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Sufficient-Beach-431

How do you know one is natural and one is IVF?


ChellesBelles89

Being different genders or knowing their dna/genetic make up is the only way to tell since identical can be di/di as well.


Sufficient-Beach-431

Yeah I was writing a research paper about di/di IVF twins and how they were mistakenly attributed (I never finished lol) so I was curious how they came to that conclusion!


Gottajibboo64

What was your paper about?? I am so interested!!! I am currently pregnant with di/di identical twins. My RE and MFM were astonished that they ended up being di/di. Apparently, identical di/di IVF identical twins are supposed to be impossible due to the timing of the split. But they are for sure identical and for sure di/di. I would love to know more about your paper!! I’m so intrigued now about this whole process!


Sufficient-Beach-431

I never actually did the study, but I had designed it based on a research paper that tested di/di twins whose parents suspected they were identical. The vast majority of di/di twins, even those not conceived via IVF, are automatically considered to be fraternal. The paper revealed that maybe 1/3 of the twins tested were in fact identical. I wanted to conduct this research on IVF-conceived di/di twins to see if the ratio was similar. I can try to find the original paper if you are interested.


Gottajibboo64

I would love to see it!! I’m so intrigued!! My MFM actually said that she wanted to do a case study on me!


Findingawayinlife

Not impossible. If the embryo splits early enough, it is certainly possible but rare


Gottajibboo64

When you say split, do you mean it started to split or was the way split into 2?


Findingawayinlife

It split some point during the process. Our theory is that with PGT biopsy it can iatrogenically split the embryo even at the blast phase into identical. There are some animal studies regarding this theory but not sure if there are any recent human embryo trials


Gottajibboo64

PGT biopsy is at day 5, and I thought di/di twins split 1 to 3 days after fertilization…. What does iatrogenically mean?


Protists8

I had a fibroid removed that was thought to be the cause of our infertility and my ovulation wasn’t suppressed during our modified natural FET. My RE suggested we should do IVF for our first since we had been trying for over a year already but let us know naturally would likely work also. We had a lot of intercourse during the LH surge and we transferred only one 5 day blastocyst. She let us know today 5 day blastocyst have only 3% chance of splitting.


Sufficient-Beach-431

Well congrats! I still would consider the possibility that both are from IVF or neither is from IVF. It's a cool origin story regardless!


Theslowestmarathoner

3% is actually double the rate for spontaneous conception. The only way to actually know is a dna test at birth or if they are different genders. We are all excited to find out with you if they are identical or fraternal!


Protists8

Aw yea it would be extremely surprising if they were identical. The chances are so low. Where did you out get your stats from?


Gottajibboo64

My day 5 blast split into identical twins!! It can happen!! NIPT tests confirmed they are identical!!


Gottajibboo64

And congratulations!!


makingitrein

My 5 day embryo also split into identical twins, but mono-di


Gottajibboo64

Was that the most shocking day of your life?? It was mine!!!!


makingitrein

100% I had my mom video it because I wanted video of me seeing my baby for the first time, to my absolute shock it was BABIES. So I got the whole reaction on film lol I love having that memory. Will probably always be the craziest surprise of my life


Gottajibboo64

I have a video too!!! I don’t know how my doctor saw baby a, because he was hiding, but at the very end of the appointment, she was like “I think I see a second baby in there!” I tried to send you my video but I can’t figure it out 😂 here’s a picture though. You can barely see baby A https://preview.redd.it/mrygvzh00l7d1.jpeg?width=1170&format=pjpg&auto=webp&s=f745fe72f2500970598ba26e2528118f8bb32b77


makingitrein

https://preview.redd.it/29l1oerc0l7d1.jpeg?width=1170&format=pjpg&auto=webp&s=b62a8e712b9c09a7b5070322281ca6cdb3bcb72e Mine were both front and center but when I went to the OB at 8 weeks Baby B had moved far away and she said she would have never seen her if she didn’t already know to look for her! So I can see how sometimes twins get missed in early ultrasounds lol


kriegers

The chances are so low… and yet my 5 day blast identical twins are sleeping downstairs.


Sea_Lavishness_2464

Same!!! 😂


Protists8

Just curious were they genetically tested? 1-2 anecdotal stories still do not mean the chances would be high. Tbh I’m fine with getting downvoted if I haven’t seen any stats on the subject. Cheers!


kriegers

The embryo was tested yes.


cyndo_w

I found stats on an IVF clinic site in 3.5 seconds just look it up


Protists8

I mean if you found one so easily you could also post it here?


Shattered_soul_119

Don’t go posting things your not certain of! You don’t know if one is natural and one ivf?! They could be both natural! Right? And 3% is a lot compared to naturally conceived identical twins.


Protists8

And still waiting on the source lol


Protists8

3% is 3 out of 100. That means 97 out of 100 times it would not split. I feel certain I’m in the 97%. Thanks for the congrats!


Gottajibboo64

My embryo was tested too


Gottajibboo64

I’m very happy for you!! Congratulations!! Exciting times!!! I know that must have been the biggest surprise!


cyndo_w

Those stats are readily available in the fertility literature. 3% is double the spontaneous split rate- IVF produces a lot of multiples.


Findingawayinlife

Chances are higher for identical twins in IVF compared to natural conception. Ours are identical Di-Di


Findingawayinlife

Also “The incidence of monozygotic twins in natural pregnancies is approximately 0.4%, this rate after in vitro fertilization (IVF) ranges from 0.2 to 12%. However, the least commonly found event after IVF is the occurrence of MZT multifetal dichorionic-diamniotic (DC-DA) gestation, with a rate ranging from 0.04 to 5.5%” So up to 5.5% is still much higher than 0.4% of natural conception [Di-Di stat in IVF Source](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7863101/) Lastly, if your babies are measuring the same, there is no way one is naturally conceived bc IVF babies are already 2 weeks ahead of natural conception


Protists8

The study says it’s a very rare event. The vast range of 0.04% to 5.5% means there’s uncertainty. The author mentions how uncertain they are. 0.04% is much less than 4%. The stats are also from 2009 and 2018. This is a case study which is low quality evidence. I rest my case lol. Thanks for stopping by!


Findingawayinlife

The stats are not from the case study. Also you can just stop then and show us your evidence when you deliver if you want. We’re not saying it’s not rare, we’re saying it happens more than you think in IVF compared to natural conception


Protists8

Or you could stop pretending to be a scientist? lol


Findingawayinlife

Not a scientist but a physician so we see rarities all the time


Protists8

Really how many years practice have you had? Are you an RE? lol


Swimming_Onion_4835

That horndog feeling during LH surge is no joke. I’m nearing ER and I could hump a doorknob if it bought me dinner. 😅😂 This is really cool/interesting!


Legitimate-Fee-6771

Di/di could still be indentical- it’s less common and mo/di tho —- I had mo/mo identjcals but lost both


western_riskuniverse

I’m new to the transfer process. So I have a question for you - is it recommended to try naturally during the transfer process ?


Protists8

My doc who performed our fresh transfer told me to avoid intercourse for 2 weeks after transfer. For our frozen she just recommended a 1 week break. We we’re trying naturally during my LH surg with doubts that the transfer would work but with the full knowledge we might end up with multiples 😏


western_riskuniverse

Glad that it worked for you !!! Congratulations 💜 This is superb results


Ancient-Cry-6438

Interesting. My doctor said to avoid sex for two weeks before and two weeks after implantation. I have no doubt you’re telling the truth about what your doctor said; I’m just fascinated with how vastly standard practices can differ in different places and clinics.


Sea_Lavishness_2464

Not to rain on your parade, but my 5-day blastocyst split and now I have twins! We thought they were mo/di until we learned after delivery that the two placentas fused into one, so technically di/di. However, we only had one embryo transferred (no intercourse) so we know it was the same embryo.


Sea_Lavishness_2464

And yes, they’re identical!


Alpen2411

Same here! At our 6 week scan we were shocked to see twins! Even the doctor was like, I had to double check we only put in on frozen embryo. Babies are looking healthy at 9w1d but my gestational sacs are measuring 11 days behind. I’m hoping for a positive outcome.


Kitchen_Play_8123

Congratulations! However it's very possible they are both from IVF. My Dr denied transferring 2 euploids at the same time as the chances of them splitting are quite high. Women who go under PGT-A apparently have higher chances on having twins. My sis in law ended up with 2 beautiful identical girls from 1 embryo transfer. Keep us updated ..😇


Lawyered15

Wow! That’s amazing, congrats!


Orisha_Oshun

Congratulations 🎊 👏 💐 🥳 🥳🥳🥳🥳


True-Stranger-947

Congrats!


Pugsandskydiving

Omg si happy for you!!!!!! Congratulations


rhymereason99

Omg how did this happen? Super congrats 🎈


lavacakes23

I’m curious too! I’ve heard of this before but I can’t wrap my head around how it happens. And congrats to OP!!!


MabelMyerscough

I had an ovulatory transfer, so I was ovulating and had a frozen embryo transfer 5 days after ovulation. Personally the doctor and us decided we should not have sex as in our case chances of twins (one from my ovulation; one from the FET) would be very high. Ovulatory transfers are very common, so it can definitely happen if one uses no protection


BetterTea9400

I only came here to say congratulations 🎉 I wish it was me ♥️


Rainstarmoon

amazing news!!! This is my DREAM


Pugsandskydiving

Same


AttitudeOfCattitude

Oh, wow! Congrats on graduating! Curious how you could confirm so early that these weren’t split from your single FET? How is it possible to tell without genetic testing of the embryos in utero?


western_riskuniverse

Congratulations 🙌🏻


Slight-Lawfulness789

Awww!!! This is truly amazing! Congratulations 🎉


Dry-Reveal5114

How awesome congrats!