The image of a couple holding twins is a powerful one, representing double the joy. For many undergoing IVF treatment in Bangladesh, the idea of a multiple pregnancy can be appealing. But what does the journey to having twins or multiples really involve?

At Superior A.R.T. Advanced IUI Center in Dhaka, we believe in empowering our patients with clear, compassionate information. Today, we’re exploring the realities of multiple pregnancies in IVF to help you make informed decisions on your path to parenthood.

How Does a Multiple Pregnancy Happen in IVF?

A multiple pregnancy occurs when more than one embryo successfully implants in the uterine lining. This can result in:

Dizygotic (Fraternal) Twins:

When two separate eggs are fertilized by two separate sperm.

Monozygotic (Identical) Twins:

When a single fertilized egg splits into two embryos.

In an IVF cycle, a multiple pregnancy typically occurs when more than one embryo is transferred into the uterus. If multiple embryos implant, a twin or higher-order multiple pregnancy (triplets, etc.) can result.

What Are the Chances of Having Twins with IVF in Bangladesh?

Your personal chance of a multiple pregnancy depends on several unique factors, including:

The number of embryos transferred:

This is the most significant factor.

Your age:

Younger women typically have higher-quality embryos, which have a better chance of implanting. One study showed multiple-birth rates could be as high as 45.7% for women under 30, while for women over 40, the rate was less than 25% even with multiple embryos transferred.

Your medical history:

The underlying cause of infertility can also play a role.

The most accurate way to understand your personal chances is through a direct, one-on-one consultation with our fertility specialists at our Panthapath clinic.

What If I Want to Have Twins?

While having twins via IVF is possible, it’s crucial to understand the associated risks. We strongly recommend that any couple considering this path learns about the potential complications, which include:

Increased Medical Risks:

Multiple pregnancies carry significantly higher risks than singleton pregnancies. These include premature birth, low birth weight, and the need for extended care in a Neonatal Intensive Care Unit (NICU). These challenges can be emotionally and financially exhausting for parents.

The Physical and Emotional Toll:

IVF itself is a demanding journey. Committing to the process with the primary goal of a multiple pregnancy adds layers of complexity and risk. It's important to remember that success is not guaranteed in one cycle.

We encourage you to have an open and honest discussion with your doctor about your desires and the realities of a multiple pregnancy.

How Can I Reduce the Chance of a Multiple Pregnancy?

The most effective way to minimize your risk of a twin or multiple pregnancy is to choose a Single Embryo Transfer (SET).

In the past, transferring multiple embryos was common practice to boost success rates. However, with today’s advanced technology available at our Dhaka laboratory—including Blastocyst Culture and advanced incubators—a single, high-quality embryo often offers an excellent chance of success with a much safer pregnancy outcome.

A Bonus of Single Embryo Transfer: Preserving Your Future Chances

By choosing to transfer one embryo, you can freeze and preserve your remaining high-quality embryos using the Vitrification (fast-freezing) technique. This allows you to store your embryos safely for future attempts. When you’re ready to try for another pregnancy, you can undergo a Frozen Embryo Transfer (FET), which is often simpler and less costly than a full new IVF cycle.

At Superior A.R.T. Bangladesh, our policy prioritizes your health and the health of your baby. We recommend and routinely practice Single Blastocyst Transfer. We will only consider transferring two embryos in specific circumstances, based on a thorough medical assessment by your doctor.

Can a Single Embryo Transfer Result in Twins?

Yes, but it is rare. In this case, the single transferred embryo splits, resulting in identical (monozygotic) twins. This is a natural biological event and not a direct result of the IVF procedure itself. Because they come from one fertilized egg, identical twins share the same genes.

Let us help you build your family safely and successfully.

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