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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.
Sex Organs Are Visible. Although your baby's gender is determined immediately upon fertilization, you will not be able to know the sex until about the 16th to 18th week of pregnancy. At around the sixth week your baby will develop a small bud called the genital tuber at the site of the genitals. This will look the same for boys and girls until around the 9th week when the sex organs begin to form.