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23012023

&

Donor sperm

DONOR 1

Fullname

23012023

Country

USA

Address

Eye Color

Brown

Hair Color

Light Brown

Height

6 feet

Ethnicity

White/Caucasian

Education

Graduate degree

Hobbies

Gardening, Working out/exercising

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

My grandparents on the father’s side died at the old age. Probably the reason for death was stroke and heat attack. They never went to see a doctor. They lived off the land. My grandmother on my mother’s side is still alive. She has just turned 93. Her husband died probably at age 50 something, complications after pneumonia which he got at the war. At that time it wasn’t treated properly.

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

I can draw, dance, sing and crochet

DONOR 2

Fullname

Donor sperm

Country

Address

Eye Color

Green

Hair Color

Blond

Height

6,3

Ethnicity

White/Caucasian

Education

Bachelor’s degree

Hobbies

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

Carpentry, electrical, modern building, and building computers. Bicycling, chess, learning french, kayaking, reading, crossword puzzles, calligraphy, traveling, sailing,
hiking, computer coding, scuba divi

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

Pat aunt high blood pressure at 41.
One sibling has asthma.
Uncle - kidney stones.
Mother - migraine

BASIC INORMATION

Full name

23012023

Donor sperm

Country

USA

Address

Eye color

Brown

Green

Hair color

Light Brown

Blond

Height

6 feet

6,3

Ethnicity

White/Caucasian

White/Caucasian

Education

Graduate degree

Bachelor’s degree

Hobbies

Gardening, Working out/exercising

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

My grandparents on the father’s side died at the old age. Probably the reason for death was stroke and heat attack. They never went to see a doctor. They lived off the land. My grandmother on my mother’s side is still alive. She has just turned 93. Her husband died probably at age 50 something, complications after pneumonia which he got at the war. At that time it wasn’t treated properly.

Pat aunt high blood pressure at 41.
One sibling has asthma.
Uncle - kidney stones.
Mother - migraine

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

I can draw, dance, sing and crochet

Carpentry, electrical, modern building, and building computers. Bicycling, chess, learning french, kayaking, reading, crossword puzzles, calligraphy, traveling, sailing,
hiking, computer coding, scuba divi

Photos

PHOTOS

EMBRYO

How many embryos do you wish to donate

What are the grades of the embryos?

3

I don’t know

Have the embryos been genetically tested

Yes

Do you know the gender of the embryos

All boys

Have the embryos from this batch resulted in a life birth

Age of embryos when they were frozen

Yes

3 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

Celiac disease

Cystic fibrosis

Depression

Diabetes

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Hemochromatosis

High blood pressure

Huntington’s disease

Lupus

Marfan syndrome

Multiple sclerosis

Obesity

Phenylketonuria

Polycystic kidney disease

Rheumatoid arthritis

Schizophrenia

Stroke

Substance abuse

Tay-Sachs disease

Medical Histroy

DONOR 1

Allergy

Alzheimer

Anxiety

Asthma

Autism

Bipolar disorder

Cancer

Celiac disease

Cystic fibrosis

Depression

Diabetes

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Hemochromatosis

High blood pressure

Huntington’s disease

Lupus

Marfan syndrome

Multiple sclerosis

Obesity

Phenylketonuria

Polycystic kidney disease

Rheumatoid arthritis

Schizophrenia

Stroke

Substance abuse

DONOR 2

allergy

alzheimer

anxiety

asthma 

autism

bipolar disoder

cancer

celiac disease

cystic fibrosis

depression

diabetes

epilepsy

fibromyalgia

fragile x syndrome

heart conditions

hemochromatosis

high blood pressure

huntington's disease

lupus

marfan syndrome

multiple sclerosis

obesity

phenylketonuria

polycystic kidney disease

rheumatoid arthritis

schizophrenia

stroke

substance abuse