S – JH 3928, Johannesburg
Generate PDFAvailability status: | Available now in Johannesburg and Pretoria |
Race: | White |
Age: | 30 |
Hair colour: | Blonde |
Eye colour: | Blue |
Has children: | Yes |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.6m., 68kg., medium build. |
Face shape: | Round |
Other personal information: | South African nationality, Christian, A+ blood group. Candidate is an active person employed as an accounts manager. Non-smoker. Reason for donating: I have met alot of people on journeys to having children who are struggling with infertility. They try IVF and their egg quality is low and they loosing hope. I would love to help women out there who are struggling with good egg quality to give them the opportunity to become a Mama. |
Reproduction history: | Two children conceived easily and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | I am Christian and practice in my own comforts |
Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Gauteng |
Nationality | White |
Where were you born? | Richards Bay |
What language(s) do you speak? | English |
Year of birth | 1993 |
Age | 30 |
Star sign | Cancerian |
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 would love to give you the opportunity in becoming a Mama |
How do you best describe yourself? | I am a very active, fun and outgoing person. I am not shy and love to interact with people. I am a very straight forward person and hate having drama with people. I love sports and doing out door activities |
Relationship status | Serious relationship |
Physical profile
Race | White/ Caucasian |
Skin complexion | Fair |
Face shape | round |
Nose shape defined by Wikipedia | Greek - perfect straight nose |
Eye shape | Round |
Height in metres | 1.6 |
Weight in kilograms | 68 |
What is your usual or ideal weight? | 64 |
Build and body shape | Tall and slim |
Which body part is most sensitive to weight gain or loss? | My buttocks |
Eye colour | Blue |
Natural hair colour | Blonde |
Hair colour as a child | Blonde |
Hair type | Curly |
Hair texture | Thick |
Description of hands and fingers | Long and slim fingers and hands |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | B breast cup, size 5 shoe, few freckles, some dimples on lower back |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | Amanda Baynes |
Siblings physical traits - hair and eye colour, height, weight and build | Mousey blonde, Blue eyes, 1,5 m, short and slim |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. and ages of children (if applicable) | Two children born 2014 and 2019 |
Fertility issues | None |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Healthy |
Smoker | never smoked |
Alcohol consumption per week. | 1-2 a week |
Do you wear glasses? | Never |
How would you rate your sight? | Great |
Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | None |
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? | Thyroid |
Have you had any cancer? | No |
Have you had any heart problems? | No |
Please indicate if you have any allergies | None |
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. | None |
Any physical handicaps or deformaties? If yes, please state. | None |
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? | None |
History of asthma | No |
Indicate any medication you are taking and reason for it. | Thyroid medication |
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-section |
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? | None |
Have you excelled in any sports? | Swimming, netball and water polo |
What sports did you play at school? | Swimming, netball, water polo and hockey |
Professional and academic information
Occupation | Account Manager |
What is your ideal career/ occupation? | Events |
What are you doing to get to your desired profession in life? | Started my own side line business |
Do you have a matric and university exemption? | Matric and Exemption |
Subjects and grades or marks at school | Home Economics, Business Studies, Biology, English, Maths - 55% average all round |
What is the name of any course / degree completed? | Air Hostess |
Planned studies | None |
In what aspects do you have a keen interest? | Cooking, baking and animals |
What type of books do you like to read? | |
Would you prefer to read the book or watch the movie? | Both |
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? | A shelter for the homeless |
What are your views on religion and spirituality, and practiced religion? | I am Christian and practice in my own comforts |
Childhood religion? | Christian |
Any specific achievements or aspects of recognition in your family | None |
Interests and hobbies | Outdoor activities, colouring in |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | Turkey, Mexico, Dubai and Bulgaria |
What are your feelings on animal welfare? | Animals are just as important as humans |
Strength and weaknesses | Caring - Sometimes over compensate for people |
What do others generally think of you? | Nice person |
Favourite flower | Sunflower |
What is your favourite meal? | Pasta dishes |
What is your favourite movie? | |
What is your favourite book? | The Secret |
Who is your favourite actor? | Ben Stiller |
Who is your favourite actress? | Sandra Bullock - I have a few |
What is your favourite colour? | White and Black |
What is your favourite colour lipstick? | Dont wear lipstick |
What is your favourite perfume? | Alien |
Who is your favourite person? | Eeekkkk - My mom, sister and kiddos |
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? | None |
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? | |
Are you more creative or analytical? |
Family information of genetic parents
Nationality for mother and father | South African |
Country of origin and ancestry for mother and father | South Africa |
Language spoken for mother and father | English |
Professions for mother and father | Mom self employed - Dad Insurance broker |
Achievements on an academic level for mother and father | Matric for both |
Race for mother and father | White |
Natural hair colour for mother and father | Blonde |
Eye colour for mother and father | Blue |
Height for mother and father | 1.6 / 1.8 |
Mother and father build | Slim and average heights |
Any specific defining traits for both parents | None |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | None |
Age (if living, or age deceased) | 63 and 77 |
Health status | Good |
Please indicate if any twins in your family and the relationship to you | My cousins are twins and 1 cousin had twins |
Please list any family members who have had cancer including aunts or uncles and on which family side | None |
Any fertility problems in your family | Yes |
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? | Cholesterol |
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 |
History of asthma | -1 |
Any skin disorders, albinism, ectodermal dyslasia or other in your family – please explain | None |
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 | Natural |
Current age or age of death | 80 and 76 |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | Natural |
Current age or age at time of death | 45 and 60 |
Grandfathers' eye colour (maternal and paternal) | Blue |
Grandmothers' eye colour (maternal and paternal) | Blue |
Grandfathers' hair colour (maternal and paternal) | Blonde |
Grandmothers' hair colour (maternal and paternal) | Blonde |
Health of grandmothers (maternal and paternal) | Good |
Health of grandfathers (maternal and paternal) | Good |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | 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 |
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 |
Confirmation
I have only made myself available as an egg donor with baby2mom. | No |
Please advise any specific donation criteria other than those mentioned | Applied at Veda |
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 |