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 believes that the oocyte donation program is of great importance to society, thanks to it, more couples who want to become parents have this opportunity. She was interested in information about donation programs, about various moments and finally decided to try to become a donor.
The donor is divorced, now lives with her partner and daughter from her first marriage. The daughter is now 5 years old and is an active, restless, mobile child. Sociable, inquisitive, smart and seeks to lead everyone around her.
The donor does not know her biological parents, as she was adopted at two weeks old. Her parents told her about the adoption when she turned 19. This did not change her attitude, her feelings. For her, her family is wonderful, real, loving. And she has only one parents - who raised her, gave her all the best they had.
Donor was a calm, homely, modest child. At school, she knew how to establish contact, had the necessary communication with peers. She had several close friends with whom she was interested in spending time.
Donor studied well, her favorite subjects were mathematics and physics. She loved physical education, went in for sports, and practiced volleyball. She studied violin at a music school. She attended a drawing club.
After graduating from school, she entered the university. She remembers student life as exciting and interesting - new friends, authoritative teachers, specialized subjects, and gaining practical skills.
Donor has a higher education, a master's degree in "Personnel Management".
She currently works as a warehouse manager in a supermarket chain. She likes her job, she feels needed, useful, and productive. But at the same time, this work is difficult, responsible, and stressful.
Now her hobby is creating flowers from colored satin ribbons.
Her specialty is the ability to empathize with others, empathy, and understanding the feelings of others.
She considers her main achievement to be purposefulness; she cannot “stand still,” she needs constant movement forward.
She dreams of financial stability, living in peace and harmony.
Donor sees herself as a simple, ordinary person who is easy to talk to. But to build close and trusting relationships, she needs time and the formation of a sense of security. She values and cherishes her circle of loved ones. She is kind, balanced, and non-conflict. In communication, Donor is direct, fairly open, and concise. She is characterized by such qualities as responsibility, perseverance, and purposefulness. She values accuracy and punctuality in herself and in other people.
