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 gives the impression of an open, friendly and fairly mature person who willingly enters into contact, consistently presents information and demonstrates a high level of awareness of her own life decisions. Emotional reactions are adequate to the content of the conversation, thinking is logical, consistent, criticality towards her own condition and life circumstances is preserved.
The donor's life path was accompanied by a number of significant stressful events, in particular the early loss of her father and two forced relocations due to military operations. Despite this, she was able to form a sense of psychological security thanks to supportive relationships with her mother, stepfather, whom she perceives as her own father, and other family members. Warm memories of childhood, a positive attitude towards the family and a developed system of family values indicate a sufficient level of basic emotional attachment.
She is characterized as a persistent, hardworking and responsible person. From an early age she strived for independence, has been working since the age of 14, is not afraid to change her professional direction in case of inconsistency with her own interests, which indicates the ability to make informed decisions and adapt to new life conditions. She notes that she is not inclined to give up on her goals after the first difficulties, but strives to bring what she has started to completion.
Family relationships are characterized by mutual respect, support and a partnership model of interaction. She perceives motherhood as an important life value and a significant personal resource, although she realistically recognizes fatigue and the need for periodic restoration of personal space. She has a sufficient level of reflection on her own emotional needs and uses constructive ways to restore psychological resources.
The motivation for participation in the donation program is independent, conscious and internally motivated. She is well acquainted with the features of the program, understands its purpose and expresses a sincere desire to help families facing infertility, relying on her own positive experience of motherhood. An important factor is the full support of her husband and loved ones, which creates favorable conditions for participation in the program.
The results of personality testing demonstrate a currently elevated level of emotional stress and anxiety, which is most likely associated with a combination of life stresses, experience of forced resettlement, raising a small child and a high level of personal responsibility. At the same time, the donor did not show signs of emotional disorganization, behavioral instability or critical thinking disorders. On the contrary, the donor demonstrates a preserved ability to constructively solve problems, adequate self-assessment of the situation and effective social adaptation.
In interpersonal interaction, she is selective, more focused on trusting and close relationships than on a wide range of social contacts. Honesty, mutual respect, support and family values are especially important for her. She has formed moral and ethical guidelines, does not show signs of impulsive or risky behavior, leads a healthy lifestyle, goes in for sports, and has no bad habits. In general, the donor is characterized as an emotionally mature, responsible, socially adapted person with a sufficient level of personal resources. Despite the existing emotional tension, she demonstrates the ability to self-regulate, make conscious decisions, constructively overcome life difficulties and responsibly fulfill the obligations she has undertaken.
Donor tested for over 100 genes.