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 oocyte donation program from an advertisement on a social network. She was interested in it, she decided to try to help someone become a mother. She thinks it's so good that there are such programs and people who help with this. She is pleased that her body gave someone hope for a new life.
The donor is married, has a 3-year-old daughter from her first marriage. She talks about her with love and tenderness, saying that she is a cheerful, obedient, kind and sweet girl. She is a healthy, active child who loves to play and draw.
The donor's mother is a seamstress. As a person, she is sociable, non-conflict, positive. She knows how to make a good impression and easily communicate with people, the donor does not know how, this is what fascinates her in her mother. The mother has a wide circle of friends, and the donor has 1-2 reliable friends with whom she communicates.
The donor's father is a military man. He is a cheerful, active person. He knows how to organize people around him and lead them. He has a sense of humor, "the soul of the company".
The donor grew up in a village, where her grandmother was nearby, who taught her to read and write from a young age. The donor was a calm, not problematic, gentle, sedentary child. She studied well at school, loved to tell poems, was interested in chemistry and biology. She spent most of her time with her family, they had a large, cheerful, noisy family company - she has three sisters and a brother.
For her, family is the closest and most valuable people in her life. She has good relations with everyone, seeks to spend more time together.
After the 9th grade, she continued her studies at a vocational school, where she received a secondary specialized education in the specialty of Seller, supply agent.
She worked as a seller in a store, now she is on maternity leave.
She considers kindness, empathy, and a desire to help others to be her special qualities.
Her most important achievement to date is motherhood, being the mother of such a wonderful girl.
The donor dreams of traveling to different countries by the sea. She also dreams of peace, tranquility and financial stability.
The donor is a pleasant, sweet, sincere and beautiful girl. She is smiling, friendly, non-conflict. She behaves openly and politely during communication. But she is quiet, shy. She is responsible, conscientious, punctual. Kind, sensitive to loved ones, ready to make concessions, understand, hear, help.
