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 benefits people. Thanks to this, more couples who want to become parents, but have a quality of obstacle, get this opportunity. The donor is pleased to know that she can give someone the gift of a dream of parenthood.
She has two children - two girls, 4 and 1 year old. Her older daughter is very similar to her - stubborn, persistent, decides what to do herself, defends her own boundaries. The younger one is calmer, but playful, inquisitive, develops quickly, learns everything around her.
The donor's parents divorced in childhood and her mother was mostly involved in her upbringing. She has a younger brother on her mother's side from her second marriage.
The donor is very similar to her mother in appearance, but the donor's character is more calm and balanced. The mother is emotional, sensitive, sometimes impulsive. She is a strong woman - self-sufficient and independent, confident in her own abilities.
As a child, the donor was a typical girl, self-confident, stubborn, persistent, striving for independence. She studied well, the only thing she didn’t like was answering and speaking at the board, in front of an audience. She preferred to do her homework, write a test, etc. on her own, in peace. She was interested in history and geography. In her free time, of course, she loved walking with friends, chatting, playing in nature. It was important for her to have a couple of close, reliable friends – they were ready to support each other, come over, listen, help in various life situations.
After school, she entered university. At 17, she became pregnant with her first child and got married. And then her second daughter was born. But the donor managed – she was both a mother and a student. She graduated from university and has a higher education – Law. So far, she has no work experience, she is still on maternity leave, but she has everything ahead of her.
Her hobby is playing sports. It is both a vacation and a place where she can show her strong-willed qualities.
For her, family is when two adults build relationships together, raise children. It is when they are both close friends and partners. Confidence in people around them is important in a family.
Her achievements to date are her children, their birth, upbringing, and at the same time obtaining higher education.
Her special feature is her pride, dignity. No matter what life's trials she goes through, she will not stop on the path forward. She is self-confident, strong in spirit.
Her relatives say that she is a "healthy egoist" - she knows how to take care of herself.
Donor is pleasant and friendly in communication. She has such qualities as punctuality, responsibility, perseverance. She plans her own future, sets goals and persistently goes to them. She has a strong-willed and strong character. She is serious, collected, straightforward, and strives for independence. She is sweet, intelligent, open, and sincere.
