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Chances of Having Twins with IVF A Comprehensive Guide by India IVF Fertility

Chances of Having Twins with IVF: A Comprehensive Guide by India IVF Fertility

| 22 Aug 2023 | 2238 Views |


Ah, twins! The very mention conjures up images of double strollers, matching outfits, and twice the giggles. With advancing medical procedures and more couples turning to IVF (In Vitro Fertilization), there’s a growing curiosity: what are the chances of having twins with IVF? At the renowned India IVF Fertility clinics located in Delhi, Noida, and Gurgaon, countless couples have embarked on their IVF journeys. So, let’s spill the beans and dive into this ‘double’ topic!

Having Twins Naturally

First, let’s touch base with nature. Twins can occur naturally in two main ways:

  • Fraternal Twins (Dizygotic): When two separate eggs are fertilized by two different sperm cells.
  • Identical Twins (Monozygotic): When a single fertilized egg splits and forms two embryos.

Now, don’t get it twisted! Naturally conceiving twins is quite a roll of the dice, with genetics and maternal age playing their cards. It’s like hitting the genetic jackpot!

Having Twins with Fertility Treatments

Well, well, well, nature’s way ain’t the only game in town! Fertility treatments, especially IVF, have changed the odds. During IVF, multiple embryos might be transferred to the uterus to enhance the chances of pregnancy. This can lead to a higher possibility of twins or even multiple pregnancies. It’s like doubling down on your chances!

The chances of having twins through IVF

The chances of having twins through IVF (In Vitro Fertilization) largely depend on several factors, including the number of embryos transferred, the age of the woman, the quality of the embryos, and specific clinic practices. here’s a general overview:

  • Number of Embryos Transferred: The single most influential factor affecting the chance of twins in IVF is the number of embryos transferred. Historically, to increase the chances of a successful pregnancy, clinics would often transfer multiple embryos. As a result, the likelihood of multiple births (twins, triplets, etc.) was higher. However, with advances in IVF techniques, the trend has been shifting towards transferring fewer embryos, especially high-quality ones, to reduce the risk of multiple pregnancies while maintaining good success rates.
  • Age of the Woman: Younger women, especially those under 35, generally produce higher quality eggs, which can lead to higher embryo quality. If multiple embryos of high quality are transferred, the chances of twins are higher. However, as women age, the quality and quantity of retrievable eggs may decrease, leading to potentially lower chances of twins, especially if fewer embryos are transferred.
  • Clinic Practices and Protocols: Different clinics might have varying policies or recommendations regarding the number of embryos to transfer based on their success rates, the patient’s medical history, and the quality of the embryos.

In terms of actual percentages:

  • If only one embryo is transferred (known as elective single embryo transfer or eSET), the chance of twins is very low. Any resulting twins would likely be due to the embryo splitting, resulting in identical twins, which is relatively rare.
  • If two embryos are transferred, the chance of twins is higher. Historically, in some clinics and age groups, the chance of twins could be as high as 25-30% or more when two embryos are transferred. However, this percentage varies widely based on the factors mentioned above.

It’s essential to note that these percentages have been changing over time, especially as IVF practices evolve and more clinics adopt eSET to reduce the risks associated with multiple pregnancies.

For the most current and specific information, especially tailored to individual circumstances, one should consult directly with fertility specialists or clinics, such as India IVF Fertility. They would have the most up-to-date statistics and can provide guidance tailored to individual needs.

How Twin Pregnancy Can Happen in IVF?

Hold onto your hats because science gets a tad complex here! In the IVF process, eggs are retrieved from the ovaries, fertilized outside the body, and then implanted back. Here’s the lowdown:

  • Multiple Embryo Transfer: More than one embryo is transferred to increase success rates. If two embryos implant successfully, voilà, twins!
  • Splitting of a Single Embryo: Rare, but it can happen. This leads to identical twins.

What if I Want to Have a Twin Pregnancy with IVF?

Got your heart set on two bundles of joy? You’re not alone! Some couples do express the wish for twins. While IVF can increase the chances, it’s essential to discuss this with fertility specialists. They’ll help you navigate the waters and determine the best route, keeping in mind the risks and rewards. Remember, it’s not just about seeing double; it’s about what’s safe and sound.

What are the Risks Related to Twin Pregnancy with IVF?

Alright, let’s not sugarcoat it. Double the pleasure can also mean double the concerns:

  • Preterm Birth: Twins often make an early entrance.
  • Low Birth Weight: Often, twins weigh less than singletons.
  • Gestational Diabetes & Hypertension: Moms-to-be might face these health hiccups.

How Can I Minimize My Risk of Having Twins?

If the idea of double diaper duty feels daunting, there are ways to minimize the chances:

  • Elective Single Embryo Transfer (eSET): Transfer just one embryo. Simple yet effective!
  • Preimplantation Genetic Testing (PGT): This helps select the most viable embryo.


Embarking on the IVF journey is both exciting and nerve-wracking. The possibility of having twins, the associated risks, and the joy of parenthood are all tangled in this intricate dance. At India IVF Fertility, the team is dedicated to guiding you every step of the way, ensuring you make informed choices. Twins or not, the ultimate goal is a healthy baby and a happy family!



Yes, the chances of twins are higher with IVF due to multiple embryo transfers.

Yes, younger women often have higher-quality eggs, increasing the odds.

You can express your wish, but the final decision lies with medical advisories.

There are added risks with twins, like preterm birth and gestational diabetes.

Regular check-ups, following medical advice, and leading a healthy lifestyle can help.

Identical twins come from one egg that splits after fertilization.

It varies, but India IVF Fertility prides itself on its high success rates. Consult the clinic for precise figures.

Yes, some fertility drugs can stimulate the ovaries to release multiple eggs.

Certain factors, like age and genetics, can play a role in twin pregnancies.

Yes, it's a personal choice. However, consult with your fertility specialist for advice.

About The Author
Dr. Richika Sahay

MBBS (Gold Medalist), DNB (Obst & Gyne), MNAMS, MRCOG (London-UK), Fellow IVF, Fellow MAS, Infertility (IVF) Specialist & Gynae Laparoscopic surgeon,[Ex AIIMS & Sir Gangaram Hospital, New Delhi]. Read more

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