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 for the oocyte donation program on a social network. It interested her, she decided to try to become a donor too. “Why not, if I can help, I can be useful, share what I have. It’s a good cause, and it’s a pity that there are people who, due to certain factors, cannot become parents. In addition, this is additional financial support for me and my family.”
The donor’s family is her husband and 4-year-old daughter. She speaks about her daughter with warmth and a smile, saying that she is a kind, calm, gentle girl. The daughter shows a talent for creativity and artistry – she loves to draw, sing, dance. She and her daughter have a close bond, she likes to spend time together, playing games.
The donor is more focused on the inner world, she doesn’t need noisy companies, many friends, intense communication, etc. The best friend for her is her husband. Family and healthy relationships are her priority.
The donor mentions her parents reluctantly. She is the only child in the family, but since childhood she has had a tense relationship with her parents. She feels that she was often emotionally uncomfortable with them, that they were not sufficiently involved in her upbringing, life, and experiences. Misunderstandings and emotional coldness arise between them. She experiences this painfully, in matters of relations with her parents she is vulnerable, sensitive, and more closed.
The donor says that as a child she was calm, quiet, shy. She had a couple of friends with whom she spent time, but she was quite closed in communication. She studied well, was interested in history. She loved to read books, study languages, was fond of law. She loved to do creativity, needlework - drawing, beadwork. Usually she spent her free time studying, quietly drawing or embroidering.
When she entered the university after the 11th grade, an interesting student life began. She grew up early, became independent, lived in a dormitory. She found a common language with the girls in her room. Sometimes it was difficult for her because of the lack of opportunity to be alone, but she liked that she had the opportunity to study her favorite subjects in depth.
While studying at the university, she met her future husband. Two years later they began to live together, decided to get married, and then a daughter was born.
The donor has a higher education - a history teacher. She is currently unemployed, planning to start looking for a job after her daughter adapts to kindergarten.
She has a hobby that helps her improve her mood, calm down, and direct her own thoughts – beadwork, and has several embroidered paintings.
She considers her special feature to be perseverance in achieving goals, concentration, and conscientiousness when completing tasks, work, and study.
Her main achievement today is her own family, the birth of a child, and loving and close relationships in her family.
She dreams of changing her place of residence; she would like to live in Western Ukraine. She is more impressed by the culture, views, and mentality of this region. She also dreams of traveling with her family and showing her daughter the diversity of the world.
Donor can be described as a responsible, punctual person. In communication, she is polite, reasonable, and intelligent. She is an emotional, sensitive, and vulnerable person. She has a calm, balanced, and non-conflict character. She is characterized by having her own small circle of close people. He knows how to build communication with others, maintain the necessary contact, adapt in communication, but keep a certain distance.
Donor tested for up to 100 genes.