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 donation is a charitable and good deed. It is important for her to be useful, to help others. She also wants to satisfy her curiosity, what it is like to be an oocyte donor, because she is very inquisitive and curious. That is why she decided to take part in the program.
The donor has been with her husband for 11 years. She has a daughter who will soon be 6 years old. The daughter is a calm, well-mannered, kind girl. She is also sociable, energetic, non-conflict, inquisitive. She is interested in everything new, wants to go to school as soon as possible.
The donor has a younger brother who is now 19 years old.
The donor's mother is a strong woman, independent, self-sufficient. She impresses with her thirst for life, courage, and strength of character.
The donor was a calm, well-mannered, obedient child. Since childhood, she helped her mother clean up and cook. She studied well, was interested in history and geography. Has mathematical and logical thinking. Was engaged in dancing. Optionally - in English. Winter holidays were spent with her family in the Carpathians, summer - at the sea. She always had many friends, a large company, communication, joint walks and travels.
After the 9th grade she entered college, where she received secondary education in the field of Office Management. After high school she entered university, where she received an even higher education - Economic Management.
She is currently unemployed, looking for a new job. She has tried herself in different directions, strives for self-development and realization.
Her peculiarity is that she is a strong-willed, morally strong person - no matter how difficult it is, she will always look for a way out of the situation, not give up, go to the end. She is stress-resistant, it is difficult to shake her emotional stability.
She considers the birth of a child and her upbringing to be her main achievement. She is proud of the fact that she is a mother.
She adheres to the belief - if she loves life, then life loves her. That after darkness, there is always light. The donor is reliable, kind, sensitive.
She thinks positively and optimistically. Sociable, friendly. Always ready to help other people, even sometimes to the detriment of herself. Believes in the best qualities in people, in goodness. Knows how to understand others, hear, support. Likes to do pleasant things for loved ones - gifts, surprises. Intelligent, polite and conscientious.
