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Mid-pregnancy By your 20-week scan it’s fairly easy to tell the sex, as long as the sonographer or doctor gets a good view.
In boys, the nub tends to point upwards at an angle of more than 30 degrees from the spine.
This is a gradual process, and seeing any difference is only really possible from 11 weeks, when all babies have something sticking out.
The baby on the left has a genital nub at an angle that's greater than 30 degrees, so he's probably a boy.
Most scan machines aren't high-tech enough to see this early, and waiting for your baby to get in the right position may not be possible.