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How common are twins after fertility treatments?

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When faced with fertility struggles, some couples think they’d like to have “two at once” by hoping/aiming for a twin pregnancy. This possibility stands out in many people’s minds from celebrities and friends who have had twins after fertility treatments – and it is true that many fertility treatments increase the chance a couple will have twins. While the chance of twins is 1% in pregnancies conceived at home without interventions, almost every fertility treatment has a higher chance than that. However, while twins look cute in Christmas cards and may seem like a time- and cost-efficient way to achieve your desired family size, it isn’t as simple or desirable as it may sound. How common are twins after fertility treatments? The likelihood of twins depends on several factors, but primarily the treatment that a couple uses for conception. If a couple uses pills by mouth to augment egg release (either clomid or letrozole for “ovulation induction/stimulation”), the simplest medical approa