The following profile is an example of the unique profile which exists for each of our donors, giving you extensive background on their medical, genetic/family and reproductive history, as well as photographs (current and/or childhood, including siblings) , educational achievements, personal goals, and hobbies/activities.
| DETAILS FOR EGG DONOR #: | 254 |
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General Characteristics
| Donor Age: | 29 |
| Heritage: | Irish |
| Race: | Caucasian |
| Religion: | Christian |
| Height: | 5' 5'' |
| Weight: | 135 lbs. |
| Eye Color: | Blue |
| Skin Color: | Fair/Medium |
| Hair Color: | Light Brown |
| Hair Texture: | Select Hair Texture |
| Blood Type: | O+ |
| Are you predominantly? | |
| AmbidextrousLeft HandedRight Handed | |
| Please describe your distinguishing features: | |
| Dimples | |
Family Characteristics
| Are you adopted? | NoYes | |||||
| Parents | Ethnic Origin / Ancestry | Height | Weight | Eye Color | Hair Color | Complexion |
| Mother: | Caucasian | 5' 3" | 120 lbs. | Blue | Blonde | Fair |
| Father: | Caucasian | 6' 2" | 185 lbs. | Blue | Dark Brown | Medium |
| Siblings | ||||||
| No. 1 | MaleFemale | 5' 4" | 125 lbs. | Blue | Dark Blond | Fair |
| No. 2 | MaleFemale | 6' 0" | 180 lbs. | Hazel | Dark Brown | Light Medium |
| No. 3 | MaleFemale | feet' inches" | lbs. | Select Eye Color | Select Hair Color | Select Skin Color |
| No. 4 | MaleFemale | feet' inches" | lbs. | Select Eye Color | Select Hair Color | Select Skin Color |
| No. 5 | MaleFemale | feet' inches" | lbs. | Select Eye Color | Select Hair Color | Select Skin Color |
| Grandmothers | ||||||
| Maternal: | European | 5' 3" | 150 lbs. | Blue | Blonde | Fair/Medium |
| Paternal: | Caucasian/Native American | 5' 5" | 155 lbs. | Hazel | Dark Brown | Medium |
| Grandfathers | ||||||
| Maternal: | European | 5' 9" | 165 lbs. | Blue/Green | Brown | Medium |
| Paternal: | 6' 1" | 195 lbs. | Hazel | Black | Medium | |
Educational Background / Career Goals
| High school years completed: | 1 2 3 4 yrs |
| G.P.A. | 4.0 S.A.T score (total): 1250 |
| Other Education: | |
| College / University: | 1 2 3 4 yrs |
| G.P.A. | 3.75 Degree: B.A. B.S. |
| Major: | Marketing and Education (double major) |
| Post-Graduate Education: | 1 2 3 4 5+ yrs |
| G.P.A.. | 4.0 Degrees: Masters |
| Major: | Marketing |
| What is your current occupation? | Senior Account Executive |
| What are your future career goals? | To open my own marketing consulting firm. I also want to teach Marketing in a local university/college. |
Health Information
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Family Genetic History
| Are there any genetic conditions or birth defects in your family? NoYes | If yes, please explain: |
| Where you born with any birth defects? NoYes (heart defects, cleft lip or palate, etc.) |
If yes, please explain: |
| Are you of Jewish ancestry? NoYes | |
| If yes, ever been tested as carrier of Tay Sachs? NoYes | Test Results: |
| Are you of Black ancestry? NoYes | |
| If yes, ever been tested as carrier of Sickle Cell? NoYes | Test Results: |
| Are you of Mediterranean (Greek/Italian) ancestry? NoYes | |
| If yes, ever been tested as carrier of Thalassemia? NoYes | Test Results: |
Family Medical
| Age Today | Health Problems | Age Diagnosed | Still Living? | |
| Mother: | 51 | NoYes | ||
| Father: | 51 | NoYes | ||
| Sisters(s): | 24 | NoYes | ||
| Brothers(s): | 22 | NoYes | ||
| Daughter(s): | NoYes | |||
| Son(s): | NoYes | |||
| Mother's Father: | 76 | NoYes | ||
| Mother's Mother: | 74 | NoYes | ||
| Mother's Sister(s): | 78 | NoYes | ||
| Mother's Brother(s): | NoYes | |||
| Father's Mother: | 78 | NoYes | ||
| Father's Father: | 80 | NoYes | ||
| Father's Sister(s): | 76 | NoYes | ||
| Father's Brother(s): | 78 | NoYes | ||
| Others: | NoYes |
Family Health
| Please indicate (by a checkmark) which of the following medical problems you or one of you family members have had: if neither you nor any of your family members are affected by the below listed problems, please check the box marked "No One" |
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| Cardiovascular: | You | Mother | Father | Sibling | Others | No One |
| Heart Disease Defect | ||||||
| 1. from birth | ||||||
| 2. other | ||||||
| Heart attack | ||||||
| Hardening of the arteries | ||||||
| High blood pressure | ||||||
| Hematological: | ||||||
| Anemia | ||||||
| Sickle cell anemia | ||||||
| Hemophilia or other bleeding problem | ||||||
| Leukemia | ||||||
| Immune deficiency | ||||||
| Other blood disorders | ||||||
| Pulmonary: | ||||||
| Asthma | ||||||
| Emphysema | ||||||
| Tuberculosis | ||||||
| Lung Cancer | ||||||
| Pneumonia | ||||||
| Other Lung Disease | ||||||
| Dermatological: | ||||||
| Acne | ||||||
| Eczema | ||||||
| Skin Cancer | ||||||
| Pigmentation Disorder | ||||||
| Melanoma | ||||||
| Other Skin Disorder | ||||||
| Urinary: | ||||||
| Kidney Disease | ||||||
| Bladder Cancer | ||||||
| Other Urinary Disorders | ||||||
| Ulcers | ||||||
| Gall Stones | ||||||
| Hepatitis A (infectious) | ||||||
| Hepatitis B (serum) | ||||||
| Other Liver Disease | ||||||
| Colon Cancer | ||||||
| Ulcerative Colitis | ||||||
| Crohn's Disease | ||||||
| Intestinal Cancer | ||||||
| Cystic Fibrosis | ||||||
| Male Uro-genital: | ||||||
| Undescended Testicle | n/a | n/a | ||||
| Hypospadias | n/a | n/a | ||||
| Prostate Cancer | n/a | n/a | ||||
| Uterine Fibroids | n/a | |||||
| Ovarian Cysts | n/a | |||||
| Ovarian Cancer | n/a | |||||
| Cancer of Cervix | n/a | |||||
| Cancer of Uterus | n/a | |||||
| Endocrine: | ||||||
| Diabetes Mellitus | ||||||
| Hypoglycemia | ||||||
| Thyroid Cancer | ||||||
| Thyroid Disease | ||||||
| Goiter | ||||||
| Adrenal Dysfunction | ||||||
| Other Endocrine Disorder | ||||||
| Neurological: | ||||||
| Migraines | ||||||
| Mental Retardation | ||||||
| Senility before age 50 | ||||||
| Alzheimer's Disease | ||||||
| Multiple Sclerosis | ||||||
| Cerebral Palsy | ||||||
| Epilepsy or Seizures | ||||||
| Disorders of Spinal Cord | ||||||
| Huntington's Disease | ||||||
| Other Neurological Disorder | ||||||
| Psychiatric: | ||||||
| Alcoholism | ||||||
| Schizophrenia | ||||||
| Manic Depressive | ||||||
| Severe depression with inability to function | ||||||
| Disorders requiring hospitalization | ||||||
| Nervous Breakdown | ||||||
| Suicide Attempt | ||||||
| Psychiatric Medications | ||||||
| Anxiety/Panic Attacks | ||||||
| Phobia | ||||||
| Eating Disorders | ||||||
| Psychotherapy/Counseling | ||||||
| Drug Abuse/Addiction | ||||||
| Other Mental Disorders | ||||||
| Musculoskeletal: | ||||||
| Muscular Dystrophy | ||||||
| Lupus | ||||||
| Deformity of Spine | ||||||
| Osteoporosis | ||||||
| Dwarfism | ||||||
| Arthritis | ||||||
| Gout | ||||||
| Other Muscle/Bone Disorders | ||||||
| Deafness before age 60 | n/a | |||||
| Significant Hearing Loss | ||||||
| Deformity of Ears | ||||||
| Cataracts before age 50 | n/a | |||||
| Blindness | ||||||
| Glaucoma | ||||||
| Color Blindness | ||||||
| Other Sensory Disorders | ||||||
| Cancer: | ||||||
| Breast Cancer | ||||||
| Lungcancer | ||||||
| Colon Cancer | ||||||
| Any Cancer Not Listed | ||||||
Gynecological History
| At what age did you begin menstruating? 12 | What was the date of your last period? 09/24/06 | ||||||||
| How often do you get your period (# of days)? 28 | How many days do you flow? 4 | ||||||||
| Have you ever been irregular? NoYes | If yes, please explain: | ||||||||
| Are your periods regular now? NoYes | If yes, please explain: I get my period every 28 days. | ||||||||
| Have you ever had any of the following reproductive problems? | |||||||||
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| If other, please explain: | |||||||||
Reproductive History
| Have you ever been pregnant before? NoYes | |||||||||||||||||||||||||||||
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Personal Characteristics
| Please give a brief description of your personality. How you see yourself as a person? (Please include any qualities you feel are unique and special to you): |
I am very outgoing and love people. I am a little reserved and quiet until I get to know people. But once the ice is broken, I am a talkative, bubbly, fun-loving friend who is very loyal and dependable. I am always there for my friends and family. |
| What are your interests and hobbies? | I am very interested in all things science related, it fascinates me. My hobbies include gardening, reading, writing short stories and cooking. |
| What are your future goals and aspirations? | Eventually I would love to have a home and family. I would also like to start my own consulting firm that I can run from home so I will be able to spend quality time with my children. I also love to share my life experiences with others and hope to teach. |
| Favorite types of food? | Italian and Mexican |
| Do you have musical skills? | NoYes |
| If yes, what are they? | I am trained in classical piano. |
| Favorite type of music? | All things Mozart, Classic Rock, and Country |
| Do you have artistic talent? | NoYes |
| If yes, what type? | Drawing (pencil, and chalk), Photography (primarily black & white landscape and portrait) |
| Do you have athletic ability? | NoYes |
| If yes, what type? | I play on summer softball and soccer teams, and bowl during the winter. |
| Please describe your relationship with your mother, father, and siblings during childhood and now: (include description of parental personatilites and any specific problems you experienced in your history) |
My family is amazing. We play sports together, have game and movie nights and still always have Sunday dinners together. When we were growing up, we had our competitive, sibling rivalry moments, but they have passed. |
Motivation
| Have you donated your eggs before? | NoYes |
| If yes, when and where? | |
| Why do you want to be an egg donor? | I have some friends who have had a difficult time getting pregnant, and I always felt I was unable to help them. Several have gone through IVF procedures which made me aware of the process, and of the need for donors. By donating, I feel l may be able to help. |
| What made you decide to become an egg donor? | After seeing some of my friends have difficultly tring to get pregnant, I feel I can help other people achieve this goal. |
| Why do you believe that you would be an excellent egg donor? | I am healthy and intelligent. I will follow the protocol exactly and feel I am donating for the right reasons. |
| What do you feel you will gain personally from being a donor? | I will gain the satisfaction of being able to help another human being. It is gratifying to know that there may be something I can do. |
| What do you want to say to the people who will receive your eggs? | I wish them the best. I want them to love and cherish the life that is created by this procedure. Always let the child know how badly they wanted him/her and that they were willing to go through such an intense process to have them brought into their life. |
| If frozen embryos result from the procedure, who owns them? | The recipient couple. |
| If a child/children are born from your eggs, what is your relationship to them? | I am only related to them biologically, nothing more. Just like giving blood, it was mine, I donated it, now the person who has received it has ownership. |
| Would you feel like a mother? | NoYes |
| Why or why not? | A mother has much more than biology invested in a child. |
| How much would you think of the child/children in the coming years? | Often. I would be so proud of the fact that I was able to help a couple have the family they have always dreamed of. |
| How many times do you think you want to donate? | Multiple |
Philosophy
| Would you want contact with the child/children in the future? NoYes | |||||||||||||
| Why or why not? | Not unless the recipient couple wanted it that way. I would not pursue a relationship on my own. | ||||||||||||
| Do you have any concerns about being an egg donor? NoYes | |||||||||||||
| If yes, what are they? | |||||||||||||
| How would you feel if you were not chosen to be an egg donor? | I would be disappointed. Only because I would very much like to help. | ||||||||||||
| Please check any or all of the items below with which you think you might have difficulty: | |||||||||||||
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| Please explain any of these potential concerns and how you would overcome them: | |||||||||||||
Support System
| Who have you told about your plans or desire to be an egg donor? | My family, boyfriend and friends. |
| What do they think? | They think it is a very generous thing to do. |
| Will you tell your parents? | NoYes |
| Why or why not? | I have, and they are supportive. Of course, as parents they worry about the physical aspects of the procedure. |
| If you are married or in a significant relationship, is your spouse or significant other supportive? | NoYes |
| Please describe in detail his or her feelings and attitudes regarding your donation: | My boyfriend is very supportive. |
| Who will be your support system when you go through the donation procedure? | Everyone has offered to help me. |
| Please describe the kind of support you think they will offer: | Emotional support and Patience during hormonal mood changes. Rides to and from my doctor appointments. |
| Please list any other concerns or questions you might have: |
