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:
This isn't the first time the donor has participated in oocyte donation programs. She can and wants to share what she has with others. This will help her leave a mark on this world. She would also like to become an organ donor so that she can save someone's life.
She is married, she and her husband are raising a 3-year-old daughter. Her husband is a military man, but has already retired from service. Her daughter is like her mother - just as energetic, restless, active. She is already a little leader in the kindergarten group. She likes to be the first, to be the center of attention. She has musical abilities, and is engaged in swimming.
The donor's parents live in the village, they have a large farm, their own horses. Therefore, both the mother rides horses, and the donor was engaged in equestrian sports, and her daughter is engaged in them now.
The donor's mother is active, energetic, hardworking, and tough. She is quite conservative, loves discipline, is strict, but fair. As a child, the donor also wanted to be like her mother - a veterinarian.
Dad is calm, balanced, can work monotonously, but conscientiously and persistently. She is interested in history.
The donor was an obedient, non-conflict, kind, and fair child. She studied well, was interested in chemistry and biology. She loved to conduct experiments, was fond of medicine. She was engaged in drawing, needlework, and knitting. She and her older brother often played together, but also argued, competing for their parents' attention. Her family had a large farm, and they all worked on it together.
After the 9th grade, she entered college, where student life was more fun, new friends, a team. Interesting teachers. After graduation, she received a secondary education with a specialty in accounting. But accounting is not her thing, she is restless for such work. She graduated from florist and gardening courses, now she works as a florist.
Donor dreams of attending a horse polo competition as a spectator. To see it live. She is also fascinated by Korean culture, so she really wants to visit there, see it with her own eyes, try it, feel it.
Her specialty is the ability to find a common language with almost any person.
Hobbies are drawing, creating gifts for loved ones with her own hands.
She considers the birth of her daughter to be her greatest achievement.
The donor doesn't clarify relationships, is not inclined to offend others, quickly switches and does not dwell on misunderstandings. She isn't offended by others, wishes everyone only good. She has a hard time experiencing losses, relationship breaks, therefore she tends to be tolerant, appreciate and protect relationships with loved ones. Those around her say that she isn't guided by the opinions of others, but lives as she sees fit. She believes that the main thing is to be a good person. She is cheerful, with a good sense of humor.
The donor is active, emotional, energetic, quick in reactions, talkative. She is open, direct, pleasant in communication. She needs to feel needed, useful to others. Sensitive, empathetic, friendly. In addition, she is responsible, purposeful, punctual, serious in business.
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