Abstract: Ultrasonographic fetal sex determination is commonly used in livestock production to aid genetic selection, reproductive planning, and economic optimization. Despite consistently high diagnostic accuracies under controlled conditions, its use in field settings is variable and frequently unpredictable. This disparity is due to the combined effects of embryological development, species-specific anatomy, fetal positioning, operator expertise, and technical limitations. Unassigned: This review aims to provide a comparative and integrative synthesis of ultrasonographic fetal sex determination across major domestic species, bridging the gap between experimental performance and field applicability. Unassigned: A comprehensive analysis was conducted, combining published literature with extensive field experience with cattle, camels, horses, and buffaloes. The review is organized around three key dimensions: (i) biological timing of sexual differentiation, (ii) diagnostic visibility of ultrasonographic landmarks, and (iii) practical feasibility in field conditions. Unassigned: Across species, the genital tubercle is the primary diagnostic landmark during early gestation; however, its visibility and diagnostic reliability vary depending on the species' developmental dynamics and imaging accessibility. One important finding is the distinction between diagnostic accuracy and diagnostic feasibility, with the latter emerging as the primary limitation in field conditions. According to comparative analysis, cattle provide the most consistent environment for early diagnosis, horses provide the broadest diagnostic window, camels present a narrow but precise window, and buffaloes are relatively under-characterized. Unassigned: Ultrasonographic fetal sex determination is a highly accurate but context-dependent tool, with success determined more by feasibility than diagnostic capability. The integration of emerging technologies, such as Doppler ultrasonography, three-dimensional imaging, and artificial intelligence, has the potential to improve consistency and reduce operator dependency. This review creates a unified framework that connects embryology, imaging, and field application, offering practical advice and defining priorities for future research in livestock reproduction.
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Overview
This research article reviews the use of ultrasonographic techniques to determine fetal sex in large domestic animals, highlighting the differences between high accuracy in controlled environments and variable success in practical field conditions.
It compares the biological, technical, and practical aspects of this diagnostic method across multiple livestock species and suggests ways to improve reliability and usability in real-world settings.
Background and Purpose
Ultrasonography is widely applied in livestock production to identify the sex of fetuses, which supports genetic selection, reproductive planning, and economic decision-making.
Despite excellent accuracy demonstrated in laboratory or experimental scenarios, real-world applications often face challenges resulting in inconsistent outcomes.
The article aims to synthesize existing knowledge, combining academic literature with practical field experience to understand why variability occurs and how to bridge the gap between laboratory success and field reliability.
Methodological Approach
The review covers four major domestic species: cattle, camels, horses, and buffaloes, comparing the biology and ultrasonographic identification methods for fetal sex determination.
It is structured around three main factors:
Biological timing of sexual differentiation — when critical anatomical structures develop that indicate sex.
Diagnostic visibility of ultrasonographic landmarks — the fetal anatomical features that can be visualized and used to identify sex.
Practical feasibility in the field — how factors like fetal positioning, operator skill, and equipment affect real-world success.
Key Findings
The genital tubercle, an embryological structure, serves as the key landmark for sex determination in early gestation.
Visibility and reliability of this structure depend heavily on species-specific developmental timelines and anatomical factors affecting imaging access.
A critical insight is the distinction between:
Diagnostic accuracy: the theoretical or controlled-condition correctness of the determination, which is generally high.
Diagnostic feasibility: the practical ability to achieve accurate results under field conditions, often limited by external factors.
Species comparisons reveal:
Cattle: Offer the most consistent and reliable environment for early fetal sex determination due to clearer imaging windows and anatomy.
Horses: Provide a wider time frame (diagnostic window) to perform accurate sexing, offering greater flexibility.
Camels: Present a narrowly defined but very precise window for diagnosis, making timing critical.
Buffaloes: Are less well-characterized, indicating a need for further targeted study to improve understanding and methodologies.
Practical Challenges and Limitations
Field application of ultrasonographic fetal sexing is limited mainly by issues related to:
Fetal position inside the uterus, which can hinder clear visualization of landmarks.
Operator skill and experience, influencing the ability to correctly interpret images.
Technical factors like ultrasound machine settings and probe type.
These factors create a gap between what is possible in research settings versus everyday farm or ranch environments.
Future Directions and Innovations
The review highlights emerging technologies that could enhance diagnostic consistency and reduce operator dependency:
Doppler ultrasonography — to better visualize blood flow and improve anatomical resolution.
Three-dimensional ultrasound imaging — to provide more comprehensive views of fetal structures.
Artificial intelligence and machine learning — to assist in image interpretation and decision-making.
Integrating these technologies may help increase the practical feasibility of fetal sexing and narrow the gap with controlled-condition accuracy.
The article proposes a unified framework linking embryological development, imaging techniques, and field conditions to guide practical application and future research.
Conclusion
Ultrasonographic fetal sex determination in large domestic animals is a highly accurate diagnostic tool when conditions are ideal but currently experiences variable success in the field.
Success depends more on practical feasibility factors than on the fundamental diagnostic ability of ultrasonography.
Focused improvements in technology, training, and species-specific protocols can enhance the reliability and economics of livestock production involving sex determination.
Cite This Article
APA
Ali A, Derar DR, Alharbi YM.
(2026).
Ultrasonographic fetal sex determination in large domestic animals: a comparative, mechanistic, and field-oriented synthesis.
Front Vet Sci, 13, 1867201.
https://doi.org/10.3389/fvets.2026.1867201
Department of Clinical Sciences, College of Veterinary Medicine, Qassim University, Buraydah, Saudi Arabia.
Derar, Derar R
Department of Clinical Sciences, College of Veterinary Medicine, Qassim University, Buraydah, Saudi Arabia.
Alharbi, Yousef M
Department of Medical Biosciences, College of Veterinary Medicine, Qassim University, Buraydah, Saudi Arabia.
Conflict of Interest Statement
The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
References
This article includes 63 references
Fricke PM. Scanning the future – ultrasonography as a reproductive management tool for dairy cattle.. J Dairy Sci (2002) 85:1918–26.
Kim D, Son M, Jung D, Heo S, Kim M, Yi J. Economic impacts of ultrasonographic fetal sex determination on Hanwoo cattle profitability and market dynamics.. Vet Sci (2025) 12:201.
McKimmie C, Forutan M, Tajet HM, Ehsani A, Hickford J, Amirpour H. Impact of implementing female genomic selection and the use of sex-selected Semen technology on genetic gain in a dairy herd in New Zealand.. Int J Mol Sci (2025) 26:990.
Ali A. Effect of gestational age and fetal position on the possibility and accuracy of ultrasonographic fetal gender determination in dairy cattle.. Reprod Domest Anim (2004) 39:190–4.
Ali A, Al-Sobayil F, Derar R, El-Tookhy O. Ultrasonographic fetometry and prenatal fetal sex assessment in camels ().. Theriogenology (2013) 80:609–18.
Nagahama Y, Chakraborty T, Paul-Prasanth B, Ohta K, Nakamura M. Sex determination, gonadal sex differentiation, and plasticity in vertebrate species. Physiol Rev (2021) 101:1237–308.
Di Berardino D, Iannuzzi L. Cytogenetics of camelidae. In: Cytogenetics of the Domestic Animals. Wallingford: CABI Publishing; (2003). p. 317–49.
Noakes DE, Parkinson TJ, England GCW. Arthur's Veterinary Reproduction and Obstetrics, 9th Edn. Amsterdam: Elsevier (2018).
Holterhus PM, Kulle A, Busch H, Spielmann M. Classic genetic and hormonal switches during fetal sex development and beyond. Med Genet (2023) 35:163–71.
Van de Velde M, Heidbuchel M, Beert L, Wydooghe E, Van Soom A. Ultrasonographic fetal sex determination in horses: a practical guide. Equine Vet Educ (2018) 30:511–9.
Bogdan LM, Petrean AB, Coman I, Nadă? G, Cenariu M, Bogdan I. The diagnosis of fetal sexing in cattle using ultrasound. Bull Univ Agric Sci Vet Med Cluj Napoca Vet Med (2019) 76:149–53.
Rasheed YM, Khalaf FM, Mohammed SN. Assessment of fetal sex determined and eye diameter to detection of gestational age in mares by ultrasonography. Iraqi J Vet Sci (2023) 37:129–34.
Bollwein H, Pricking S, Spilker K, Martinsson G, Rau J, Toenissen A. Equine fetal gender determination in mid- and advanced gestation by transabdominal approach: comparative study using 2D B-mode ultrasound, Doppler sonography, 3D B-mode, and following tomographic ultrasound imaging. Pferdeheilkunde (2019) 35:11–9.
Ali A, Derar R, Al-Sobayil F. Transabdominal ultrasonography for pregnancy diagnosis and estimation of gestational age in dromedary camels. Reprod Dom Anim (2015) 50:437–42.
Ali A, Derar DR, Abdel-Razek AK. Ultrasonography for the detection of pregnancy and study of embryonic and fetal development in camels, buffaloes, and sheep: techniques, equations, and limitations. Anim Reprod Sci (2024) 268:107566.
Yotov S, Atanasov A, Georgiev P. Determination of foetal sex in buffaloes through a single sonographic examination. Bulg J Vet Med (2011) 14:39–44.
Tönissen A, Martinsson G, Pricking S, Otzen H, Ertmer F, Rau J. Transabdominal ultrasonographic determination of fetal gender in the horse during mid-gestation: a comparative study using randomized video images to investigate variation in diagnostic performance among raters, and the effect of month of gestation. Pferdeheilkunde (2016) 32:29–35.
Becsek A, Schweizer A, Knutti B, Bollwein H. Gender determination in equine fetuses in early pregnancy using two- and three-dimensional ultrasound. Tierärztl Prax (2020) 48:166–71.
Benson M, Walton S, Hartley T, Meagher S, Seshadri S, Sleep N. Fetal gestational age estimation using artificial intelligence on non-targeted ultrasound images and video. NPJ Digit Med (2025) 8:700.
Sarma K, Bhaskar TVS, Rao GS. Morphogenesis of the external genitalia in buffalo foetuses. Indian J Anim Sci (2002) 72:1002–5.
Shukla SP, Singh Y, Singh I. Histogenesis and morphogenesis of the gonads and external genitalia in buffalo foetuses. Indian J Anim Sci (2007) 77:125–9.
Ali A, Abdel-Raouf M, Ahmed WM. Prenatal development of genital organs in buffalo with reference to fetal sexing. Glob Vet (2010) 5:219–26.