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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.
Other answers from contributors: You can probably see the sex of the fetus by three months. By then organs are already developed.It seems the common answer on the Internet is 16-18 weeks.Sometimes you can tell early and sometimes you can't tell until they are born.