The donor has an older brother who has his own family, a child.
The donor describes the mother as a gentle, very kind, naive, polite and caring person. Also responsible, always ready to support - the best mother in the world.
The father is emotional, with a strong character. He is a support, reliability for the whole family. He always worked hard so that his family had everything they needed.
Her family has good, friendly, supportive relationships. They are the first people with whom the donor will share both joy and problems. They are always there, helping, loving, and caring.
Family for her is the best friends, it is the rear, it is support. No matter what happens, the family will always accept her, understand her, they will not turn away, the donor is there as if under the wing of care and protection.
Donor was active, mobile, smart, energetic in childhood. She loved active games, walks. Sports are her constant "companion". She studied at a music school in the piano class. She studied excellently, was interested in biology and chemistry. She was fond of medicine. Always ready to help everyone, protect everyone, strived for justice.
After school, she entered a medical college, where she received a secondary medical education - a paramedic. After studying, she worked as an ambulance. Then in a dental clinic. She additionally completed cosmetology courses, in which she is now developing further. She sees prospects and a future in this direction.
She considers her achievement to be that she is a good mother. At first, she was worried about how she would cope, whether everything would work out for her. But thanks to the support of her family, she began to believe in herself again.
Her specialty is the ability to combine her creative talent with knowledge, experience, and responsibility. Thanks to cosmetology, she makes women beautiful and happy. She really likes it and motivates her.
She dreams of her loved ones being healthy and happy. Also about financial independence and stability and development in her own field.
She is currently on maternity leave. In her free time, she works a little as a beautician.
The donor is a stable, hardy, strong-willed person. Pleasant, sociable, open, sincere. She is judicious, intelligent, and well-mannered. She has an optimistic and positive outlook on life. In difficult moments, a sense of humor helps her. She has organizational and leadership qualities. Emotional, cheerful, sensitive and responsive.
