A – CS 4765, Springs
Generate PDFAvailability status: | Available now in Johannesburg and Pretoria, other regions - travel costs |
Race: | White |
Age: | 30 |
Hair colour: | Blonde straight |
Eye colour: | Blue and green |
Has children: | Yes |
Proven donor | Yes |
Post matric studies: | No |
Other physical information: | 1.5m., 65kg. |
Face shape: | Round |
Other personal information: | South African nationality, of Italian and Portuguese ancestry, O+ blood group. Candidate is a very quiet person until she trusts others. She has a keen interest in the human body as it is a wonderful thing God has created. Her dreams are to go to school so that she study further and also help other people in need of medical attention. She love the outdoors, nature and all animals too. Her hobbies include reading and watching everything medical. She also enjoys camping, fishing and in her spare time, she draws. She is a married mother of three children. Reason for donating: If I could help in anyway then I would! It feels great to know you have helped someone especially something this special. My message to the family would be: Never give up on yourself as there is always hope. If I am that hope for your new family, then I have faith that we shall succeed in making a difference in your life. |
Reproduction history: | Three children (two blonde and one brown haired) and proven donor. |
What are your views on religion and spirituality, and practiced religion? | None |
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Category: Active Donor
Additional donor information
Initial information
In which town do you live? | Springs, Gauteng |
In which province do you live? | Gauteng |
Nationality | South African |
Where were you born? | Johannesburg |
What language(s) do you speak? | English and Afrikaans |
Year of birth | 1994 |
Age | 30 |
Star sign | Libra |
Blood group (if known) | O+ |
Why do you want to be an egg donor and if you had a message for your recipient what would it be? | If I could help in anyway then I would! It feels great to know you have helped someone especially something this special. My message to the family would be: Never give up on yourself as there is always hope. If I am that hope for your new family, then I have faith that we shall succeed in making a difference in your life. |
How do you best describe yourself? | Im unique |
Relationship status | Married |
Physical profile
Race | White/ Caucasian |
Skin complexion | Fair |
Face shape | Round |
Nose shape defined by Wikipedia | Greek - perfect straight nose |
Eye shape | Almond |
Height in metres | 1.5 |
Weight in kilograms | 65 |
What is your usual or ideal weight? | 65 |
Build and body shape | Medium |
Which body part is most sensitive to weight gain or loss? | Face and tummy |
Eye colour | Blue |
Natural hair colour | Blonde |
Hair colour as a child | Blonde |
Hair type | Straight |
Hair texture | Thick |
Description of hands and fingers | Small hands small nails |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | When I was about aged 13, my breasts were were a C cup. I come from a family of big breasted women. Size 5/ 6 shoe. |
Cup size | C - we are a family of big breasted woman. |
Shoe size | 5/ 6 |
Are you left handed or right handed? | Left handed |
With celebrity do you most resemble - physically? | Jennifer Lawrence |
How many siblings do you have? | 3 |
Sibling 1 Hair Colour | Brown |
Sibling 1 Eye Colour | Green |
Sibling 1 Build | Small |
Sibling 2 Hair Colour | Blonde |
Sibling 2 Eye Colour | Blue |
Sibling 2 Build | Small |
Sibling 3 Hair Colour | Blonde |
Sibling 3 Eye Colour | Blue |
Sibling 3 Build | Small |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. of children | 3 |
Child 1 Date of Birth | 27/01/2015 |
Child 2 Date of Birth | 18/12/2011 |
Child 3 Date of Birth | 16/03/2020 |
Fertility issues | None |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
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? | No |
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? | C sections. I bleed quite alot |
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? | When I Get A Chance |
In which exercises or sports do you partake now? | Running after children. |
Have you excelled in any sports? | Swimming and running |
What sports did you play at school? | Cross country |
Professional and academic information
Occupation | Student |
What is your ideal career/ occupation? | Doctor |
What are you doing to get to your desired profession in life? | Saving to study nursing |
Do you have a matric and university exemption? | No matric |
What is the name of any course / degree completed? | First aid |
Planned studies | Yes |
In what aspects do you have a keen interest? | Human body |
What type of books do you like to read? | non-fiction |
Would you prefer to read the book or watch the movie? | Read the Book |
Do you know if your IQ was ever tested and the score please? | No |
Behavioural traits
What is most important in life to you? | My children |
If you had unlimited resources and could save one thing on earth what would it be? | Children that are hungry |
What are your views on religion and spirituality, and practiced religion? | None |
Childhood religion? | Christian |
Interests and hobbies | Fishing, camping, drawings |
What is your preferred holiday? | Beach |
If you were offered an all-inclusive holiday, what would it be? | I dont know someplace warm and beautiful |
Which interesting places have you visited? | God’s windows |
What are your feelings on animal welfare? | I dont like animal abuse they are loyal pets given to us from God and so we should protect them the same as we would a child |
Strength and weaknesses | Strengths - efficiency |
What do others generally think of you? | I cannot say. |
Favourite flower | All flowers |
What is your favourite meal? | Burgers |
What is your favourite movie? | To many to say |
What is your favourite book? | Roses in the Attic |
What is your favourite colour? | Blue |
What is your favourite colour lipstick? | I dont wear lip stick |
What is your favourite perfume? | Charlie |
Who is your favourite person? | My mom |
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 musical or played any musical instruments? | No |
Are you more cultural or more adventurous? | Bit of Both - depending on Situation |
Do you prefer indoors or outdoors? | Outdoors |
Which weather do you prefer? | hot |
Are you more creative or analytical? | analytical |
Family information of genetic parents
Nationality for mother and father | Both Portuguese, MGM - Italian, MGF - Portuguese |
Country of origin and ancestry for mother and father | South Africa |
Language spoken for mother and father | English |
Professions for mother and father | Mom - stay at home, dad - boiler maker |
Achievements on an academic level for mother and father | None indicated |
Race for mother and father | All white |
Natural hair colour for mother and father | Mom - brown wavy thick, Dad - brown straight |
Eye colour for mother and father | Mom - green, Dad - blue |
Height for mother and father | Unknown |
Mother and father build | Mom - slim, Dad - fat |
Any specific defining traits for both parents | None indicated |
Are your parents still alive? | No To Both |
If deceased, cause of death | Mom - lung cancer (she was a smoker), dad - heart attack |
Age (if living, or age deceased) | Mom - 63, dad - 67 |
Health status | Both deceased |
Any family members who have had cancer including aunts or uncles? | Yes |
Please provide details about cancer in your family | Mom - lung cancer (she was a smoker) |
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 | Dad and grandfather - diabetes |
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 | Only my mother |
Any skin disorders, albinism, ectodermal dyslasia or other in your family – please explain | No |
Any other comments regaring any health aspects in your family | No |
Alcoholism / substance abuse | Only my father |
Grandmothers still alive? | No to Both |
If deceased, state cause of death | Unknown |
Current age or age of death | Unknown |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | Unknown |
Current age or age at time of death | 87 |
Grandfathers' eye colour (maternal and paternal) | Blue |
Grandmothers' eye colour (maternal and paternal) | Green |
Grandfathers' hair colour (maternal and paternal) | Blonde |
Grandmothers' hair colour (maternal and paternal) | Brown |
Health of grandmothers (maternal and paternal) | Unknown |
Health of grandfathers (maternal and paternal) | Unknown |
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 | No |
Any notes/ comments re family of family health aspects - genetic ito psychological, physical, deformaties, diseases, concerns | No |
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 | Cape Town, Stellenbosch, Johannesburg, Pretoria, Port Elizabeth, Durban, Bloemfontein |
Confirmation
I have only made myself available as an egg donor with baby2mom. | No |
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 |