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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.
How many weeks of pregnancy before you can tell the sex of the baby? With a sonogram: At 24 weeks almost always, at 18 weeks, only if you're lucky.   With amniocentesis at about 12 weeks (but higher risk).