Q&A for How to Raise Your Chances of Having Twins

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What is the role of gonadotropins in fertility?

Joshua U. Klein, MD, FACOG
Board Certified Reproductive Endocrinologist
Dr. Joshua U. Klein is a board certified Reproductive Endocrinologist, an Assistant Clinical Professor at the Icahn School of Medicine at Mount Sinai, and the Co-Founder of Extend Fertility. He specializes in IVF, egg freezing, infertility, fertility preservation, artificial insemination, and treating polycystic ovarian syndrome (PCOS). Dr. Klein has been published in numerous peer-reviewed academic journals such as Science, Fertility and Sterility, and Obstetrics and Gynecology. He holds a BA in English from Yeshiva University and an MD from Harvard Medical School.

Joshua U. Klein, MD, FACOG

Board Certified Reproductive Endocrinologist

Expert Answer

Gonadotropins can help regulate a woman's ovulation cycle. When used aggressively, these medicines can cause multiple eggs to grow at once, which may increase your chance of conceiving twins.

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Why are twins more common in IVF?

Joshua U. Klein, MD, FACOG
Board Certified Reproductive Endocrinologist
Dr. Joshua U. Klein is a board certified Reproductive Endocrinologist, an Assistant Clinical Professor at the Icahn School of Medicine at Mount Sinai, and the Co-Founder of Extend Fertility. He specializes in IVF, egg freezing, infertility, fertility preservation, artificial insemination, and treating polycystic ovarian syndrome (PCOS). Dr. Klein has been published in numerous peer-reviewed academic journals such as Science, Fertility and Sterility, and Obstetrics and Gynecology. He holds a BA in English from Yeshiva University and an MD from Harvard Medical School.

Joshua U. Klein, MD, FACOG

Board Certified Reproductive Endocrinologist

Expert Answer

During IVF, a doctor can theoretically implant multiple embryos into a woman's uterus at once, which could lead to a twin pregnancy.

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Question

Is IVF 100% successful?

Joshua U. Klein, MD, FACOG
Board Certified Reproductive Endocrinologist
Dr. Joshua U. Klein is a board certified Reproductive Endocrinologist, an Assistant Clinical Professor at the Icahn School of Medicine at Mount Sinai, and the Co-Founder of Extend Fertility. He specializes in IVF, egg freezing, infertility, fertility preservation, artificial insemination, and treating polycystic ovarian syndrome (PCOS). Dr. Klein has been published in numerous peer-reviewed academic journals such as Science, Fertility and Sterility, and Obstetrics and Gynecology. He holds a BA in English from Yeshiva University and an MD from Harvard Medical School.

Joshua U. Klein, MD, FACOG

Board Certified Reproductive Endocrinologist

Expert Answer

IVF isn't 100% percent successful, but the success rates are definitely better than they used to be. Nowadays, doctors can genetically test embryos and make sure that they're healthy before implanting them.

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What fertility drugs increase chances of twins?

Joshua U. Klein, MD, FACOG
Board Certified Reproductive Endocrinologist
Dr. Joshua U. Klein is a board certified Reproductive Endocrinologist, an Assistant Clinical Professor at the Icahn School of Medicine at Mount Sinai, and the Co-Founder of Extend Fertility. He specializes in IVF, egg freezing, infertility, fertility preservation, artificial insemination, and treating polycystic ovarian syndrome (PCOS). Dr. Klein has been published in numerous peer-reviewed academic journals such as Science, Fertility and Sterility, and Obstetrics and Gynecology. He holds a BA in English from Yeshiva University and an MD from Harvard Medical School.

Joshua U. Klein, MD, FACOG

Board Certified Reproductive Endocrinologist

Expert Answer

Clomiphene citrate, letrozole and gonadotrophins may increase your chance of having twins.

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