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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.
And there are also the old wives tales. There is also a new method of finding out the sex that is gaining in popularity, it's called the Ramzi's Method or Ramzi's Readings. This uses ultrasound in early pregnancy, as early as six weeks pregnant, to be able to tell the gender of your baby based on locating the placenta. Most physicians don't offer this per se, but you can certainly ask about it.