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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.
The gender of a fetus can typically be determined around the 20th week of pregnancy. An ultrasound is preformed by a technician at your 20 week check-up and if you would like to know the sex of your baby you may ask them to tell you then. Anything before this will be inconclusive.