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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.
Now, of course, there are much more accurate ways to determine gender before a baby is born. 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. Ultrasound.