Peritonsiler abscess (PTA / Quinsy) 8

Management
Handling peritonsiler abscess include hydration, pain, and antibiotics are effective to overcome Staphylococcus aureus and anaerobic bacteria. Fine needle aspiration is an effective treatment in 75% peritonsiler abscess in children and is recommended as primary therapy unless there is a history of recurrent tonsillitis, or abscess before it peritonsiler measure is immediately tonsilektomi (Bailey, 2005).
In the infiltration stage, given high doses of antibiotics, and symptomatic medications. Also need to gargle-gargle with warm water and cold compresses on the neck. Appropriate choice of antibiotic depends on the results of cultures of microorganisms in the needle aspiration. Penicillin is a "drug of choice" in peritonsilar abscesses and 98% effective in cases when the combicated with metronidazole. Dosage for penicillin in adults is 600 mg IV every 6 hours for 12-24 hours, and children 12500-25000 U / kg every 6 hours.
Initial dose metronidazole for adult maintenance dose of 15mg/kg and 6 hours after initial dose with intravenous 7.5 mg / kg for 1 hour was given for 6-8 hours and not exceed 4 grams / day (Fachruddin, 2002).
If formed abscess, requiring surgical drainage, either by needle aspiration technique or with incision and drainage techniques. Difficulties may arise in ascertaining whether associated with acute cellulitis or abscess formation which had actually been hesitant happen, needle size 17 can be inserted (after application with anesthetic spray) into the three locations that seemed most likely to produce pus aspirations. If pus is found by accident, this method may be sufficient for drainage followed by antibiotics. If the amount of pus were found, and insufficient drainage with this method, a further incision and drainage can be done (Adams, 1997).
Incision and drainage technique requires local anesthesia. First pharynx sprayed with topical anesthetic. Then 2 cc Xilocain with adrenaline 1 / 100, 000 injected. Knife tonsila no 12 or no 11 with tape to prevent deep penetration used to make the incision through the mucosa and submucosal polar near the tonsilaris fossa. Place of incision is the most prominent areas and soft or in the middle of the line joining the base of uvula with the last molar on the side of dull aching Hemostat is inserted through the incision and gently stretched. Tonsila suction should be provided to collect pus issued. In older children or young adults with severe trismus, surgical drainage for abscesses peritonsiler possible after the application of fluid cocaine 4% in the incision area and regional areas and the fossa ganglion sfenopalatina Nasalis. This is sometimes reduce pain and trismus. Children younger require general anesthesia. Tonsilektomi recommends immediate (tonsilektomi quinsy) feel that this is a safe procedure that helps perfect drainage of the abscess if tonsila removed (Adams, 1997).
When tonsilektomi performed with acts of abscesses drainage tonsilektomi it is called "a chaud", when tonsilektomi performed 3-4 days after darinase abscess tonsilektomi called "a tiede" and if tonsilektomi performed 4-6 weeks after the drainage of abscesses tonsilektomi called "a froid ". Tonsilektomi generally performed after the infection quiet, ie 2-3 weeks after the drainage of abscesses (Fachruddin, 2002).
If there is trismus, then to overcome the pain, given analgesia (local), with novocain injected xylocain or 1% of ganglion sfenopalatinum. This ganglion is located at the rear of the lateral from concha media. Sfenopalatinum ganglion nerve has branches Palatina anterior and posterior media that send branches to aferen nerve tonsil and palate molle on the tonsils. The most appropriate area for the incision got inervasi from Palatine branch m. trigeminal ganglion sfenopalatinum passing. Then the patients recommended for surgery tonsilektomi (Fachruddin, 2002).
Tonsilektomi an absolute indication to people who suffer from recurrent abscess or abscess peritonsilaris which extends to the surrounding tissue. Peritonsil abscess has a large tendency to relapse. Until now there has been no agreement on when tonsilektomi done peritonsil abscess. Some authors recommend 6-8 weeks later tonsilektomi considering the possibility of bleeding or sepsis, whereas others recommend immediate tonsilektomi (Adams, 1997).

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Peritonsiler abscess (PTA / Quinsy) 6

Typically, complaints emerged in patients with a history of acute pharyngitis with acute tonsillitis (Gosselin, 2008). Classic symptoms begin 3-5 days time from onset of symptoms until the occurrence of abscesses around 2-8 days. Patients usually experience odinofagia complaints (pain swallowing) is good, so difficult to do tests because it is difficult to open his mouth and dehydration can also occur, vomiting (regurgitation), halitosis (foeter ex ore), "hot potato voice", a lot of saliva (hipersalivasi), nasal voice (rinolalia) and difficult to open the mouth (trismus), headache, weakness, fever, and swollen glands submandibula with tenderness. Patients also may experience pain when moving the neck (Fachruddin, 2002).
Some patients also have ipsilateral otalgia during swallowing. Trismus, which appears on all of the cases of several degrees of severity, suggesting an inflammation of the lateral wall of the pharynx and muscle pterigoid. Because inflammation of the muscles and cervical lymphadenopathy, sometimes patients also complain of neck pain and limited neck motion. The doctors should be more wary of the PTA, when seeing patients with symptoms of inflammation of the pharynx that persist despite antibiotics have been given adequate preparation (Gosselin, 2008).
On physical examination can be found in various conditions, from acute tonsillitis with unilateral asymmetric pharynx until the occurrence of dehydration and sepsis. Used by most patients experiencing tremendous pain. Oral examination will find eritem mucosa, palate, mole appeared swollen and prominent in the future, may be felt fluctuations. Uvula swollen and pushed to the contralateral side. Swollen tonsils, hiperemis, maybe a lot of detritus and pushed toward the center, front, and bottom (Fachruddin, 2002).

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Peritonsiler abscess (PTA / Quinsy) 5

Peritonsiler abscess is an infection that started from the outer surface that extends into the inner layer of soft tissue. Exactly pathophysiology of PTA is unknown. However, several theories attempt to explain the mechanism of the PTA, and the theory was widely accepted that the occurrence of an abscess peritonsiler tonsil inflammation spreading from there. Abscess formed between tonsila Palatina and the capsule, usually in the superior region. It is then believed that the abscesses originated from an acute episode include tonsilits growing soft tissue around the area (Mehta, 2007). Other Mecanisme happened is the emergence of necrosis and pus in the capsular area, which then clog the Weber glands, minor salivary glands found in the living and working peritonsiler help clean up debris from the tonsils, resulting in secretions and forming abscesses (Gosselin, 2008).
Superior and lateral regions tonsilaris fossa is loose connective tissue, the infiltration into the potential supurasi posters peritonsil occupy this area, so look swollen palate molle. In the early stage (stage infiltrates), in addition to swelling, the surface looks hiperemis. If the process continues, the area is more soft and yellowish color. Tonsils pushed to the middle, front and bottom, and swollen uvula pushed to the contralateral side. If the process continues, inflammation of the surrounding tissue will cause irritation of the m. Pterigoid internal, resulting in trismus. Abscesses may rupture spontaneously, may occur to the pulmonary aspiration (Fachruddin, 2002).

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Peritonsiler abscess (PTA / Quinsy) 4

Some microorganisms that can cause acute or chronic tonsillitis can also be a PTA-causing organisms. Aetiology peritonsiler abscess most frequently encountered is a species of aerobic and anaerobic gram-positive are usually found in the culture, usually bacterial beta-hemolytic Streptococcus group A. The next most common is from Staphilokokus groups, pneumococcal, and Haemophilus. And other microorganisms that can be found in the culture including Laktobasillus, groups such as filamentosa shaped Actinomyces sp., Mikrokokus, Neisseria sp., Diphtheria bacteria, Bacteroides sp., And some bacteria other non-sporulation (Gosselin, 2008). Sometimes the infection continues to be tonsila cellulitis difusa of the palate extends tonsila mole. Continuation of this process causes abscesses peritonsilaris. These disorders can occur quickly, with the beginning of tonsillitis, or the end of the course of the disease of acute tonsillitis. This can happen even if given penicillin. Usually unilateral and more frequently in children older and younger adults (Adams, 1997).

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Peritonsiler abscess (PTA / Quinsy) 3

Pharynx is divided into nasopharynx, orofaring and laringofaring. Nasopharynx is part of the pharynx that lies above pallatum molle, which is part orofaring located between palate molle and hyoid bone, while laringofaring part of the pharynx which extends from the hyoid bone to the lower boundary of cartilage crikoid (Ballenger, 1997). Orofaring open to the oral cavity in the anterior pharyngeal pillars. Pallatum molle (vellum palati) consists of muscle fibers are supported by fibrous tissue which is covered by mucosa. Protrusion on the median dividing it into two parts. Forms such as cones, located disentral called uvula. Two columns made up of tonsils tonsilar Palatina anterior and posterior. Glossoplatina and pharyngopalatina muscle is the largest muscle that make up the pillars of the anterior and posterior columns. Tonsils located between the basin palatoglossal and palatopharyngeal (Steyer, 2007).
Plika triangularis (tonsilaris) is a thin fold of mucosa, which covered the anterior pillar and some and some anterior surface of the tonsils. Plika semilunaris (supratonsil) is the upper folds of the mucosa which unites the two pillars. Supra tonsil fossa is the size of the gap varies over the tonsils, located between the anterior and posterior pillars. Tonsil consists of a protrusion of the circular or circular like cripte containing lymphoid tissue and surrounding connective tissue there. Amid the estuary there cripta mucous glands (Ballenger, 1997).
Tonsils and adenoid are the most important part of the Waldeyer ring lymphoid tissue surrounding the pharynx. Tonsils are located in the sinuses tonsilaris between the anterior and posterior pillars faussium. Faussium tonsils are one on each side is orofaring lymphoid tissue that is wrapped by a clear fibrous capsule. The inner surface of the membrane covered by stratified squamous epithelium which is attached. This epithelium extends into the open surface kripta tonsils. Kripta numbered 8-20 on the tonsils, usually tubular and is almost always extends from the tonsils to kekapsul the outer surface of the tonsils. The bound m.konstriktor faringeus superior, so depressed every time swallowing. m. palatoglusus and m. palatofaring also pressing the tonsils.
During the embryonic period, tonsils pharyngeal pouch formed from the second sebegai endodermal bud from the cell. Shortly after birth, tonsils are irregular and grow until it reaches the size and shape, depending on the number of network limphoid (Steyer, 2007).
Structure around tonsilla Palatina (Jevuska, 2007):
1. Anterior
In the anterior part is tonsilla Palatina palatoglossus Arcus, can extend for a short distance below it.
2. Posterior
There posteriorly palatopharyngeus Arcus.
3. Superior
In the superior near palate molle. Here tonsilla joined the lymphoid tissue on the lower surface of palate molle.
4. Inferior
In a third of the posterior inferior tongue. Here, together with tonsilla Palatina tonsilla lingualis.
5. Medial
In the medial part of the oropharynx space.
6. Lateral
There lateral capsula separated from the superior m.constristor pharyngis by loose areolar tissue. V. Palatina externa walked down from the palate molle in this loose connective tissue, to join the plexus venosus pharyngeus. Lateral to the superior pharynges there m.constrictor m. styloglossus and a.facialis arch. A. The internal carotid is located 2.5 cm behind and lateral tonsilla.
Palatina Tonsilla get vascularisasi from: tonsillaris ramus which is a branch of the facialis artery; the branches of a. Lingualis; a. Palatina ascendens; a. Pharyngea ascendens. While innervasinya, obtained from N. Palatinus Glossopharyngeus and minor nerve. Lymph vessels in the nl. Cervicales profundi. The most important node in this group are jugulodigastricus node, which lies below and belakangangulus mandibulae.

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Peritonsiler abscess (PTA / Quinsy) 2

Peritonsiler abscess (PTA) is the infectious disease most often occurs in the head and neck. A combination of aerobic and anaerobic bacteria in the peritonsilar area. Which could potentially place the abscess is a pillar area tonsils anteroposterior, inferior Piriform fossa, and superior palate (Mehta, 2007).
According to Gosselin (2008), peritonsiler abscess (PTA) is a pile of pus that is localized on the peritonsiler network formed as a continuation of supuratif tonsillitis. The alternative explanation that the PTA is an abscess that is formed from a group of salivary gland in supratonsiler fossa, known as the Weber glands. Because composed of loose connective tissue, severe infections in these areas can quickly lead to purulent material.
Peritonsil abscess formed due to the spread of infectious bacterial organisms to one's throat loose aereolar room around the pharynx causing abscess formation, where the infection has penetrated tonsil capsule but remains within the limits of pharyngeal constrictor muscle.

Epidemiology
Peritonsiler abscesses can occur at the age of 10-60 years, but most often occurs at the age of 20-40 years. In children is rare except in those who decreased immun system, but the infection can cause airway obstruction is significant in children (Mehta, 2007). These infections have the same proportion of men and women. Evidence indicates that chronic tonsillitis or multiple experiments using oral antibiotics for acute tonsillitis predispose people to develop peritonsiler abscess. In America sometimes incident -
sometimes approximately 30 cases per 100,000 people per year, are considered almost 45,000 cases each year (Gosselin, 2008).

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Peritonsiler abscess (PTA / Quinsy) 1

Recent years diagnosis and treatment of infection in the neck has been given the challenge to the experts to do more research. The complexity and depth of the location in this region makes difficult the diagnosis and treatment is established.
Neck abscess formed in the potential space between the fascia in the neck as a result of infection spreading from various sources, such as teeth, mouth, throat, paranasal sinuses, middle ear and neck which depends on space involved. Clinical signs and symptoms may include pain and swelling. Peritonsiler abscess (PTA / Quinsy) is one of the neck abscess in which besides the neck abscess abscess can also retrofaring, parafaring abscesses, abscesses and angina submandibula Louis (Ludwig angina) (Fachruddin, 2002).
Peritonsiler abscess is usually a complication of acute tonsillitis cases. The presence of inflammation in the form of edema can be a major cause of complaint difficult in swallowing. Dehydration often appear in advanced stage patients who refused to eat and drink because of the pain he felt. The expansion of these abscesses can cause inflammation that is felt until the entire face and neck, and the possibility it may cause airway obstruction (Gosselin, 2008).

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how to choose baby's sex? conclusions

In the present and future periods is the ideal small family and the good boys and girls alike. But we can still find a husband who left his wife because his wife could not born child of the desired gender, or still often we see a husband and wife will not stop reproducing, despite being the umpteenth child was born, because the gender of the coveted yet come. Eventually will make a great family.

Since ancient times many myths have emerged that indicate the existence of demand for some people to have children with a specific gender. Existing demand and speculation about what gender to be born. That's how myths are formed. Not to mention the myths about ways to get a boy or girl of that sounds reasonable until the no. For example, to get the girl, the mother should eat a lot of sweets. This is certainly contrary to the doctor ordered, since sweet foods may trigger the emergence of diseases such as diabetes and hypertension.

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how to choose baby's sex? CHOOSING BUSINESS AS baby's sex date

Some researchers such as Gordon, M., Bhattacharja, BC and Leiberman, E.J. try to separate the two populations of sperm and andro-sperm-sperm gino genuine. Then this pure seeds inserted into the uterine insemination by wives. Thus the certainty will be obtained by birth desired gender.
A. Electrophoresis methods
The rationale is that andro and gino-sperm have masses, sizes and different shapes. Will therefore contain an electrical load or different poles. So in this way are expected to andro-sperm will be attracted and gathered at one pole while gino-sperm into the other pole (Mochtar, 1998).
B. Centrifugation method (Pemusingan)
Since weight and mass are different, then after the two kinds of sperm sentrifuse each will form a layer in the tube, the layer containing the sperm and andro-containing layer gino-sperm (Mochtar, 1998).
C. Sedimentation methods (Sedimentation)
By the influence of gravity, gino greater sperm more quickly settles to the bottom of the tube deposits, while andro-more sperm live in the top layer (Mochtar, 1998).
D. Diaphragm method (Filter)
This method using a special diaphragm which just missed, such as andro-sperm and sperm contain-gino. The diaphragm is mounted close the cervix uteri of women like the only contraceptive diaphragm (Mochtar, 1998).
E. Pills Men and Women Pill
Researchers predict that within the next 2-3 decades advances in science in the field of biomedicine will produce a pill that can determine the sex. This pill will be swallowed by the husband prior to intercourse. If a woman wants a baby girl swallow pills. This was stated by Brich, CH. Director of Biology University of Sidney (Mochtar, 1998).
F. Reaction Tube Method
By using the tools that complicated and expensive researchers like Gardner, R., Edward, R., and Hafes, ESE. have been able to choose sperm and egg cells are guaranteed good quality. Similarly, through the micro operations, the embryo was able manipulated. Even they can separate the sex-chromatin found only in female cells only (Mochtar, 1998).
From developed countries reported that many are now available ready-made sperm, egg cells (ova), and even embryos stored in a sperm bank, the bank ova, and embryo banks.
The events of the amazing scientific disciplines of biology in humans has been much publicized. Among other things, the progress of science has been able to help many women who are naturally according to science content will not be able to have offspring because of the total damage to both the oviduct (fallopian tubes). How to help this woman popularly called "test-tube babies" which in principle is to perform the technique in vitro fertilization (IVF), fertilization is a technique in the tube containing food (tube nurseries), followed Embryo Transfer (ET), is the result seedbeds that implanted into the womb (Mochtar, 1998).
G. Cloning Method
Gender identification method days to be very amazing. But from a moral standpoint and spiritual will have broad impact.
The way is called cloning, which comes from the Greek word meaning a way / means of propagation without sexual relations. According to experts, not only allow cloning choose sex, but can also produce genetic clone (copy) which is identical to the original (Mochtar, 1998).
H. Method Preimplantation genetic diagnosis (PGD) by Leigh (2005), among others:
Is a technique fertiliasi in vitro (IVF) in which embryos created outside the womb and then tested gender and genetic disorders.
When PGD was introduced in 1989, this technique is only used to help couples or someone with a serious genetic disorder that reduces the risk of having offspring that suffer from the same disorder. PGD is now used for the same reasons but also used in women age 35 years or older and or have a history of abortion habitualis. Only the expert clinicians with this technique that can use this technique to select the sex without a medical reason. This technique has almost 100% effectiveness
During the IVF cycle, egg fertilized with sperm in a petri dish. Single cell or several cells into embryos and then moved 3 to 5 days and tested gender.
In normal IVF cycle, the researchers tried to distinguish between normal embryos by looking under the microscope. But with PGD, embryos are tested thoroughly genetic disorders and gender. By transferring only healthy embryos into the uterus, there would be little possibility of abortion or having children with genetic disorders. Prenatal tests such as amniocentesis or chorionic villus sampling (CVS) was recommended if a woman aged 35 years or more because of genetic abnormalities can be detected in the older age pregnancy.
In normal IVF cycle, doctors usually transfer two or more embryos into the uterus. The amount depends on maternal age, embryo quality, and reproductive history. But with PGD, doctors transfer only no more than two because the embryos implant or may not result in a healthy pregnancy is removed.
I. Microsort method
Dye technique is a technique that tries to separate the sperm women with male sperm. Sperm with the desired gender are inserted directly into the uterus, usually through artificial insemination (AI) (Leigh, 2005).
Based Microsort that female sperm carrying the X chromosome is larger than female sperm carrying Y chromosomes This procedure involves staining sperm samples dipped in fluorescent and then eliminate them with lasers. X chromosome absorbs more dye and shine brighter than the Y chromosomes Sperm are then selected with the desired sex are transferred to the uterus by using artificial insemination. In the same case, in vitro fertilization (IVF) can be used to increase the possibility of pregnancy but very invasive and expensive (Leigh, 2005).
J. Ericsson Method
Is a technique that aims to separate the male sperm with female sperm. Sperm with the desired gender is inserted directly into the uterus through artificial insemination (Leigh, 2005).
Technique Ericsson has the effectiveness of 78-85% for sex selection of men and 73 to 75% for female sex selection (Leigh 2005).
Whole sperm swim, but the male sperm swim faster and reach the bottom. Rapid sperm swimming with the slow and sperm separated by the desired gender inseminased (Leigh, 2005).

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how to choose baby's sex? Procedures and guidelines which Wanting Men Babies

1. Doing intercourse as close as possible to ovulation, or exactly 12 hours before and after ovulation.
2. Shortly before intercourse every time his wife washed his penis with a mixture vagina 1 liter + 2 tablespoons salt soda (sodium bicarbonate-soda)
3. If it can better achieve orgasm wife first, followed by orgasm husband.
4. The recommended position is the knee-chest position (genu-pectoral) where the husband approached her from behind.
5. In the second husband and ogasme achieve ejaculation do penis deep penetration.
6. Fasting or abstinence from intercourse is necessary starting from a dry period until the day of ovulation. It means that the volume and number of sperm per cc will be as much as possible.
Procedures and guidelines on the safe and simple, but the results are not guaranteed 100%. Shettles reported clinical results obtained 80% and if the couple really careful especially if you rinse and ovulation in time, then the success rate will reach 85-90%.

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how to choose baby's sex? Gender CHOOSING UNDER ANY THEORY OF SCIENTIFIC RESEARCH

Now, as medical science is more advanced and myths often proved wrong, it is wise if the desire choosing gender expert was consulted on (Hasuki, 2006).
Van Bear (1827), von Kolliker (1841) and Van Beneden (1883) is a pioneer scholars conception observations / conceptions / fertilsasi the merger between sperm cells (sperm) with the egg cell (ovum) in the oviduct (fallopian tubes) . They say that half of the number of chromosomes carrying the gene and gender comes from the mother and half from the father as the two seeds were immersed himself. Possibility there are two kinds of sperm cells sperm cells carrying the male chromosome. From the microscopic examination of sperm showed that in the core (nucleus) found a pair of chromosomes that are not the same form (Mochtar, 1998).
McClung (1902) The first researcher who said that the small chromosome called the Y chromosome and the larger X chromosome and this is what determines the sex (Mochtar, 1998).
Rock, J. and Shettels, L.B. (1940-1956) definitively establish that human beings have 46 chromosomes for each cell body and 23 for each sex cell. Now known that humans have 46 chromosomes, 22 pairs did not differ in men and women, called autosomes. A different pairs of chromosomes called the sex chromosomes (gonosom) which determine the sex. A man having sex chromosome X and Y that are genetically written 46XY, while women have similar sex chromosomes XX and written 46xx (Mochtar, 1998).
According to the British Medical Journal, in theory there are 2 methods of selecting the sex of the baby. First, choose the gender before conception in which only follow if the sperm cromosom X or Y cromosom reaching the ovum. The second method is selective pregnancy termination. Electoral gender is not realistic, although some people believe that the atmosphere of alkaline and continuous orgasms can be easier to get the boys because cromosom Y sperm move faster to reach the ovum first. Time when sexual intercourse is also an important factor. Intercourse during ovulation produced a daughter, but only 65% reability. The possibility that sex selection is by artificial insemination using semen (Anon, 1980).
According to Nugroho, other scientific theories that can be used in choosing the sex of the theory of Akihito. So called because it is said that finding was the Japanese emperor Hirohito. Then the crown prince, Akihito, to apply this theory and managed to get 2 sons and 1 daughter, according to his wish. In essence, this theory is based on the calculation of ovulation (egg expenditure) wife (Hasuki, 2006).
As is known, the man in this case there is a sperm cell has a type of sex chromosomes X and Y. While women have 2 same sex chromosomes are X and X. When the sex, X sperm fertilize the egg cell occurs meeting with X chromosome X, thus obtained is a girl (XX). Conversely if Y sperm that fertilize the egg, the Y chromosome X chromosome will meet that will have a baby boy (XY). So basically, the boy can be obtained if the Y sperm first fertilized egg. As for getting the girls to the X sperm first fertilized egg cell (Hasuki, 2006).
The results also show each chromosome has its own character. Y sperm round, smaller, or about a third of the X chromosome, bright, way faster, and he was shorter and less resistant in the acidic atmosphere. While X sperm was bigger, walking slowly, its shape longer, and can survive much longer and more resistant to acid atmosphere (Hasuki, 2006).
From the data it can be inferred if they want to get the boys the sex must be coincident or immediately after ovulation (when an egg cell exit from the ovary or of fertility). That way, the Y sperm into the uterus can directly fertilize the egg. As for getting a girl, intercourse should be done before ovulation occurs. For example, ovulation could have occurred on the 10th. Therefore, sex should be done 3 days earlier, so that at the time of ovulation occurs live X sperm are still alive and an egg (Hasuki, 2006).
This method is not practical because the couple had to know the exact duration of ovulation. And to know that a woman should measure basal body temperature for 3 consecutive months. Measurement process was not allowed one, namely by putting a special thermometer in the mouth every morning before getting out of bed. There are several other conditions, such as room temperature should be normal and not a woman in ill health. Then, the measurement was recorded in a table. If one day, showed an increase in body temperature compared to the basal temperature, meaning that's when ovulation is happening.
Unfortunately, for women with irregular menstrual cycles, it is certainly hard to do. The accuracy of this method is also low because no matter what we do not know whether X or Y sperm that successfully fertilize the egg.
Shettles was a physician and international experts in the field of human reproductive physiology. He has amazing knowledge about the world of IVF or test tube conception and is also known in terms of research and discovery about how to choose the sex of the baby. Here are the results of his findings:
1. Medical science has long known that the men who determine the sex of offspring.
2. The husband who deserts his wife or divorce her because they do not produce male children is deceiving and fooling himself.
3. Sperm in the semen consists of the size and shape:
- Smaller sperm with round heads called andro-sperm containing the Y chromosome that produce male sex.
- Sperm larger size with an oval head (oval) called gino-sperm containing the X chromosome that produces the female sex.
4. Gino-sperm has an endurance and greater vitality and longer than the andro-sperm.
5. Situations and conditions around the vagina, the factors that influence:
- Conditions that copulation burrows will inhibit both acid gino-andro-sperm or sperm, but it will hit and weaken andro-sperm early and in large quantities,
- Whereas the situation is alkaline vagina, whether the two kinds of sperm. That's why the chemical makeup of a woman's body becomes more alkaline at the approach of ovulation seconds so the chances of conception (fertilization) is more optimal. Moreover, if intercourse is done to reach orgasm.
6. In non-acidic environments, andro-sperm able to move more agile and faster than gino-sperm.
7. Timing intercourse during ovulation and is supporting factor in choosing the sex of the baby:
- Intercourse is conducted at close to ovulation time and when the slime pit is very alkaline intercourse, so most likely to produce a baby boy
- Intercourse is performed 2-3 days before ovulation, when mucus acidic vagina, the possibility of daughters produced
8. The number of sperm per cubic centimeter can also affect the sex of the baby. If the sperm count 20 million or less (oligospermi) the possibility of offspring varies inversely with the amount. It could be argued that if the sperm count of one million or less in case of pregnancy, it will only produce a baby girl.
Shettles finally make two procedures and guidelines for each of you who wanted a baby girl or a boy.
Procedures and Guidelines For Women Wanting Babies
1. Do sex 3 days before ovulation and then stop 2 days before ovulation. Intercourse can be repeated again 2 days after ovulation.
2. Close before couples make intercourse, genital pit several times rinsed with a mixture of 1 liter of water + 2 tablespoons white table salt.
3. The wife should try to avoid orgasm because it would remove alkaline secretion which will neutralize the acid environment.
4. Choose the face position, face to face, husband and wife on the bottom, so that the sperm directly into the skin way cervix.
5. Should occur when the husband orgasm and ejaculation, do not do penetration of the penis is experienced in, remove the part.
6. Sexual conduct after a period every 2 days on a regular basis until 2-3 days before ovulation will be better. Because the number of relatively small sperm may increase the likelihood of getting a baby girl.

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how to choose baby's sex? CHOOSE BY Gender Pseudo SCIENTIFIC THEORY

Dawson, E.R. is a member of the Royal Society of Medicine has advanced the theory that only the women who are responsible for the sex of their children. If the egg from the right ovary and a pregnancy, the baby the men who will be born; vice versa when the left ovary obtained a baby girl. According to the report will be egg matures every month alternately in the right ovary and then on the left (Mochtar, 1998).
Dawson proposed the idea that there are "moon man" and "moon girl" is useful to set the time of intercourse in order to obtain the sex of children wanted. One way is derived from traditional Chinese records mention the existence of correlative relationship between maternal age and the moon at the time of the last period with a baby's sex (Mochtar, 1998).

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how to choose baby's sex? Gender CHOOSE BY ANCIENT THEORY

Since ancient times the records have shown the existence of human effort to choose the sex of the child by way of surrender to the superstitious ceremony. There are even selling life to the spirits in order to get a boy or a girl (Mochtar, 1998).
Community groups who hold matrilineal descent (matrilineal) expect the presence of girls, while groups of people who hold the line of the father (patrilineal) longed for the presence of boys in the offspring (Mochtar, 1998).
A. Left Right Theory
According Mochtar (1998), left-right theory advanced by famous philosophers, among others:
Parmenides (540 BC), a Greek philosopher said that she has two half-breed, one on the right and one on the left. Boys grow in the right half-breed, and a baby girl on the left half-breed. If a girl wants, at the time of intercourse wife should lie on his left side. Conversely, if you want a boy so she should lay on his right side so that the seed flow at half-breed husband right.
Anaxagoras (500-428 BC), suggested the hypothesis that what determines the sex of the testicles (testes) husband. The resulting right testicle is the seed of men, while the left testis female seeds.
According to Hipocrates (460-377SM) is not enough just lying on your right side, even right testicle should be tied with a rope strong during intercourse if you want a baby boy.
According to Democritus (460-360 BC) both men and women produce seeds and that determines the sex of the child and the character is a mosaic that forms on mixing the two seed. If the dominant is the seed of the woman, the offspring is female, whereas if a male role, will be born baby boy.
Can be considered that Democritus was the ancient forerunner of the modern chromosome theory.
Aristotle (384-322 BC) believed that the seeds of a stronger flow during sexual intercourse will determine the baby in the womb. He added that this strength is influenced by natural circumstances such as gusts of wind around, and others. He said, that would be a lot of boys when intercourse man born done at the time the north wind blows, than when the wind blows south. The reason is moist south winds, and this predispose girls.
B. According to the theory Advice Old Men
In the Middle Ages existing advice elders to their grandchildren who want a male offspring. How is the wife supposed to drink wine and mixed blood lion a physician according to a particular measure. As he prayed a progenitor, they have intercourse at the time recommended the full moon (Mochtar, 1998).
If pregnancy occurs, and children born of women remained; when asked, the advisers are not running out of the dictionary answer. Misfortune occurred in the seconds that determine sudden cloud had covered the full moon light beam that would give sex is male (Mochtar, 1998).
C. Traditional Theory of the People
Ossets tribes in the Caucasus, an Eskimo tribe, and the Maori tribes are selecting the sex of the baby in a way that somewhat less human. Mothers who are pregnant should be left in place separate from her husband's birth. When they gave birth to a baby girl, this child left behind. With the pitch and they returned empty handed to their husbands without any problems. But otherwise, if that was born a man, so they happily brought back not only with children even more prizes to be presented to their husbands and successful males (Mochtar, 1998).
On the island Pelew wives dressed man before intercourse, because they believe that way will have male offspring. In Sweden the night before the wedding the bride slept with a boy to hit induction and later will give birth to a baby boy (Mochtar, 1998).
Japanese people also have similar beliefs. They like to believe that child sex can be born chilling forecast of the previous child. If the back of her neck feathers spread, then the next child must be male. But if the previous child chilling together, then the next child women (Hasuki, 2006).
In the Spessart mountains (Germany), if you want boys, the husband always carried an ax on the bed and while holding intercourse hummed the song: "Ruck, Ruck, roy berkommst du ein Bub" (ask for boys). If the number of boys had enough, of course axes removed and sung: "Ruck, Ruck, raid du ein berkommst Maid" (ask for girls) (Mochtar, 1998).
In the area of Austria some farmers believe that in a year when the harvest abundant, the baby will be born male species. In Slavic countries the wife during intercourse required massaging her husband's right testicle; in provinces Madena (Italy) the husband bit into his right ear and on the plains wife husband hung the pants Pensylvania (outside in) the right of the bed. Overall it is believed that they have children boys (Mochtar, 1998).
It is undeniable that in the Indonesian culture sex factors in the family is an important issue. This is clearly reflected by the wayang stories or saga-long saga that has been widespread in our society (Mochtar, 1998).
We also developed in the community right-left theory has traditionally handed down by old people. Female patients who had surgery for cysts ovarii often bartanya: "Will I still be able to give birth a baby girl, who was appointed when the left half-breed?" On the contrary: "What can baby boy, when the hybrid operation right?" ( Mochtar, 1998).
Condition of pregnant women who had entrusted a reflection of fetal gender. If the mother's face was pale but diligent dress then her stomach like an egg shape and tilted downward believed female fetus. However, if the mother's face looks dull, lazy to dress up, full of pimples, looks cool, and form protruding belly up then the baby is a boy (Hasuki, 2006).
Popular theories is that the conception of boys going on the full moon; that the tide could affect a baby's sex; that sweet food is a factor that produced a daughter, and salty foods, sour or bitter produce sons (Mochtar , 1998)

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