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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.
By 18 weeks, an ultrasound technician should be able to identify the sex if the baby is in a position that allows the genitals to be seen. If not, you may be able to find out the sex if you have another ultrasound later. Some people find out their baby's sex through noninvasive prenatal testing (NIPT). This is a blood test that can detect Down syndrome and a few other chromosomal conditions at 10 weeks of pregnancy or later. It also looks for pieces of the male sex chromosome in the expectant mother's blood to see if she's carrying a boy or a girl. Other people find out their baby's sex from a genetic test like CVS or amniocentesis.