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Most patients undergo an ultrasound at around 18-20 weeks (about four and a half to five months). Normally, at this stage of pregnancy we can determine the baby's sex, but not always.
You can probably see the sex of the fetus by three months. By then organs are already developed. It seems the common answer on the Internet is 16-18 weeks. Sometimes you can tell early and sometimes you can't tell until they are born.