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The Ramzi Theory!

The Ramzi Theory uses placenta/chorionic villi location to determine gender at 6 weeks gestation using 2-D ultrasonography and colour flow Doppler.

The study was said to find dramatic differences between chorionic villi / placental location according to gender. With the method boasting correct predictions of gender in 97.2% of males and 97.5% of females early in the first trimester. If you have an early scan (before your dating scan 12 – 14 weeks), ask the sonographer which side your placenta is on. If they reveal that your chorionic villi/future placenta is on the left side of your body, the theory claims you’ll be having a girl; if they reveal it is on the right side of your body, the theory says it’s likely to be a boy  

Are transabdominal scans a mirror image, and transvaginal ultrasound scans true to the same side?

The Great Debate in the Ramzi world is whether transvaginal ultrasounds appear to be on the “same side” as pictured on the scan, and abdominal scans are “flipped,” or a “mirror image.” Although this is sometimes true, our rule at The Gender Experts is not all scans are created equal. If we followed this exact method to determine which side the placenta is on, our accuracy rate would not be as high as it is now. Are some ultrasounds on the same side, and others flipped? Yes. However, it does not always have to do with whether it is an abdominal or transvaginal scan. We look for many variables, including annotations on the scan, the anatomy surrounding the sac, the shape of the sac to determine orientation, and more to provide our most educated prediction. Another example of variability when reading scans for Ramzi Theory: In some cases, the scan needs to be rotated 90, or even 180 degrees to be in the correct orientation.


4. Sagittal scans cannot provide insight into whether placenta is located on left or right of the uterus.

What is a sagittal scan?

In the simplest terms, it is a view that appears to slice from left to right. Imagine looking from the right side of your belly and looking in. All you would be able to see is what is up and down, front and back; not left nor right. It is a “long view,” therefore, the only placenta location determination that is possible in this view is whether your placenta is anterior or posterior (toward the front, or toward the back.)

Ultrasound scan must be in transverse view for Ramzi Method determination

Example of the various planes used for scanning the uterus
Example of the various planes used for scanning the uterus

Ramzi Theory scans must be in the transverse plane in order to accurately determine which side the future placenta is on. The transverse plane is like looking from your belly button, in. This allows you to see which side is left, and which side is right.

Does it matter which side I ovulated from or which side the baby is on for the Ramzi Theory?

The Ramzi Method can be confusing. Some people will look at an ultrasound scan, and assume it is a boy if the baby is on the right side of the body. However, it is important not to focus on where the baby is, but where the placenta will be forming. Babies do stay close to their placenta in the beginning, but it’s important to remember to look for the bright area first and foremost when trying to determine an accurate Ramzi Theory prediction.

It also does not matter which side you ovulated from. A woman can release from her left ovary, and the baby can implant on the right side of her body just as easily as implanting on the left side.

Further evidence of this is that there are many women who only have one functioning ovary, and they are just as likely to produce a male or a female, regardless of which ovary it is being released from. There is no correlation from ovulation side for determining which side the placenta will form on.

Ramzi Method example pictures

Ramzi example scan

You may use this photo as a guide. It is a great way to predict, just for fun. It may not always work, because there is always room for error(see variability section). If you are still unsure, and would like to have our experts analyze your scan, feel free to upload your Ramzi Theory scan. We will do our best to determine whether you are carrying a boy or girl!

Confirmed Ramzi Method Gender Scans

Confirmed boy ultrasound for Ramzi Theory
Confirmed Ramzi Method internal boy ultrasound scan

Examples of confirmed BOY and GIRL Ramzi Theory scans: View Database

This is a confirmed internal boy scan at 8 weeks gestation. Notice baby is sitting right in the middle. However, the Ramzi Theory states it is not where the baby is, but where the placenta is. The placenta (technically chorionic villi at this stage, as true placenta has not developed yet), is on the left side of the picture, right side of the body.

Other clues to help make a gender prediction is location of the yolk sac, since it normally attaches close to chorionic villi. You can see this on the scan example as leaning toward the left side of pic(right side of body). Further evidence to indicate male fetus is the decidual reaction noted on the scan, which is also on the right side of the body. This can sometimes be seen as a “wall” that surrounds the sac. It is a thickening of the endometrium seen in early pregnancy and a double decidual sac sign is one of the first signs that a pregnancy has occurred.


Now, here are a few more details. Dr. Ismail (or should we call him Ismail, PhD?) confirmed that his hypothesis could work with an EV (endovaginal or transvaginal) or abdominal scan; however, the ultrasound tech or doctor taking the images would have to follow the same exact protocol as the study. This means no mirror images or turned sides; unless you’re directing the doctor/ultrasound tech performing your ultrasound, you won’t know if the ultrasound has been done in the same way. If you’re absolutely set on putting the Ramzi Method to the test, perhaps you should print Dr. Ismail’s article and bring it to your OB/GYN.

What Dr. Ismail has stressed to me is that determining gender at 6 weeks is not “ethical”; this is because, at 6 weeks gestation, the mother/parents can still choose to abort the fetus. Thus, in countries like India and China, the Ramzi Theory could be quite controversial as families prefer boys over girls

“Ma[n]y of the techs and doctors are not familiar with this method , please ask them to make sure that the tech must do true transverse section of the uterus to show the chorionic villi or the early placenta must be true transverse –  not sagital, not oblique –  and to make sure that if the uterus is retroverted or retroflexed that the tech do the true transverse accordingly,  and let the ladies know that it is not the baby position in the uterus but it is the placenta bulk, and that the placenta bulk either to right or left. I know that the sex chromosomes are in charge but there is a great deal that the sex chromosome do change and switch depending on the placenta position in the uterus, and this research is too long to explain and it is still controversial. Many pictures sent 90%  WERE NOT TRUE TRANSVERSE [ultrasounds]. And if the placenta sidedness and the gender do not match, it doesn’t mean there is something wrong with the method, but there is more than 60% chance that there is fetal pathology read my paper and to see the relation..but I don’t want them to be alarmed and stressed out; as long as you have a healthy baby thats all matter and if it works that the gender and the placenta do not match I want you to check the baby renals ( kidneys), the baby Brain, and the baby heart for any defect or mild pyelectasis, and other markers.”