Were your multiples obvious in your first early ultrasound? — The Bump
Multiples

Were your multiples obvious in your first early ultrasound?

Hi all,

Congrats on all your babies!  I have a question for you about your early ultrasounds.

After two years of trying we successfully got pregnant via IVF.  Two embryos were transferred.  I will be nine weeks on Friday.  We had our first ultrasound (transvaginal) at just over 7 weeks and were told there was only one.  I was a little sad but also a bit relieved to find out there was only one.  I have been trying to settle my mind to it, but can't shake the feeling that they both took and one wasn't visible. 

Was anyone here told they had just one and found out later there were in fact more?  Was it completely obvious that there were two (or more) right from your first early ultrasound?  It seems so unlikely in this day and age that they would miss something like that, but they are just so tiny in those early weeks.  I will of course be happy with a healthy pregnancy regardless of number, I'm just curious if it still happens even with today's advanced medical tools. 

Re: Were your multiples obvious in your first early ultrasound?

  • Very obvious separate sacks and heartbeats and my first ultrasounds at 7 weeks.

    D & L are here at 34 weeks 4 days by vaginal and breech delivery on 11/19/2013
    Two healthy boys weighing 4 lbs 15 ozs and 4 lbs 5 ozs.  Only 6 days in the NICU and getting bigger, stronger and cuter every day! 
    adpilove
  • Same here-- 2 sacs and 2 heartbeats on u/s at 6wks2d.

    TTC #1 since 8/1/10; Me:41 and BRCA1+, DH:46
    DOR (FSH 24.3)/ terrible egg quality ; homozygous MTHFR c677t
    5 IUI's: 2/11 to 6/11 and 1/12= BFN
    OE IVF#1-4 8/11-6/12= all BFN
    DE IVF#1 11/12 bad embryos= BFN
    DE IVF #2 2/13 BFP/Beta hell: m/c 5w6d
    CFNBC 7 months, not doing well; decided on guarantee program at RBA w/frozen DE
    DE IVF #3 1/14  ET 4BB; BFP;M/C 5w1d, incomplete m/c; MVA extraction in ER 7w1d

    DE FET#1 ET 3/1714; BFP, beta 1 3/27= 197, beta 2 3/31= 1586, beta 3 4/7= 13879!!
    First u/s= Twins with HBs at 6w2d! We are Team Pink x 2!!

    K & K born 11/21/14 at 38wks 4 days

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  • Thanks ladies.  I figured this was likely to be the case.  Probably just my mind being unwilling to give up on what could have been.
  • Clearly twins at 7 week u/s.

    Baby Boy #1 born 1/15/2010

    Babies #2 & #3 arriving Spring 2014 (EDD June 18)

  • Ours were very obvious, but my OB used a transvaginal u/s so it picked up the sacs, fetal poles, and heartbeats at 7w5d
    image
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  • Ours were obvious, too, at 7w. Knowing the possibility of twins, I am sure your dr or u/s tech was looking for a second (unlike a spontaneous twin pregnancy that might get overlooked.) I hope you have a healthy, happy pregnancy either way. Congrats on your miracle (or miracles if you find that one is indeed hiding. )

    Age: 35 TTC since 2005, MFI & DOR 

    IVF #1 Sep '11 - canceled poor response

     IVF #2 Nov '11  8R/8M/4F 3dt x2 - chemical

    IVF #3 April '12  11R/6M/4F 3dt x2 - m/c

    FET #1 Aug 2012  3dt x2 - BFN

    **new RE**

     IVF #4 Jan '13 BFN 11R/6M/6F 5dt x2 - BFN

     IVF #5 July '13 16R/10M/10F 5dt x2 + 1 frostie

    9dp5dt Beta 1 = 344!! 16dp5dt. Beta 2 = 4822 7wk u/s= 2 heartbeats!

    Twin girls! 3/6/14

     

    [Deleted User]curlylocks3shaunah816
  • CaliCarly77CaliCarly77
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    edited September 2014
    zazu13 said:
    Ours were obvious, too, at 7w. Knowing the possibility of twins, I am sure your dr or u/s tech was looking for a second (unlike a spontaneous twin pregnancy that might get overlooked.) I hope you have a healthy, happy pregnancy either way. Congrats on your miracle (or miracles if you find that one is indeed hiding. )
    I agree with this - I imagine with IVF your doctor is looking to make sure. They didn't see twins in our first U/S (transvaginal) and almost missed them in our second (also transvaginal) (we were all done and about to finish up after about 3 minutes of measuring etc., when the doctor was removing the wand it "swiped over" a second baby). Ours were di/di but were not the result of fertility treatments.

    Edited to be clearer 
    ********************************************************************************************
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    5/17/13 BFP!!! 6/6/13 - OMG its TWINS!

    Josie and Lexie were born on January 4, 2014 at 37w2d
    Josie was 5lbs2oz, Lexie was 4lbs15oz 
    Both had a 9 APGAR score with no NICU time
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  • I saw my twins at my first appt at 8 weeks.
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  • They were obvious at 7w and change. The tech spotted them immediately, lifted up the wand and said to me, "did you see that?" They're spontaneous so I had no idea where she was going w that statement. She then continues "I think there are two of them. And they both have heartbeats." And then I almost fell off the table.

    Long story short though, it took her 10 seconds to find 2.
    image

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    PeaceofKiatwinmom1121[Deleted User]CaliCarly77
  • Our twins weren't discovered until 17 weeks. One twin was hiding behind the other at our 9 week dating ultrasound so it is very possible.
    CaliCarly77[Deleted User]
  • IVF babies here also. At 6w we saw two sacs.

    I think there is someone on PAIF that only saw one sac at an early u/s, and didn't find out there were two until 11w.

    TTC for 1.5 years with a crappy RE. 12 cycles with clomid (11 too many)
    New RE, 3 failed IUI's moving to IVF with ICSI
    IVF#1 BFP EDD 1/10/13
    Beta#1 51  Beta #2 148
    A/S 8/20/13 Team Pink
    Induced week 39 due to severe GD
    Baby girl born 1/4/13

           TTC #2 2 failed IUI's moving on to FET 3/2014
    ET 3/25 
    Beta #1 127
    Beta #2 845
    U/s 4/22 It's TWINS!!
    Team Purple!!

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  • We didn't have our 1st ultrasound until 9 weeks but the second she put the wand on my belly I saw a line. She immediately took it away and started asking me questions about if it was my first pregnancy or if we did IVF (ours were spontaneous di/di) and when she put it back on, it was very clear that there were two in separate sacs. Could happen though! Congrats on your pregnancy!!
    CaliCarly77
  • Very obvious at 6w4d. 
    Double the love
    photo Eastercollage_zps0735f04a.jpg
    7/30/12 - B/G twins born at 33w4d due to PPROM
    image
  • Congrats on your pregnancy! 
    To answer your question, yes at about 6 weeks it was VERY obvious there were 2. We could tell right away before the doc even said anything.
    Married 07.07.07. Mom to 3: Ruby 11/08 and Oliver & Austin 12/11
    KatieGummowCaliCarly77jordangilliam
  • Ultrasound found them at 8 weeks.
    Pregnancy Ticker
  • I'm the outlier here. Ours were IVF as well and at our 6 week appt they saw and measured one and saw another "something". At our 7 week appt they saw one heartbeat but decided to measure both sacs. At our 8 week we saw both heartbeats so it was clearly 2 babies. I was so convinced we were going to lose one but they are happy, healthy 6 month olds now. All that being said, they saw at least 2 "something's" at every appt they just couldn't confirm them both as babies at the early scans.
  • I had an US at 6w in the ER and both were plainly visible. 
    no day but today~ RENT  *HEG survivors*
    ::where a sig pic would go if TB wasn't a d*ck::
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  • Ours were spontaneous and obvious at 8wks. I ditto pp that if you used ART they most likely looked carefully.

    image

    bfp#4 3/19/2014 edd 12/1/2014 please let this be the one!

    beta @ 5w0d = 12,026! u/s 4/22/14 @ 8w1d it's twins!

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  • My boys were very visable at 6w2d- and with heartbeats.  We transferred 2 and saw two obviously di-di twins, but my RE said "Oh but lets make sure there aren't anymore hiding."  I loudly said " Yes lets." 

    I think that if you done any type of ART, the ultra sound techs/REs look very hard to make sure they have an accurate ultrasound.  And most have two done before you get sent to OB- so if a complete ultrasound (that they are looking at the possibility of multiples since ART was used) by 9 weeks doesn't show twins, then no it isn't twins.

  • Very obvious at 6w2d and agree that after IVF they would have looked very closely.
    image  image
    О Привязать! Z!
    The Science Babies debuted 5/6/14 @ 34 weeks
  • Same as above: spontaneous di/di found at 7w. I can only imagine if they had transferred 2, they would have made extra sure no one was hiding in there!
  • Mine were very obvious at 7 weeks, but there was a girl on PAIF about a year ago that they found a second around her NT scan.

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    April 2013 ~  1st IUI attempt - 100 mg Clomid- Canceled
    May 2013  ~ 2nd IUI attempt -100 mg Clomid- Canceled
    June 2013 ~ 3rd IUI attempt - 100 mg Clomid+ Trigger+ Progesterone~BFN
     IVF/ICSI #1 May 2014 ~ Freeze All ~ Due to OHSS
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    6/9/2014 Beta #1 ~ 1022
    6/12/2014 Beta #2 ~ 3099
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    6/19/2014 First U/S ~ TWINS!!!  
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  • @ 6wks 0 days, saw 2 clear sacs and 2 heartbeats!

    Wedding Fall 2007 Off OCP's since 9/08-started with BBT charts Saw Ob/gyn May 2009 Blood work normal except single copy of MTHFR Clomid 50mg May 2009 Clomid 50mg + IUI June 2009 Femara 5mg + IUI July 2009 Normal HSG July 2009 Femara 5mg + ovidrel+IUI August 2009 Femara 5mg +ovidrel + IUI September 2009 November 2009-normal lap December 2009-met with RE December/January-Injectible med cycle with IUI-Abnormal sperm morpology found-only 0-1% normal All Head defects. Jan/Feb 2010 1st IVF with ICSI-5 week chemical pregnancy :( Feb 2010-male infertility doc says DH's anatomy and blood work are normal so nothing he can do. :( FET July 2010-BFP! Twin m/c @ 5.5 wks :( Dec/Jan 2011 IVF #2 Only 4 eggs retrieved-Ganirelix dose messed up BFFN Feb/March 2011 IVF #3 ER 3/9 9 eggs, 7 fertilized, ET 3/14, No frosties. BFN IVF #4 ER 8/22 9R,7F ET 8/25-3 embies, 1 frostie! Beta 9/2= 54, 9/6=274, 9/8=625, 9/12=2953, 9/16 greater than 10,000. B/G TWINS born April 2012 @ 36wks & 1 day! July 2014-going back for the frozen embryo! ET 7/28, heartbeat seen at 6wks1day with SCH. Miscarriage confirmed at 6wks4days





  • So I am the outlier here. I had my first u/s at 5 weeks due to bleeding. I don't think the tech who did the ultrasound knew it was an IVF pregnancy. She saw one sac and one yolk sac and called it a day. I had a beta drawn that day that was >10,000. I know betas can't diagnose a twin pregnancy, but it was so far out of the normal range for a singleton, it didn't really make sense. I went back a week later and there were clearly 2 sacs with 2 embryos and 2 heartbeats. 
    IUIs #1-3 (1x unmedicated, 2x Clomid) = 2 BFNs, 1 m/c at 7w3d
    IUIs #4-6 (injects) = 3 BFNs
    IVF #1 = BFN
    FET #1 = BFN
    FET #2 = BFN
    IVF #2 = BFP, b/g twins lost at 20w due to partial abruption/PPROM
    IVF #3 = c/p 5w2d
    Long-shot Clomid/Prednisone cycle before next IVF = BFP, our beautiful, healthy girl born 6/26/13!
    ~~
    TTC again March 2014
    FET #3 - May/June 2014
    - all embryos arrested before xfer - back to the drawing board...
    IVF #4 - July/August 2014 
    beta 1 (11dp3dt) 220, beta 2 (13dp3dt) 671, beta 3 (19dp3dt) 10762
  • We saw 2 obvious sacs at 3 1/2 weeks. Heartbeats around 6 wks. Praying for a healthy pregnancy for you


  • I also did IVF and my first US showed 2 sacs. My second US at 6wk 5d showed 2 babies each with a nice strong heart beat.  We had a scare and ended up in the ED at 7wk 1d and had another US which showed larger babies with still strong heart beats (and thank goodness everything was ok). I'm sorry that both of your embryos didn't take.  We actually had 3 transferred so one of ours didn't either.  hang in there and take care of yourself and the little sticky bean you have in there!!!
  • Yes obvious at 7 weeks..I'm 29 weeks and it's been a rough ride!two babies twice the complications..everything happens for a reason!dont let this damper your excitement about being pregnant.
  • RynleighRynleigh
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    edited October 2014
    My very first ultrasound was at just around 4 to 5 weeks (I had been having very irregular cycles, so my doctor wanted me to come in for a scan immediately when I called to say I had a positive at home) - we didn't see anything at that time except for a slight lump at implantation. My second ultrasound we found two sacs and two poles - one measuring 6w 4d and the other measuring 6w 2d. It took a little while to find Baby A's heartbeat because his sac was hidden behind B's, but they both had strong heartbeats, and it was very obvious that there were two sacs. I could see it being less obvious with mo/mo twins, but with di/di it's very obvious. It would take a lot of overlap to hide the separate sacs that early on. 
    image  image

    image image

    *Spontaneous* OHSS diagnosed 08.06.2012
    Right ovary removed 09.04.2012 via vertical laparotomy
    Essure implant placed on remaining tube 06.13.2013; successful followup scan 09.30.2013


  • I had an IUI. My first u/s was around 5w2d and two sacs were obvious (di/di twins). Can't remember if it was at 6w or 7w when we saw the heartbeats.
    Me: 37 DH: 41
    Dx: Endometriosis
    TTC May 2012
    Jan 2014 IUI#1: BFN
    Feb 2014 IUI #2: BFP
    Beta #1: 403
    First u/s: 3/14 It is TWINS!!
    EDD: 11/12/2014 ~ Boys x2
    ~~ All welcomed ~~

  • Had an early u/s today, dated at 6w3d, 2 sacs clearly visible but only one heartbeat, the tech seems to think #2 didn't take :( DH was certain it was going to be twins even though not sure how... I guess I'll find out for certain at our 12w u/s, kinda hoping the tech was wrong.
  • I had IVF and at my first ultrasound, there were two sacs plus my beta was 2061 at 14days past transfer so I had an idea that perhaps the 2 embryos stuck before going into ultrasound. I looked at betabase site online which might not be accurate but 2061 was in twins category at 14 days so it was correct for me. I didn't hear heartbeats until a few ultrasounds later.
    Me: 32, DH: 34.
    Trying since Jan 2011. Unexplained IF.
    2 IUIs = BFN.
    1 IVF (Dec 2013) = BFN.
    FET, 2 frosties (June 13, 2014)

    14dp5dt-June 27 -BFP, beta 2061. 2nd beta >5000, 3rd beta >5000, 2 sacs 06/30.
    Twin Girls - 02/11/15 - at 37 weeks (no NICU, home with me at 3 days).
  • cls78cls78
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    edited October 2014
    Yep and my betas were sky high too!
    TTC since May/June 2012 
    Sept 2013 testing:
    SA #1 Low motility (17%) 
    SA #2 Lower sperm count, but much higher motility
    CD 3 Bloodwork and ultrasound - Normal HSG - Clear tubes 
    Oct/Nov 2013 Cycle 1 with RE 50 mg Clomid + Ovidrel + IUI BFN  
    Nov/Dec 2013 Cycle 2 with RE 50 mg Clomid + Ovidrel + IUI BFN 
    Jan/Feb 2014 Cycle 3 with RE 50 mg Clomid + Ovidrel + IUI BFN 
    2/20/14 Follow up consult RE recommends IVF with ICSI 
    3/10/14 New patient consult with RMA NJ 
    3/11/14 AMH and other Bloodwork to prep for IVF with ICSI at RMA NJ
    3/28/14 Saline Sonogram - All good
    March/April 2014 IVF #1 Antagonist Protocol
    BCP/Bravelle/Menopur/Ganirelix
    4/16/14 ER 26 Retrieved!!!
    4/17/14 Fert Report 22 Mature 21 Fertilized w/ ICSI
    4/22/14 Report #2 15 BLASTS
    5/24/14 FET!!!  (Transferring 2 snowflakes)
    6/2/14 Beta #1 575!!! :)
    6/4/14 Beta #2 2060!!! :)
    6/11/14 1st Ultrasound...Saw 2 Gestational Sacs!!  Beta #3 34,312!!! 
    6/18/14 2nd Ultrasound...Heartbeats!! Baby A 112bpm Baby B 117bmp <3 Beta #4 172,080!!!
    6/25/14 3rd Ultrasound...Heartbeats!! Baby A 150bpm Baby B 158bpm <3 Beta #5 232,134!!! 
    7/3/14 4th Ultrasound...Heartbeats!! Baby A 173bpm Baby B 162bpm <3 Beta #6 269,228!!!
    Graduated from RMA!!  First appt with OB 7/8/14

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  • vargasgurlvargasgurl
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    edited October 2014
    I had an US at 6wks after taking a home pregnancy test and OB only saw one baby ... I found out there were 2 at my 8wk Prenatal Check Up ... She apologized for having missed it. So yes it can happen ... Maybe it was hiding behind the other one and she couldn't detect 2 hearts at the 6wk check.
    < image
  • Ours were missed. At 8 weeks, there was only one baby measuring 4 days behind. Fast forward to 12 weeks. Surprise! There's two! Both measuring right on target. Ours are Di-Di. Very odd we missed the second one. I watched that screen like a hawk! Ours are natural.
  • I had my first ultrasound at 8 1/2 weeks, and the tech told me it was twins within about 15 seconds of having the wand in there (transvaginal) This is not to say it isn't possible for one to be hiding, and I think it could depend on the type of ultrasound they do as well, whether or not they can see everything extremely clearly. Congrats and good luck!
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