S – MM 6131, Johannesburg
Generate PDF| Availability status: | Available now in Johannesburg and Pretoria |
| Race: | White/ Caucasian |
| Age: | 27 |
| Hair colour: | Brown |
| Eye colour: | Green |
| Has children: | Yes |
| Proven donor | No |
| Post matric studies: | No |
| Other physical information: | 1.62m. 78kg |
| Face shape: | Round |
| Other personal information: | South African nationality Candidate has studied an advanced child care diploma. She is passionate about caring for people. Reason for donating: I truly feel that I want bless someone with a baby, I know how my child changed my life and feel sad that mothers that truly want children can't. I truly want to bless someone. |
| Reproduction history: | I have been pregnant once and gave birth to a healthy daughter, who is now 5 years old. My pregnancy and delivery were smooth with no complications. I have regular menstrual cycles and no known reproductive or hormonal issues. I have not donated eggs before but am excited and motivated to help others experience the joy of parenthood. |
| What are your views on religion and spirituality, and practiced religion? | I am Christian |
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Category: Active Donor
Additional donor information
Initial information
| In which town do you live? | Johannesburg |
| In which province do you live? | Gauteng |
| Nationality | South African |
| Where were you born? | Sasolburg |
| What language(s) do you speak? | Afrikaans and English |
| Year of birth | 1997 |
| Age | 27 |
| Star sign | Sagittarius |
| Blood group (if known) | Unknown |
| Why do you want to be an egg donor and if you had a message for your recipient what would it be? | I truly feel that I want bless someone with a baby, I know how my child changed my life and feel sad that mothers that truly want children can't. I truly want to bless someone. |
| How do you best describe yourself? | I am a caring and loving person, also available to lend a hand, random people feel comfortable talking to me and I also have listening ear. |
| Relationship status | Single |
| Have you donated eggs before? | No |
Physical profile
| Race | White/ Caucasian |
| Skin complexion | Fair |
| Face shape | Round |
| Nose shape defined by Wikipedia | Snub |
| Eye shape | Round |
| Height in metres | 1.62 |
| Weight in kilograms | 78 |
| What is your usual or ideal weight? | 78 |
| Build and body shape | I have a big bone structure |
| Which body part is most sensitive to weight gain or loss? | My breast and buttocks |
| Eye colour | Green |
| Natural hair colour | Brown |
| Hair colour as a child | Blonde |
| Hair type | Wavy |
| Hair texture | Thick |
| Description of hands and fingers | Small hands, chubby fingers, visible scars |
| Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | I have dimples |
| Cup size | 38B |
| Shoe size | 7 |
| Are you left handed or right handed? | Right handed |
| With celebrity do you most resemble - physically? | Not sure |
| How many siblings do you have? | 4 |
| Sibling 1 Hair Colour | Blonde |
| Sibling 1 Eye Colour | Blue |
| Sibling 1 Build | Slim |
| Sibling 2 Hair Colour | Brown |
| Sibling 2 Eye Colour | Blue |
| Sibling 2 Build | Slim |
| Sibling 3 Hair Colour | Black |
| Sibling 3 Eye Colour | Blue |
| Sibling 3 Build | Slim |
| Sibling 4 Hair Colour | Brown |
| Sibling 4 Eye Colour | Blue |
| Sibling 4 Build | Slim |
Reproductive information
| Are you a virgin? | No |
| Ever miscarried? | No |
| No. of children | 1 |
| Child 1 Date of Birth | 09/06/2020 |
| Fertility issues | None of which I am aware. |
Health of egg donor
| Are you a twin? | No |
| Are you adopted? | No |
| Would you consider your lifestyle | Moderate |
| Any current diseases? | No |
| Current health status lifestyle and/ or current diseases | Healthy |
| Smoker | 5 - 10 per day |
| Alcohol consumption per week. | 0_drinks |
| Do you wear glasses? | Never |
| How would you rate your sight? | 10 |
| Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | No |
| Have you suffered from/ currently have any health concerns/ diseases including but not limited to diabetes, cholesterol, blood pressure, thyroid, haemophilia, blood clotting, paralysis, porphyria? | Yes |
| Please list | Thyriod |
| Have you had any cancer? | No |
| Have you had any heart problems? | No |
| Please indicate if you have any allergies | No |
| Any mental or psychological diseases/ learning disorders including but not limited to genetic depression, bi polar, psychiatric illness etc. Please elaborate and indicate if genetic. | 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. | None |
| 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 |
| Are there any health issues of which you are aware that may be of concern for you to become an egg donor? If yes, please state. | No |
| Any specific diet such as vegan, vegetarian, health conscious, low fat, etc. | No |
| How often do you excercise? | A few times a week |
| In which exercises or sports do you partake now? | Normal exercises |
| Have you excelled in any sports? | No |
| What sports did you play at school? | Netball |
Professional and academic information
| Occupation | Unemployed |
| What is your ideal career/ occupation? | Care worker or child care |
| What are you doing to get to your desired profession in life? | I am studying |
| Do you have a matric and university exemption? | No matric |
| Subjects and grades or marks at school | Unsure |
| What is the name of any course / degree completed? | Advanced child care diploma |
| Planned studies | Care worker |
| In what aspects do you have a keen interest? | Caring for people |
| What type of books do you like to read? | i_do_not_read |
| Would you prefer to read the book or watch the movie? | Watch the Movie |
| Do you know if your IQ was ever tested and the score please? | No |
Behavioural traits
| What is most important in life to you? | Family |
| If you had unlimited resources and could save one thing on earth what would it be? | Abuse towards children |
| What are your views on religion and spirituality, and practiced religion? | I am Christian |
| Childhood religion? | Christian |
| Any specific achievements or aspects of recognition in your family | None |
| Interests and hobbies | I love caring for people, hobbies are singing and dancing |
| What is your preferred holiday? | Beach |
| If you were offered an all-inclusive holiday, what would it be? | Going to see my family in Cape Town |
| Which interesting places have you visited? | None |
| What are your feelings on animal welfare? | Good, I love the work they do |
| Strength and weaknesses | caring patience loving calmness baking |
| What do others generally think of you? | I am easy to talk to, very caring and would go out of my way for someone for whom I care. |
| Favourite flower | Sunflower |
| What is your favourite meal? | Pasta |
| What is your favourite movie? | Titanic |
| What is your favourite book? | None |
| Who is your favourite actor? | Ian Samholder |
| Who is your favourite actress? | Elena Gilbert |
| What is your favourite colour? | Red |
| What is your favourite colour lipstick? | Red |
| What is your favourite perfume? | None |
| Who is your favourite person? | My child |
| Are you more introverted or extroverted? | Extroverted |
| Would you prefer to go out with friends or stay in with a loved one or book? | Depends on the situation |
| Are you musical or played any musical instruments? | I sing |
| Are you more cultural or more adventurous? | Bit of Both - depending on Situation |
| Do you prefer indoors or outdoors? | Depending on the Situation |
| Which weather do you prefer? | cold, rain |
| Are you more creative or analytical? | creative |
Family information of genetic parents
| Nationality for mother and father | Both South African |
| Country of origin and ancestry for mother and father | My grandmother is Italian |
| Language spoken for mother and father | Mom - English Dad - Afrikaans |
| Professions for mother and father | Mom - sales person Dad - welder |
| Achievements on an academic level for mother and father | Not sure |
| Race for mother and father | Both white |
| Natural hair colour for mother and father | Mom - brown Dad - black |
| Eye colour for mother and father | Mom - green Dad - blue |
| Height for mother and father | Not sure |
| Mother and father build | Mom - chubby Dad - slim |
| Are your parents still alive? | No To Both |
| If deceased, cause of death | Mom - had lung cancer Dad - stomach issues |
| Age (if living, or age deceased) | Mom - died at 62 Dad at 59 |
| Health status | None |
| Please indicate if any twins in your family | Yes |
| Details of twins | My grandfather was a twin |
| Any family members who have had cancer including aunts or uncles? | Yes |
| Please provide details about cancer in your family | My uncle died of cancer |
| Any fertility problems in your family | No |
| 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? | Yes |
| Please provide details of health concerns in your family | My dad had high blood pressure |
| 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? | No |
| 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 | No |
| Any physical deformaties or handicaps? If yes, please state | No |
| History of asthma | No To Both |
| 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? | No to Both |
| If deceased, state cause of death | Not indicated |
| Current age or age of death | Not indicated |
| Grandfathers still alive? | No to Both |
| If deceased, state cause of death | Not sure |
| Current age or age at time of death | Not indicated |
| Grandfathers' eye colour (maternal and paternal) | Not sure |
| Grandmothers' eye colour (maternal and paternal) | Not sure |
| Grandfathers' hair colour (maternal and paternal) | Not sure |
| Grandmothers' hair colour (maternal and paternal) | Not sure |
| Health of grandmothers (maternal and paternal) | Not sure |
| Health of grandfathers (maternal and paternal) | Not sure |
| Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | No |
| Any genetic health or psychological concerns worth noting regarding your grandparents | No |
| Any notes/ comments re family of family health aspects - genetic ito psychological, physical, deformaties, diseases, concerns | None |
Egg donation stipulations
| Please indicate if you have any donation conditions or criteria such as persons to whom you prefer not to donate | None |
| Preferred town to donate | Johannesburg |
| Towns available in which to donate - travel costs will be covered | Johannesburg, Pretoria |
Confirmation
| I have only made myself available as an egg donor with baby2mom. | Yes |
| Please advise any specific donation criteria other than those mentioned | No |
| 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 |
