Most couples contemplating fertility treatment worry about having more than one baby at a time. Although many secretly hope for twins, they certainly do not want to have quadruplets or quintuplets! The publicity surrounding Octomom has made many think that there is no way to control the risk of having 8 babies at a time, but there is.
When scientists look at why couples don’t pursue fertility treatments, the fear of getting pregnant with multiples is one of the leading reasons that couples avoid treatments. On the other hand, I also get asked on a daily basis whether it is possible to guarantee a patient a pregnancy with twins rather than just one baby. I often hear, “If we could have twins now, then we would be done!”
So how likely is a multiple birth with fertility treatments? Well, it depends on the treatment and, to some extent, the doctor prescribing the treatment. Clomid or clomiphene citrate is a mild fertility treatment that is often the first treatment recommended for couples struggling with infertility. It has about an 8 to 10 percent chance of leading to a twin pregnancy and a less than 1 percent chance of higher-order multiples (more…)