Multiples and Fertility Treatments: What Are The Risks? What Should You Know?

Double board certified OBGYN and REI, Dr. Natalie Crawford, discusses fertility treatment and multiple pregnancies. It’s important to understand the risks that comes with being pregnant with multiples. When technology advances, advancing and changing the way we practice should happen as well.

Questions answered:
Why do twins happen during fertility treatments?
How common are multiples while doing fertility treatments?
What are the different types of twins?
What causes dizygotic twins?
How common is monozygotic twinning with IVF?
How do quadruplets happen?
What maternal complications can come from twinning?
What are the risks for the baby/babies?
How has IVF and ovulation induction changed?
Will it save money to have twins?
What are the recommendations on single versus multiple embryo transfer?

RESOURCES:
ASRM committee opinion:

Machin, G. (2009), Non-identical monozygotic twins, intermediate twin types, zygosity testing, and the non-random nature of monozygotic twinning: A review. Am. J. Med. Genet., 151C: 110-127.

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Fertility doctor, Natalie Crawford, MD is a double board certified OBGYN and REI, and co-founder of Fora Fertility, a boutique fertility practice in Austin, Texas.

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FORA FERTILITY:
715 W 34th Street, Austin, TX 78705

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Sharing fertility facts to educate women about trying to conceive, getting pregnant, ovulation, fertility treatments, IUI, IVF, becoming a doctor, life as a woman in medicine, and more.

[nicolevanniekerk]

I’m currently 24 weeks pregnant with dizygotic twins after a single embryo transfer. After years of trying and multiple doctors saying that we won’t be able to ever conceive naturally. So we have one IVF baby plus one natural baby = 2 miracle babies 🥰

[kathrynlouise]

I was 39 when I got pregnant with my twins (DCDA or DiDi). I got my boy and girl with one pregnancy. A lot of people think this is amazing (which, it is) and it’s like “Ah two for the price of one!” Etc. (Ugh… no! Two for the price of TWO!) 😂 They are incredible, however they were born at 30 weeks gestation and spent a lot of time on nicu and special care (australia). They are fine now at 15 months old, but it was so HARD!! And yes, for the millionth time…. I DO have my hands (and my heart) full.

[erica]

I am a triplet because of injectable meds. I grew up hearing how hard my mom's pregnancy was and how long we spent in the NICU. But info like this is really hammering home how dangerous it was! I was the smallest of us and I was about 1127 grams (2 lbs 4.5 oz). But even the largest of us was not quite at 3lbs. But all three of us survived and the worst complication we ended up with was my asthma from being on oxygen for so long. I'm grateful that we got so lucky!

[alexandrinasilva]

Hi... From Portugal 🇵🇹...😊 After one IVF cycle failure, I've got pregnant naturally and it's a mono/mono pregnancy (two babies) ... So my miracle happened...😊🙏 Right after an IVF cycle failure and before a new IVF cycle... Thanks Dr Natalie for all the information... Was useful for my IVF cycle... I knew the right questions to ask my OB-GYN/fertility Doctor... Thank you so much 😘

[ilovetosweetthings]

Thank you for your video. I had Mono/Di twins after IVF. Unfortunately they did not make it after twin to twin transfusion syndrome surgery. I was referred to the specialist too late. It’s important to bring awareness to these risks.

[YesYuko]

It was one of the best videos I’ve watched to get information about twins and I really appreciate it! I am doing IVF now and just extracted eggs. This made me decide on single embryo!
Thank you Dr!

[ashleyelizabeth]

I've always wanted twins but thank you for new perspective

[staceyredboy]

I have a identical twin sister, and she's my best friend 😊❤

[lewamush]

I’m currently 12 weeks with twins following my first double embryo transfer in January. It’s super uncommon in the UK for clinics to even allow a double transfer, but my clinic seemed to encourage it and even froze our 7 embryos in 3 pairs plus one lonely one of lesser quality - without prior consultation. I’m 26 too so seems bizarre! So we were forced to transfer both or let one perish as it likely wouldn’t have survived the thaw and another freeze. Crossing everything that all ends up being well with them, thanks for the informative video 💞

[kzfingerprint]

Wow... I'm actually going through IVF right now and i had no idea the risks of twins was just generally higher as a result of IVF. And i read ALL of the of l paperwork and watched all the modules. This is because the assumption was that this was directly related to transferring more than one embryo at once ...i didn't realize that each individual embryo was at a higher risk of splitting!

[dejaa]

I know a women that did ivf for 1 baby. And months later she got pregnant again naturally with triplets.

[duckyone]

How you going to call me old with Jon & Kate plus 8 and not mention Octomom as well 😂 My older sisters are twins, born in 71 so they're definitely natural twins.

[LKA-siln]

Also: love the pooch cameo at 13:05 😂🐶 I love your videos and the information you share, but would also love it if you shared your dog with us ☺️

[carolg]

Me: hello! I’d like to have twins or even triplets if possible so I can catch up with my friends!
Doctor: Stop it. Stop it right now.
❤😅

[blair]

Hello. I'm considering Clomid (or its alternative). Advanced maternal age, I've had three miscarriages in just over a year. At 41, in Feb of this year at 42 and a few days ago in April at 43. At this point, I just want ONE healthy baby. If I use a medicine such as Clomid, is there any way to avoid twins? I wouldn't be using IVF (I don't think Clomid is considered IVF), just taking the medicine in hopes that one of the multiple eggs that comes will be the right one.

[poojayadav-tkth]

I wish meri bhi twins pragnanci ho pray for god's 🙏🙏🙏🙏🙏

[marianemashkalo]

I was di-di twin, born 1500 gramms, my sister about the same . My twin di-di girls were born at 37.5 weeks, 2500 and 2800. Not ivf, but laparascopy for endo, some hormones for 1 month, natural pregnancy the next month 🎉🎀🎀

[alliecatnz]

So love all of your videos, any advice for poor responders with low AMH who medical professionals say they can’t “help” but to keep trying naturally? Are there any viable homeopathic options to help to regulate a monthly cycle? I’m sure there are other woman out there in a similar situation.

[BeFruitfulMomma]

I just lost one of my twins (at 10 weeks pregnant). I'm 47 years old, and these twins occurred without fertility treatments. It was possibly genetic why I miscarried one baby. It's still early, so I've been advised that I could lose the other. My question --- given my age, what type of fertility treatments should I look into if this pregnancy doesn't make it. Thank you.

[nailamudassar]

Ovulation boosting tablets are for egg production?