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 | Yes |
| 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 was inspired to participate in the donation program by the story of her friend, who became a mother with the help of assisted reproductive technologies. Therefore, she decided to participate in oocyte donation - this is her "contribution" to society.
The donor is married, she is a young mother - she has a daughter, who is now 1 year and 8 months old. She says that her daughter is sociable, open, sincere, communicative, tactile, playful.
The donor's mother is a very kind, polite and friendly person. She is a pastry chef in a restaurant.
Her father has a strong character, kind, honest, strong, strong-willed. The donor is more likely to be "daddy's daughter". Dad will always protect, understand, help, support.
The donor has 3 younger brothers, they still attend school.
For a donor, family is, above all, a friendly and warm relationship. For example, they and their mother are like best friends, they can talk about everything, laugh, and joke.
She was an inquisitive, hooligan child. She was interested in everything, wanted to try everything, took on everything. She was engaged in dancing, singing, drawing. She had creative abilities, attended various clubs, participated in amateur art activities. She studied well, was good at learning languages, was also interested in biology and geography. She helped her parents take care of her younger brothers.
After the 9th grade, she entered a technical school. It was an exciting, interesting student life. She liked to get practical experience. She became more independent, self-reliant. She received a secondary education, has a construction specialty.
Then she met her husband, their meeting led to the creation of a family, the birth of a child. Now she is on maternity leave.
She considers her achievement to be that she realized that she was interested in the field of beauty, she graduated from courses and worked as a master in hair extensions and hair care.
She sees her speciality in the fact that she can understand people, feel their mood, understand their emotions.
She dreams of buying her own car. She dreams of developing her own business, opening a mini studio, improving her skills.
Her loved ones believe that she is not shy, straightforward, but kind and polite. She will not tolerate disrespect from others.
Donor is friendly, direct, simple, kind. She is self-confident, knows her worth, self-sufficient. Defends her own boundaries, strives to achieve what she wants, knows how to defend her opinion. Ambitious, persistent, decisive. Donor is emotional, sensitive, can be vulnerable.
