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 sees the oocyte donation program as a mutual benefit, mutual assistance. She will be able to help couples become parents, get what they want, and in return she will be able to use the financial reward to implement her own plans, to develop her own business.
The donor is married, she and her husband are raising a son, who is now 1 year and 4 months old. She talks about him with a gentle smile - he is active, energetic, playful, seeks communication, develops quickly.
The donor talks about her mother and memories with love and warmth. She is kind, positive, gentle, sensitive to her. Her mother grows flowers, loves to work in the land - she has a greenhouse, fruit trees. Her mother taught her to sew, do needlework, see beauty in different things.
The donor's father died. He was a farmer who loved his land, worked on it. He was kind, reliable, caring, courageous, protected and guarded his family.
The donor has an older and younger sister. The family has trusting, friendly relationships. Relatives are ready to help each other, be there for each other, and support each other.
Donor was an inquisitive, active, mobile child. She studied well, adored mathematics. She attended a theater group, she and her team went with a performance to kindergartens, competitions, various performances. She was the first in all school activities, in amateur art. She also liked to do creativity, needlework, especially embroidering towels. She likes to read fiction. She was friends mainly with boys, she spent time actively with them - sports, football, running.
After the 11th grade, she entered college. The study was interesting, exciting in practical tasks. She received a secondary specialized education as a pastry chef.
She especially likes confectionery, but with experience she realized that working in the kitchen is quite difficult. Therefore, cooking remained as a hobby, for her family, for loved ones. She became interested in the field of beauty, completed specialized courses and is now working as a hair extension master. She plans to continue developing in this field, and aims to become a master of eyelash extensions. She strives for improvement, development, and self-realization.
She considers it her achievement today that she started her own business. At first, she had fear and anxiety that she would not be able to, would not cope. But she overcame her fear, took a risk, mastered new skills and continues to accumulate experience.
Her special feature is her kindness, desire to understand everyone, help, willingness to give her last.
She dreams of a big house, where they will live happily with their big family. She also dreams of professional realization and financial stability.
Donor is sincere, open in communication, with a pleasant smile. Sociable, talkative, judicious. She is ambitious, purposeful, persistent. She is characterized by such personality traits as responsibility, punctuality, accuracy in completing tasks.
