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08042023

&

Sperm Donor

DONOR 1

Fullname

08042023

Country

United States

Address

Eye Color

Brown

Hair Color

Dark Brown

Height

5'6"

Ethnicity

Other

White, Black, Native American

Education

Graduate degree

Hobbies

Bicycling, Camping, Hiking, Visiting with friends, Listening to music, Playing an instrument, Reading, Gardening, Being a leader of a group, Drawing/painting

Anything else would you like to mention about your family medical history to the
Adoptive parent

Anything else would you like to mention about your talents,skills,interests 

Mountain climbing, being on the water (boating, rowing, kayaking)

DONOR 2

Fullname

Sperm Donor

Country

Unknown

Address

Unknown

Eye Color

Brown

Hair Color

Dark Brown

Height

6'1"

Ethnicity

Latino/Hispanic

Education

Bachelor’s degree

Hobbies

Anything else would you like to mention about your family medical history to the
Adoptive parent

Tennis

Anything else would you like to mention about your talents,skills,interests 

Pancreatitis - maternal grandmother
Diagnosed at age 58; treated with
surgery; treatment was successful; no
recurrences; poor diet was a contributing
factor.

Prostate Cancer - maternal grandfather
Diagnosed at age 63; treated with
surgery; treatment was successful; no
recurrences; contributing factors are
unknown.

Diabetes - Paternal grandfather
Diagnosed with type II in adulthood;
treats with prescription medication;
contributing factors are unknown.

BASIC INORMATION

Full name

08042023

Sperm Donor

Country

United States

Unknown

Address

Unknown

Eye color

Brown

Brown

Hair color

Dark Brown

Dark Brown

Height

5'6"

6'1"

Ethnicity

Other

White, Black, Native American

Latino/Hispanic

Education

Graduate degree

Bachelor’s degree

Hobbies

Bicycling, Camping, Hiking, Visiting with friends, Listening to music, Playing an instrument, Reading, Gardening, Being a leader of a group, Drawing/painting

Anything else would you like to mention about your talents, skills, interests

Mountain climbing, being on the water (boating, rowing, kayaking)

Tennis

Anything else would you like to mention about your family medical history to the
adoptive parent

Pancreatitis - maternal grandmother
Diagnosed at age 58; treated with
surgery; treatment was successful; no
recurrences; poor diet was a contributing
factor.

Prostate Cancer - maternal grandfather
Diagnosed at age 63; treated with
surgery; treatment was successful; no
recurrences; contributing factors are
unknown.

Diabetes - Paternal grandfather
Diagnosed with type II in adulthood;
treats with prescription medication;
contributing factors are unknown.

Photos

PHOTOS

EMBRYO

How many embryos do you wish to donate

What are the grades of the embryos?

4

unsure

Have the embryos been genetically tested

Yes

Do you know the gender of the embryos

I believe 2 male, 2 female

Have the embryos from this batch resulted in a life birth

Age of embryos when they were frozen

Yes

5-7 days

How long ago the embryos were created

Genetic mother’s age at the egg retrieval

Less than 5 years ago

Less than 40 years old

Have the embryos from this batch been already donated to another adoptive parent

No

Embryo

MEDICAL HISTORY

DONOR 1

DONOR 2

Allergy

Alzheimer

Anxiety

Asthma

Autism

Bipolar disorder

Cancer

Donor's grandparent

Celiac disease

Cystic fibrosis

Depression

Diabetes

Donor's grandparent

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Donor's parent

Hemochromatosis

High blood pressure

Donor's parent

Donor's grandparent

Huntington’s disease

Donor's grandparent

Lupus

Donor's grandparent

Marfan syndrome

Donor's grandparent

Multiple sclerosis

Donor's grandparent

Obesity

Donor, Donor's parent, Donor's grandparent

Donor's grandparent

Phenylketonuria

Donor's grandparent

Polycystic kidney disease

Donor's grandparent

Rheumatoid arthritis

Donor

Donor's grandparent

Schizophrenia

Donor's grandparent

Stroke