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.
Medical examination results
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:
She learned about this program from an advertisement on a social network. She would like to help childless couples. She read articles that this problem is becoming more and more relevant now, she has the opportunity to contribute to this, and she is doing it. She has children, so someone else may have them.
The donor is married, has two sons, 11 and 9 years old. The older one is very similar to her, has mathematical abilities, loves numbers. Sociable, active, purposeful, but obedient, friendly. The younger one is calmer, shy, vulnerable and sensual.
The donor's parents divorced when she was 5 years old. She did not have any contact with her father in her childhood. Her mother is her own woman, with a strong, strong-willed character. She is a leader, purposeful, and self-confident.
The donor grew up with an older brother and a half-sister. Her grandmother lived with them and actually took care of her. Her sister, who is 12 years older, almost raised her, she always looked after her and helped her. She and her sister still have a close and warm relationship, she is a role model, a mentor, and a close friend for her.
She was a "comfortable" child, calm, obedient, studied well. She is conflict-free, diligent, responsible. She has a small enough circle of friends, close, time-tested. She has a penchant for the humanities, loves to read books, is interested in geography, literature, draws well. She studied at a theater studio, even dreamed of entering a theater school, wanted to become an actress, but her mother was against it, did not consider it a profession.
After the 11th grade, she entered the university for the specialty - Designer of clothes and accessories. Her mother insisted on this choice more, but the study was interesting and fascinating. While the donor didn't receive a higher education, because in the 3rd year she got married, and in the 4th year she had to take an academic leave, because her son was born, and then the second.
Family and children are the most valuable things for the donor. She is ready to sacrifice her own interests for their sake. Her husband is both a friend and a partner for her, it is fun and interesting with him. First of all, she will always choose to spend time with her family, with her sons for communication, for a walk in the park, along the embankment.
She's proud of her sons, for being a mother.
She believes that she has acting talent, abilities. Therefore, she has a small dream - to someday play on stage, in a real theater, like a real actress.
The donor gives the impression of a calm, phlegmatic, sensible person. She's pleasant in communication, taciturn, but sensible, logical. She is responsible, reliable, persistent, hardworking. She's always ready to come to the aid of loved ones, friendly, empathetic and sensitive.
