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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.
Most of the time one should be able to tell the sex of the baby by about 20 weeks and very often even at sixteen. With modern equipment, the diagnosis can be made even as early as 11 to 12 weeks (see below).