Surrogacy Guide

Are Twins Possible With IVF?

Guide to IVF

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Fertility treatments that boost ovulation can lead to twins, triplets, or higher order multiples. Conceiving multiples is a possible risk of fertility treatments, one that can be decreased with careful monitoring, single embryo transfer (for IVF treatment), and the lowest possible effective dosage (when treating with gonadotropins.)

According to data collected by the Centers for Disease Control, there were 133,155 twins born in the United States in 2015. That's 33.5 per 1,000 live births, or put another way, about 3.35 percent of live births.
(Source, CDC)
While not all treatments for infertility increase your odds of twins, many do including:
  • Clomid
  • Femera
  • Gonadotropins (also known as injectables) like Gonal-F and Follistim
  • IUI treatment, when used along with fertility drugs
  • IVF treatment
Anytime more than one embryo is transferred, the chance for a multiple pregnancy exists. In fact, about 30 percent of births from ART are twins, a rate much greater than in the general population (1 in 80 pregnancies). Triplets and quadruplets have also been conceived through ART. However, the majority of ART pregnancies (nearly 70 percent) are singletons, and the chance of any pregnancy with ART increases up to a point with the number of embryos or oocytes transferred. Identical twins can also occur with ART, the result of two babies from one egg, so even transferring only one embryo does not guarantee a singleton pregnancy.

Surrogate Mothers Expecting Twins

Often the world is very fascinated with twins and the mysteriousness behind it. Being a Surrogate of Twins though, generally instigates a million questions consuming your thoughts.

How did this happen? Multiple pregnancies are on the rise in recent years with more and more twins and other types of multiples being born due to the increased use of fertility drugs. What should I do? One of the most crucial aspects behind a healthy twin pregnancy is to find a doctor that is knowledgeable with multiple births.

Should I eat more? Being pregnant with twins requires extra nutritional necessities even more so than with a single baby pregnancy.  Eating smaller meals throughout the day can help with morning sickness during the first trimester of a twin pregnancy.

Should I rest more? Surrogate Mothers carrying twins need to understand that your body is working overtime, which means you should get twice as much rest. The labor and delivery of twins can be an equally frightening thought. Staying in tune with your body is significant as a twin pregnancy averages the birth at 36 weeks, a viable purpose for a twin pregnancy to be classed at high risk.

To have a healthy twin pregnancy it is imperative for the Surrogate Mother to be stress-free, seek continual prenatal visits and remain in a good emotional state.


SART Society for Assisted Reproductive Technology

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