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Expert Q&A

 

By Randy Morris
Board Certified Reproductive Endocrinologist, Chicago

I have twins on my side from my father's mother (my father is a twin). I'm 26. What are my chances of having twins? I've read that there are only two days in the month that you can conceive twins. Is this true? Can I do anything to increase my chances of having twins?

A family history of fraternal twins (non-identical) on your side of the family will increase the chances for a twin to about 4 percent of all pregnancies.

Twins can be conceived at any time that conception is possible. This means a window of intercourse from about five days before ovulation until less than one day after ovulation.

Fertility medications will increase your chances for having a twin pregnancy. This SHOULD NOT be something that you strive for. Twins increase the chances for gestational diabetes, pre-eclampsia, preterm labor and delivery, intrauterine fetal death, birth defects, risk for Cesarean section, postpartum bleeding and other complications. A twin is also seven times more likely to die in the first month of life compared to a singleton. Couples attempting pregnancy through fertility treatment should be thoroughly counseled on how to keep their risk for multiple pregnancy as low as possible.

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