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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.
If you're at least 12 weeks pregnant, your doctor can probably tell you the sex of your baby with a high degree of confidence. That is, if you really want to know. Parents who want to pick out a name or stock up on baby clothes before the big day often look forward to their ultrasound appointment.