It is understood that X-chromosome inactivation is a random process, occurring at about the time of gastrulation in the epiblast (cells that will give rise to the embryo).
Finally, if none of those options are available, there is an unusual pattern of nonrandom X-chromosome inactivation on lymphocytes in carriers, thus looking for such inactivation would prove useful.
X-chromosome inactivation is random in the somatic cells of the body as either the maternal or paternal X-chromosome can become inactivated in each cell.