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I would like to be able to help individuals who do not have the ability to have a child do so. I want them to know they do have a chance, and with the help of others, having a baby is possible.
DONOR EGG AVAILABILITY: Available
- Age: 35
- Eye Color: Hazel
- Hair Color: Brown
- Height: 4'11''
- Weight: 119 lb
- Location: Texas
- Ethnic Background: Latin American
- Prior Cycle History: 0X Donor
- Cycle Outcome Details:
- 1/2011: Description, e.g.: 30 eggs retrieved, 24 mature, 23 fertilized, 17 embryos cryopreserved. FET update: twin birth.
- Blood Type:
- Weight: 119 lb
- Height: 4'11''
- Eye Color: Hazel
- Hair Color: Brown
- Hair Type: Wavy / Medium
- Skin Tone: Olive
- Do you have freckles? None
- Body Frame: Small
- Dominant Hand: Right
- Do you use corrective lenses? no
- Ethnic Background: Latin American
- What was your age at first menstruation?
- How many days between menstrual cycles?
- How many days does your menstrual cycle last?
- Has your menstrual cycle ever been irregular?
- Are you currently sexually active?
- Has anyone in your family had problems becoming pregnant?
- How many sexual partners have you had in your lifetime?
- How many sexual partners have you had in the past year?
- Are you currently in a monogamous relationship?
- Have you ever been diagnosed for a sexually transmitted disease? no
- Have you had any reproductive problems?
- Have you ever been pregnant?
- Do you smoke, or have you smoked in the past (cigarettes, e-cigarettes, etc)? no
- Do you drink alcohol? yes
- Do you use recreational and/or illegal drugs? no
- Do you have any allergies, or have you in the past? yes
- Describe your diet:
- Do you exercise? yes
- Are you currently under a physician's care for any reason?
- Are you currently or have you ever suffered from depression?
- Do you have a history of depression in your family?
- Have you ever undergone surgery? yes
- Have you ever been hospitalized for reasons other than those listed above?
- Have you had any piercings or tattoos in the past year? no
- Have you ever traveled outside the United States? yes
- Heart defect: no
- Hardening of the arteries: no
- High cholesterol: no
- Heart disease: no
- Heart murmur: no
- High blood pressure: no
- Stroke: no
- Thalassemia: no
- Anemia: no
- Sickle-cell anemia: no
- Hemophilia: no
- Leukemia: no
- Lymphoma: no
- Immune disorder: no
- Autoimmune disorders: no
- Lupus: no
- Pneumonia: no
- Allergies: no
- Hay fever: no
- Asthma: no
- Emphysema: no
- Cystic fibrosis: no
- Chronic obstructive pulmonary disorder (COPD): no
- Lung cancer: no
- Tuberculosis: no
- Cirrhosis of the liver: no
- Colon cancer: no
- Crohn's disease: no
- Prostate cancer: no
- Testicular cancer: no
- Appendicitis: no
- Gallstones: no
- Ulcers of the stomach or duodenum: no
- Diabetes - type I: no
- Diabetes - type II: no
- Hypoglycemia: no
- Hypothyroid: no
- Hyperthyroid: no
- Thyroid cancer: no
- Kidney disorder: no
- Kidney stones: no
- Down syndrome (trisomy 21): no
- Klinefelter syndrome (XXY): no
- Turner syndrome (X): no
- Fragile X: no
- Miscarriage: no
- Endometriosis: no
- Ovarian cysts: no
- Polycystic ovaries: no
- Ovarian cancer: no
- Cervical cancer: no
- Breast cancer: no
- Premature menopause: no
- Uterine fibroids: no
- Uterine cancer: no
- Gaucher disease: no
- Wilson's disease: no
- Tay-Sachs disease:
- Canavan disease: no
- Hydrocephalus: no
- Cerebral palsy: no
- Neurofibromatosis: no
- Epilepsy: no
- Spinal cord disorders: no
- Spina bifida: no
- Migraines: no
- Multiple sclerosis: no
- Parkinson's disease: no
- Huntington's disease: no
- Alzheimer's disease: no
- Unexplained senility or mental decline before age 50: no
- Autism spectrum: no
- Asperger's syndrome: no
- Anxiety disorder: no
- Depression: no
- Manic depression: no
- Bipolar disorder: no
- Schizophrenia: no
- Drug abuse: no
- Alcoholism: no
- Suicide: no
- Deviated septum: no
- Cleft palate/cleft lip: no
- Marfan syndrome: no
- Spinal muscular atrophy (SMA): no
- Muscular dystrophy: no
- Dwarfism: no
- Congenital hip disorder: no
- Gout: no
- Osteoarthritis: no
- Rheumatoid arthritis: no
- Osteoporosis: no
- Color blindness: no
- Cataracts before age 50: no
- Blindness: no
- Glaucoma: no
- Deafness before age 50: no
- Acne: no
- Eczema: no
- Pigmentation disorder: no
- Skin cancer: no
- Club feet: no
- Any other medical conditions not reported above? no
- HIGH SCHOOL EDUCATION
- Year of Graduation:
- GPA:
- List applicable high school awards, honors, clubs, sports, other extracurricular activities:
- GPA:
- What were your favorite classes or subjects?
- What were your least favorite classes or subjects?
- Why do you want to become an egg donor?
- Describe your personality as a child:
- Describe your personality now:
- Describe your relationship with your parents as a child:
- Describe your relationship with your parents as a teen:
- Describe your relationship with your parents as an adult:
- What are your personal goals?
- What are your professional goals?
- What are you doing at this point in your life?
- What do you like most about yourself?
- Describe your likes and dislikes in life:
- What is your favorite color?
- What is your favorite food?
- What is your favorite music genre or music group?
- What is your favorite author or book?
- What is your favorite movie?
- What is your favorite season?
- Why?
- What is your favorite holiday?
- Why?
- What are your hobbies?
- Describe your dream vacation:
- What was the most memorable moment you remember from childhood?
- What is the most memorable and/or monumental moment in your life to date?
- As a child, what did you want to be when you grew up?
- What characteristics do you hold that you feel would be important for potential parents to know about you?
Donor Egg Availability:
AVAILABLE
