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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 earliest in pregnancy that the fetus's sex can be determined by ultrasound is about 12 weeks, and even then, it can be very difficult, says Michele Hakakha, M.D., a Beverly Hills-based ob-gyn and the author of Expecting 411.