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 learned about the existence of such donation programs from advertising on a social network. After studying the information about it in detail, she decided to become an oocyte donor. She believes that this is a good, charitable cause, to help another couple become parents.
The donor is married, now she is a young mother of an 8-month-old son. Therefore, she does not work, she is on maternity leave. She talks about her son with love and tenderness, that he is an energetic, active, healthy child, developing according to his age.
The donor has 4 brothers and 1 sister. The donor's mother works as a seller in a store, but now she does not work, she is on maternity leave. By nature, she is kind, cheerful, loves to joke, easy and pleasant to communicate with. The donor believes that she is a strong-willed woman, knows how to cope with so many children, direct everyone and organize.
Dad is strict, but fair, open, friendly. He is a construction worker by education, but is currently mobilized and serving in the army.
The donor was an obedient child, helped her parents with the household, supported her younger brothers in their studies, played with them, told stories. She studied well, liked learning English. She was engaged in dancing, vocals, sports. She took an active part in school life, performances, competitions. She liked to relax with both her family and friends. Sometimes she needs to be alone to organize her emotions and thoughts in silence.
After graduating from the 11th grade of school, she planned to continue her studies, but she met her current husband. Their relationship developed quickly, they began to live together and a year later a child was born. Therefore, the focus of attention and the center of interests for the donor now is the family, raising a little son.
From her point of view, her special feature is positive thinking, a sense of humor, the ability to meet even difficult life situations with a smile.
The achievement for her today is the birth of a child, despite the difficulties and lack of life experience, she became a good young mother.
She dreams that her child will be happy and healthy. She dreams of opening her own small cafe, which she imagines on the riverbank, with a pleasant aroma of coffee.
Donor knows how to be persistent, purposeful, sometimes even stubborn. If she wants something, she persistently achieves it. Donor is a friendly, balanced person. She is capable of empathy, sympathy, ready to come to the aid of loved ones, support them. Life in a large family has taught her sensitivity, understanding and respect for the position of another. Also mutual assistance and support. She gives the impression of a sweet, well-mannered, modest person. She is sensual, emotional, vulnerable, sincere.
