Topic: Poll: Twins/Multiples?

My DP and I are still TTC, but after 7 BFN we are going to try fertility meds, specifically Clomid. I know the rate of twinning/multiples isn't super high, but we were curious how many of you have had twins or multiples on these types of meds? I think twins would be fun, but we are weighing the financial cost if that were to happen. We just want to be prepared.

Thank you for your input.

TTC #1: BFP Cycle #11 IVF (2014)
TTC #2: IVF April 2017
             BFP: FET Due February 2018

Re: Poll: Twins/Multiples?

I'm interested in the comments from others on this as I am also going to be on Clomid and hoping for twins. Good luck to you! smile

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Re: Poll: Twins/Multiples?

I did not use any fertility drugs to conceive my twins.

Keep in mind that while twins sound fun or exciting, you have double the worry and stress. In my twin pregnancy the babies are sharing a placenta which means one could hog all of the nutrients and deprive the other baby. You also have to be prepared for bed rest in your third trimester. Also, a lot of the decisions the ladies on the board get to make about their birth plan are no longer your choice.

Don't get me wrong, I am excited about the tiny miracles growing in my belly. But it is definitely a different experience than I expected.

Cycle 6 was my lucky cycle! BFP!!!
EDD 12/13/2013
It's identical TWINS! They're GIRLS!
7/20/2013 Sweet Baby A lost her battle with IUGR.
8/26/2013 Feisty Baby B was born via emergency CSection 16 weeks premature

Re: Poll: Twins/Multiples?

We used Clomid once.  50 mg cycle days 3-7.  No u/s monitoring or trigger.  Resulted in one baby boy.

July 4, 2015
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5 (edited by tc0104 2013-05-13 09:38:20)

Re: Poll: Twins/Multiples?

I was on 50mg of Clomid and Ovidrel for both of my pregnancies. With my daughter it was my 5th cycle and first cycle medicated. I produced 3 mature follicles and it resulted in 1 baby. With my second pregnancy it was our first attempt that worked and I produced 4 mature follicles on the same clomid dosage. We were concerned about multiples but was assured that the likelihood was still low especially with my low AMH. When the beta results came back we suspected it bc they were triple what they were with our daughter. It was a long 3 wks unt we knew for sure. As far as expenses, we cut  expenses by using cloth diapers but we do spend double in formula. We have a significantly reduced daycare cost bc my aunt who is like a grandmother figure watches them. We buy most if their clothes used And they are boys so right now we can get away with putting them in each others clothes. As far as the pregnancy, mine was fairly uneventful except for the last month where Jack caused us a lot of concern, but from what I heard from doctors I had it good and they see much more difficult twin pregnancies. Don't take a multiples  pregnancy lightly...they are very tough. Yes, it is fun to have twins and I wouldn't have it any other way. They are fairly easy babies. Right now we just do for one that we do for the other.. It they are only 4 months and their needs are minimal at the moment. I would suggest you research the cost of care, diapers, Formula if you choose to go that route to see if it is affordable if it happens.

Re: Poll: Twins/Multiples?

First cycle using 50mg of Clomid, trigger, and us monitoring resulted in two mature follies and one baby boy!

7 (edited by hopeful-in-seattle 2013-05-13 11:30:17)

Re: Poll: Twins/Multiples?

We never had a BFP on oral drugs or injectables with IUI, in spite of having multiple follicles each cycle. Our twins were conceived after transferring two Grade A (or Grade 1 - can't remember the grading system) embryos during an IVF cycle. We felt pretty desperate after spending all of our savings TTC, and we really wanted the best chance of a live birth so we transferred two. But I want to say that while I thought I understood the risks involved, I've since gotten a more full picture of the risks associated with twins - there are serious implications for mother and babies, even if you have di/di twins (which are generally less risky in terms of complications for the babies prior to birth). I don't think we'd make a different decision, but I guess I just want to say that while I thought twins would be a bargain, I'm now realizing that a multiple pregnancy is one that requires a great deal of planning and medical care (at least in my experience, and DW is very healthy and fit, so our doc said her risk of complications will be lower, but still substantially higher than for a woman with a singleton pregnancy).

We're also finding that our labor and delivery experience will not be what we might have hoped for. For example, we cannot use the midwives at the smaller, more mother-baby focused hospital in town, and every hospital here requires mothers of multiples to deliver in the operating room. Not exactly the experience we would have chosen, but I"m grateful for a full team of medical experts to care for my wife and babies, nonetheless.

One piece of info that our second RE pointed out to us when we were using Clomid, Femera and FSH during IUI cycles that was a bit different than what we heard from the first RE and read online. It really helped me make decisions along the way: Many docs will tell you that the rate of multiples for medicated cycles is around 15-20%. But to really understand your risk of having a multiple pregnancy, you have to consider the probability of conceiving, and multiply it by the probability of twins or higher order multiples. And if you want to know your chance of delivering multiples, you have to also take into account the probability of a spontaneous reduction of a multiple pregnancy.

For example, the figures she gave us, based on DW's age, AMH (5.8), and AFC (typically 22 or so) were:

Probability of conceiving per well-timed IUI cycle with multiple follicles 15-20%
If successful, probability of twins 20%; Probability of triplets or higher 5%.
If multiple gestation established, probability of live birth of both babies - about 60-70% (goes up as pregnancy advances, to like 80% after heart rate is detected, 95% at end of first trimester).

So overall, per cycle, our chance of ending up with a twin or high order multiples pregnancy was around 4-5%. But the chance of actually delivering twins or high order multiples is actually a bit lower than that because about a third of multiple pregnancies reduce spontaneously.

Hope that helps your decision making process...it really helped me to think of the probability overall, rather than just the somewhat high chance of twin pregnancy if conception occurs...

Edited to add one more piece of information: We are actually moving away from Seattle because we cannot afford the cost of child care for two newborns. I never even thought about the cost of child care, much less the cost for two infants. And when I started doing research, I found that waiting lists for day cares with reasonable parent reviews (but nothing fancy by any means) had about a one year wait list and offered (at best) a 10% sibling discount. For 3 ten hour days of child care w/ an in-home nanny, we were looking at $1900 per month, and for day care it was upwards of $2500/month. Now, that is in Seattle, and where you live it could be totally different, but I do wish I'd looked into the costs of child care for twins a lot sooner than I did! Not because I would have made a different decision, but I might have been able to plan better...

I hope this doesn't sound doom and gloom, I'm just keepin' it real.

And I want to say for the record, I'm thrilled about my twins. They are teaching me a lot already. smile

#1 ICI-BFN #2 IUI-BFN #3 IUI-BFN #4 ICI-BFN; #5 IUI-BFN; #6 IUI-BFN; #7-no follie; #8 IUI-BFN; #9 IUI-BFN; #10 IUI-BFN; #11 ICI, fresh-BFN; #12 ICI, fresh-BFN; #13 ICI, fresh-BFN; #14-cysts; #15 ICI fresh-BFN; #16 inj+IUI-BFN; #17 inj+IUI-BFN; #18 inj+IUI-BFN; #19-cyst; #20 IVF=BFP
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Re: Poll: Twins/Multiples?

Sister:
Rounds 1 - 5 of Clomid up to high, high dosage - Nada.
Round 6 - 1 Baby

Sister Tries for Baby 2:
Round 1 - mid to high dosage? - 2 follicles, 1 baby.

Me:
Round 1 of Femara - 5 mg/mid dosage - 2 Follicles, nada.
Rounds 2 + 3 of Femara - 5 mg/mid dosage - 1 Follicle, nada.

Me Tries IVF:
So gosh darn many follicles, excellent quality - Transferred back 1 embryo, somehow got 2 babies. wink

So.  Some people definitely get twins, but most people don't.  (And some get more . . . !)

I'd check my insurance policy to see what is covered - ie, how do you do your co-pay to your OB?  Is it a small upfront payment or pay a percentage of each visit.  How about specialists?  You'll more than likely have at least a few appointments, if not very regular bi-monthly appointments, with a perinatologist/MFM.  Does your insurance cover that?  Do you have a high deductible that you will have to meet for the labor in the hospital itself?  Yes, any hospital birth will likely meet this, but what is your portion after the deductible is met?  Is there a cap on what you can pay?  A vaginal delivery of a singleton is far cheaper than the very likely c-section of twins (~60%).

And then really . . . just look at your double stroller options.  Absolutely pitiful.  Pitiful.

http://lpmf.lilypie.com/7NZpm4.png
Lucky Cycle 14: IVF!! Antagonist Cycle with Lupron Trigger

9 (edited by tc0104 2013-05-13 14:57:08)

Re: Poll: Twins/Multiples?

Oh yeah...the medical bills!  I saw MFM until 20 weeks. That was a $40 copay... No big deal. Every ultrasound at my OB... Another $40 copay each visit with my OB bc I got an ultrasound nearly each time.  Every time my OB sent me to the hospital for observation...co pay equivalent to an ER visit, in my case $150 per visit, sometimes multiple times per week.

That is interesting the actual probability of twins. My AMH was .72!

10

Re: Poll: Twins/Multiples?

My triplets were conceived on 150 mg of Clomid days 3-7 plus some injections. I did similar cycles many times with zero follicles, and there were 2 (that we saw) on this one.

I agree with the others about the financial risks of multiples. The cost of child care has completely bankrupted us. They are worth every penny I don't have, though. <3

http://lbyf.lilypie.com/Jjr6m5.png

11 (edited by kelleymel 2013-05-14 06:28:43)

Re: Poll: Twins/Multiples?

Wow, you guys have really given us some food for thought. We will still go ahead with using Clomid, but we will really have to start looking into some of these additional costs - just to be prepared. I had looked into the cost of childcare in my city, which is about $1100/month. I can't imagine having that doubled. Not to mention the medical bills. How much was the cost of delivery/hospital costs - for those of you who went that route? Thank you all for the advice!! Its great to get a head start on the planning

TTC #1: BFP Cycle #11 IVF (2014)
TTC #2: IVF April 2017
             BFP: FET Due February 2018

12

Re: Poll: Twins/Multiples?

I hit my out of pocket maximum for the year with prenatal care, so I paid nothing for my 2-week hospital bed rest, delivery, and the kids' 10 day NICU stay. It all depends on your insurance plan. Some cover everything with just a copay, some require you to pay a percentage.

http://lbyf.lilypie.com/Jjr6m5.png

Re: Poll: Twins/Multiples?

Mine was a $600 co-pay. But yes it does depend on ins. And Mel hit something that didn't concern me bc I work from home but many do go on bed rest and I did (even working from home) stop working at 34 weeks (delivered at 38). It was so horrible that if I didn't work from home I'm not sure how much I would have been able to handle, may e stopping at 30 who knows. I really felt that my body needed that time to just rest. I had only originally went out on leave bc I would have lost 2 wks of leave bc of the new yr but it worked out perfectly! So point being...plan on possibly being out of work earlier

Re: Poll: Twins/Multiples?

In Alaska, private health insurance plans do not cover prenatal care or delivery. Soooo....I have to pay cash for all of my care. In January though, it will supposedly change.

Cycle 6 was my lucky cycle! BFP!!!
EDD 12/13/2013
It's identical TWINS! They're GIRLS!
7/20/2013 Sweet Baby A lost her battle with IUGR.
8/26/2013 Feisty Baby B was born via emergency CSection 16 weeks premature

Re: Poll: Twins/Multiples?

I'm a mom of 'holy crap you must be joking' twins wink I didn't use any meds, did home IUI and twins do not run in my family.

Like other multiple mamas have said, while I wouldn't trade them for the world, babies should come one at a time. Expense is a huge stress, along with the increased risks that a multiple pregnancy can bring. My pregnancy with the twin cost almost 100K and that was before delivery. Luckily I went to term (36 weeks for multiples) with no NICU or prolonged hospital stay. For childcare I ended up using a nanny because daycare would have cost just as much and with two (or more) babies illness and other issues would have caused me job loss with absences.

So while I'm not saying that you shouldn't use meds or that I wish I didn't have twins...I always cringe a little when people say they want or are trying for twins. Obviously if you need the meds to get pregnant, the risk of multiples isnt going to sway you from your decision and shouldn't smile

Jamie
Mommy to Twins plus One - donor 733
http://i45.photobucket.com/albums/f54/YFNR/DSC08654_zps76947225.jpg

Re: Poll: Twins/Multiples?

My insurance is 80% paid by the insurance company and 20% by us for all appointments.  Same for our specialist.  Our hospital is another deductible, but there is a $3,500 cap out of pocket so that is a relief.  I have to call the company about the cap on the maternity care.  In our coverage written description, if I am reading it correctly, there isn't one which scares me.  I've been putting off that call for fear.  Very mature, I know.  smile

http://lpmf.lilypie.com/7NZpm4.png
Lucky Cycle 14: IVF!! Antagonist Cycle with Lupron Trigger

17 (edited by CRWHNW0909 2013-05-15 11:36:44)

Re: Poll: Twins/Multiples?

I was on 25 of clomid. Twins run in my family but that cycle, we had 4 mature follies. We don't pay for daycare and cloth diaper 100% and they are breastfed 100% aside from table food so for us personally, I wouldn't say they're expensive. (Yet) You also need to factor what your income is, daycare, and big ticket items or if you will get/receive things second hand or gifted to you. Our car seats and snap n go stroller were gifts so that saved us close to $500.  But as my DP says, if you enjoy spending money on them you don't consider that an expense.  It cost us 5k in hospital bills/tests, delivery as he bill prior to insurance was about 125k.  but 10k to conceive, we considered the hospital bills  a bargain. So be careful what you wish for when you say twins might be fun. I wouldn't change a thing but some people don't realize the big picture. 

As far as cycles to: 1st an second cycle medicated with RE, third was  unmediated cycle at home then the last one resulted in bfp of our twins. We thought something was up as my 1st beta was through the roof (see sig). But I believe clomid only gives you a 20% higher chance of multiples. But I could be wrong.

04/11/2011=BFN 06/08/2011=BFN 07/05/2011=BFN 11/25/2011=BFP!!
Beta 1: 2,489 Beta 2: 5,603 TWINS!!

Re: Poll: Twins/Multiples?

I have identical twin girls who are now 27 years old.  They were conceived the old fashion way with no meds.  When you think about how much fun twins would be, think about the costs when they get in school and want to be in band or football or cheerleading.  All those activities cost money and with twins its twice as much.  Think about the field trips and all that stuff you will need to pay for.  I love my twins to death, but I am so glad they are now grown and have families of their own lol.

http://davf.daisypath.com/IGXwm4.png
I just turned 50 and fabulous!!!  Enjoying life with my amazing family!!
Mom to Rachel 33, Bethany 30, Rebekah 30, Zachrey 20 and several angel babies
Grandma to Larissa 11, Brittney 11, Trevor 11, Destiny 7, Jayvin 6, Jackxon 3, Kaleb Joshua Rian 1. Grandbaby #8, Sariah Grace born 11-17-16

Re: Poll: Twins/Multiples?

I guess since my wife and I are both only children, we thought twins would be a blast - and I'm sure they are, but I'm getting a little concerned about how much the cost has affected everyone. Obviously we are still TTC and in comtemplation about chances with the meds, but this has all been so very helpful and eye opening. There was a lot of stuff we just weren't thinking about. We do have a great family that can and will help with a single child or with multiple children. I have been reading the boards and have seen an uptick in twins related posts and really started thinking maybe we should learn more and prepare ahead of time. You ladies are the best resource! I got a totally different perspective from you all than from what Mr. Google has told me. Thank you!

TTC #1: BFP Cycle #11 IVF (2014)
TTC #2: IVF April 2017
             BFP: FET Due February 2018

20

Re: Poll: Twins/Multiples?

I took 100mg Clomid per day on CD 5-9 and conceived one beautiful healthy baby girl smile

http://lbyf.lilypie.com/TikiPic.php/AfUDuhU.jpghttp://lbyf.lilypie.com/AfUDm4.png

Re: Poll: Twins/Multiples?

aplusa wrote:

My insurance is 80% paid by the insurance company and 20% by us for all appointments.  Same for our specialist.  Our hospital is another deductible, but there is a $3,500 cap out of pocket so that is a relief.  I have to call the company about the cap on the maternity care.  In our coverage written description, if I am reading it correctly, there isn't one which scares me.  I've been putting off that call for fear.  Very mature, I know.  smile

The company I work for switched insurance 2 months before my due date. I was so worried my OB didn't accept it or was out of network. I had to start all over again with my deductible which then increased when I added the them on my insurance.

04/11/2011=BFN 06/08/2011=BFN 07/05/2011=BFN 11/25/2011=BFP!!
Beta 1: 2,489 Beta 2: 5,603 TWINS!!

Re: Poll: Twins/Multiples?

While I have jokingly wished for twins many times, in my heart of hearts I am too scared of the possible complications from a twin birth to really want that.  My goal is just to have one healthy baby. 

I was on 50mg of Clomid 2 cycles, and both of those only gave me 1 follie.  However, this last cycle of injects where I finally got my BFP I had 3 follies, but I'm pretty darn sure there is only 1 baby in there.

Anna 38 (mommy to 3 boys...11, 9 & 2)
#3 was conceived with DS via our 6th IUI (2 natural, 2 clomid, 2 follistim+trigger)
Trying for one more blessing to add to our family:
IUI #1 9/25 (follistim+trigger) BFN IUI#2 (follistim+trigger) 10/23 BFP!...mc 6w3d
IUI#3 2/5 (follistim+trigger)...Test Date 2/19

Re: Poll: Twins/Multiples?

I used absolutely no meds because I did not think I could do multiples by myself. HA HA HA Jokes on me. My insurance paid everything but a $500 copay for hospitalization. When I got the bill I could not figure out why I had a bill for $1,500, I forgot 3 of us were hospitalized.

http://lbyf.lilypie.com/TikiPic.php/f1xTJgw.jpghttp://lbyf.lilypie.com/f1xTm5.png

Re: Poll: Twins/Multiples?

No meds here yet I am pregnant with two. It was the main reason why I did not want to take meds despite my years of struggle to conceive. I am a single mom by choice so was trying to avoid multiples but I guess it was my destiny. Because I had such a hard time conceiving I am happy because if all goes well I think this will be my first/last pregnancy.

IT'S A BOY!
1st beta 456 at 15dpo
2nd beta 6000 at 22 dpo
http://lb1f.lilypie.com/NuNSm5.png

Re: Poll: Twins/Multiples?

I know several people who got pregnant with twins on clomid, and several who got pregnant with singletons...

kelleymel wrote:

My DP and I are still TTC, but after 7 BFN we are going to try fertility meds, specifically Clomid. I know the rate of twinning/multiples isn't super high, but we were curious how many of you have had twins or multiples on these types of meds? I think twins would be fun, but we are weighing the financial cost if that were to happen. We just want to be prepared.

Thank you for your input.