S – AM 2882, Uitenhage
Generate PDFAvailability status: | Available now in Port Elizabeth |
Race: | White |
Age: | 26 |
Hair colour: | Blonde |
Eye colour: | Green |
Has children: | Yes |
Proven donor | No |
Post matric studies: | No |
Other physical information: | 1.63m., 80kg. |
Face shape: | Oval |
Other personal information: | South African nationality, Christian, A+ blood group. Non-smoker. Reason for donating: I know someone who cannot have children, she tried artificial treatment, but has been unsuccessful. To have a baby is a gift from heaven. I'm young and healthy and I'm willing to help a couple to bring a beautiful little baby to their lives. |
Reproduction history: | I conceived at a very young age, my daughter is turning 6 this year. I cannot think of my life in without her. No donations as yet. |
What are your views on religion and spirituality, and practiced religion? | Christian |
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Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Uitenhage |
Nationality | South African |
Where were you born? | Uitenhage Eastern Cape |
What language(s) do you speak? | Afrikaans |
Year of birth | 1997 |
Age | 26 |
Blood group (if known) | A+ |
Why do you want to be an egg donor and if you had a message for your recipient what would it be? | I know someone who cannot conceived, she tried treatment but was unsuccessful. To have a baby is a gift from heaven. I'm young and healthy and I'm willing to help a couple to bring a beautiful little baby to their lives |
How do you best describe yourself? | I'm a loving caring person. I'm willing to help anyone. To help in this way to a mom and dad to be will make me happy. |
Relationship status | Engaged |
Physical profile
Race | White/ Caucasian |
Skin complexion | Medium |
Face shape | Oval |
Nose shape defined by Wikipedia | Greek - perfect straight nose |
Eye shape | Almond |
Which body part is most sensitive to weight gain or loss? | My tummy is the fatter part of my boddy. |
Eye colour | Green |
Natural hair colour | Blonde |
Hair colour as a child | Blonde |
Hair type | Frizzy |
Hair texture | medium |
Description of hands and fingers | Small hand with not to long fingers. |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Breast cup is a 36D, size 6 shoe, neither freckles nor dimples |
Cup size | Friendly |
Are you left handed or right handed? | Right handed |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
Fertility issues | No problems with fertility |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Would you consider your lifestyle | Healthy |
Any current diseases? | I dont have any diseases. I'm a healthy women with a normal lifestyle. |
Smoker | never smoked |
Do you wear glasses? | Since Early Adulthood |
Have you had any cancer? | No |
Have you had any heart problems? | No |
Any physical handicaps or deformaties? If yes, please state. | No |
Do you have any genetic diseases or are a carrier of any genetic concerns including but not limited to thalassemia, cystic fibrosis and sickle cell? | No |
History of asthma | No |
Indicate any medication you are taking and reason for it. | I'm on the pill. |
Have you ever been addicted to any substances? | No |
Have you partaken in any recreational drugs had tattoos or piercings in the last six months? Please explain. | No |
Details of any operations? | None |
Any specific diet such as vegan, vegetarian, health conscious, low fat, etc. | No |
How often do you excercise? | When I Get A Chance |
In which exercises or sports do you partake now? | No |
Have you excelled in any sports? | No |
What sports did you play at school? | Hockey |
Professional and academic information
Occupation | General worker |
What is your ideal career/ occupation? | Manger |
What are you doing to get to your desired profession in life? | Im searching for a better job with better salary |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | Consumer Studies, Business Studies, Tourism |
What type of books do you like to read? | |
Would you prefer to read the book or watch the movie? | Watch the Movie |
Behavioural traits
What is most important in life to you? | My family |
If you had unlimited resources and could save one thing on earth what would it be? | To save unborn baby, to protect children from abortions |
What are your views on religion and spirituality, and practiced religion? | Christian |
Childhood religion? | Christian |
Interests and hobbies | Motor sports |
If you were offered an all-inclusive holiday, what would it be? | Beach house holiday |
What are your feelings on animal welfare? | I would adopt everyone of then... |
Strength and weaknesses | Strength - I will always help people that I know wil help me, I will go out of my way for others, weakness - trust |
What do others generally think of you? | I'm a frendly soft loving person. |
Favourite flower | Karoo rose |
What is your favourite meal? | Fish |
What is your favourite movie? | All afrikaans movies |
Who is your favourite actor? | Willie Esterheizen |
Who is your favourite actress? | Lizz meiring |
What is your favourite colour? | Pink, blou |
What is your favourite colour lipstick? | Nude |
What is your favourite perfume? | Fantasy |
Who is your favourite person? | My dad and my daughter |
Are you more introverted or extroverted? | Introverted |
Would you prefer to go out with friends or stay in with a loved one or book? | Stay in with a loved one or book |
Are you more cultural or more adventurous? | Bit of Both - depending on Situation |
Do you prefer indoors or outdoors? | Indoors |
Which weather do you prefer? |
Family information of genetic parents
Nationality for mother and father | Both South African |
Country of origin and ancestry for mother and father | Both South Africa |
Language spoken for mother and father | Both Afrikaans |
Professions for mother and father | Mom - owner of a small business, dad - manager at a cleaning company |
Race for mother and father | Both white |
Natural hair colour for mother and father | Mom - brown, dad - dark brown/ black |
Eye colour for mother and father | Mom - brown, dad - blue |
Height for mother and father | Mom - 110kg., dad - 123kg. |
Mother and father build | Fat |
Any specific defining traits for both parents | Owner and manager |
Are your parents still alive? | Yes to Both |
Age (if living, or age deceased) | Both 57 |
Health status | Both healthy |
Please indicate if any twins in your family | None |
Any family members who have had cancer including aunts or uncles? | None |
Any fertility problems in your family | None |
In your family, has anyone suffered from/ currently have any health concerns/ diseases including but not limited to diabetes, cholesterol, blood pressure, thyroid, haemophilia, blood clotting, paralysis, porphyria, heart problems? | None |
In your family, does anyone have any genetic diseases or are a carrier of any genetic concerns including but not limited to thalassemia, cystic fibrosis, sickle cell, tay sachs? | None |
Any mental or psychological disease or learning disability or learning disorders including genetic depression, bi polar, psychiatric illness in siblings or family? If yes, please state | None |
Any physical deformaties or handicaps? If yes, please state | None |
Any skin disorders, albinism, ectodermal dyslasia or other in your family – please explain | No |
Any other comments regaring any health aspects in your family | None |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | Yes to Both |
Current age or age of death | Mid 70’s |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | Died in a car accident |
Current age or age at time of death | 59 |
Grandfathers' eye colour (maternal and paternal) | Unspecified |
Grandmothers' eye colour (maternal and paternal) | Unspecified |
Grandfathers' hair colour (maternal and paternal) | Unspecified |
Grandmothers' hair colour (maternal and paternal) | Unspecified |
Health of grandmothers (maternal and paternal) | Unspecified |
Health of grandfathers (maternal and paternal) | Unspecified |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | All white |
Any genetic health or psychological concerns worth noting regarding your grandparents | None |
Any notes/ comments re family of family health aspects - genetic ito psychological, physical, deformaties, diseases, concerns | None indicated |
Egg donation stipulations
Preferred town to donate | Port Elizabeth |
Towns available in which to donate - travel costs will be covered | Port Elizabeth |
Confirmation
I have only made myself available as an egg donor with baby2mom. | Yes |
Please advise any specific donation criteria other than those mentioned | None |
All information provided is correct and pictures are all of me. I agree to keep baby2mom updated with the donor programe (screening, blood tests, scans, egg retrieval. I will keep baby2mom updated wrt my availability and wrt egg donation pregnancies achieved. I consent to participate in the baby2mom egg donor program and participate as required and understand the concept of anonymous egg donation and claim no further rights over any child(ren) conceived of egg donation. I agree that I will be prescribed medication to potentially synchronise my menstrual cycle with that of the recipients and will be given hormones in a controlled environment by professional fertility specialists to stimulate donor egg developement. I agree to find more information pertaining to egg donation on the baby2mom egg donor site or ask if I have any further questions about being an egg donor. I agree to participate as required as people often travel from international destinations to participate in a South African egg donation program and have incurred considerable financial and emotional costs | Yes |