Multiples

Type of twins questions for the experts :)

Im sure you guys are sick of getting asked this all the time, but you guys are so knowledgeable about this stuff! 

So I had my first appointment with my MFM on Monday.  I was told I have di-di twins.  I said to the Dr "that makes sense that they are fraternal since we transfered 2".  Thats when he said to me there was a chance that they could still be identical.

I remember seeing a few of you post these great links to different twin types.  I was wondering if this made sense?  That chance has got to be slim to none, no?

Sorry if this is a stupid question.

http://oi58.tinypic.com/nqv6fk.jpg

DX: PCOS/Recurrent losses/MTHFR mutation (compound hetero)
5 hysteroscopies/2 surgical
3 Inject IUIs = 2 m/c's and 1 BFN
IVF #1= BFP. m/c at 7w6d. Needed 2 D&C's and scar tissue removal. Mild OHSS
IVF #2 = BFP. Severe OHSS. 4 Drainings. TWINS!

Re: Type of twins questions for the experts :)

  • I don't understand how di di can be identical but I am still new to the multiple scene.

    I understood it as di di are completely different sacs, placentas etc so it would have had to of been two eggs but I could very well be wrong.  

     Definitely interested in seeing the more knowledgeable MoM's answers!   

    Image and video hosting by TinyPic BabyFruit Ticker DD#1 3/04 *TTC #2 since 6/2010 EDD 1/30/13 changed to 2/4/13 we are having boy/girl twins!
  • Hi blueyed,

    I could be wrong but di/di happens if the single embryo splits very early. Since you did IVF and had either a 3 or 5 day transfer, ID twins wouldn't be likely in your case. 

    Mine are mo/di so they had to split between 5 to 8 days or just after my 5dt. 

    Hope this helps! 

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  • imageRWMomma:
    Di-di twins can be identical. If the egg splits early, then there will be two sacs and two placentas. Mono-di are always identical. But yes, di-di can be identical. He is correct. The only way you will know for sure is if they are opposite sex or if you have them tested.

    This is facinating to me.  Do you have any idea of what the percentage is?

    Disclaimer: I fully expect these babies to be fraternal, im just really facinated by how this all works when it comes to twins.  My mind was always on "fraternal" since we did IVF and did 2 embryos.

    ETA: We did a 3dt

    http://oi58.tinypic.com/nqv6fk.jpg

    DX: PCOS/Recurrent losses/MTHFR mutation (compound hetero)
    5 hysteroscopies/2 surgical
    3 Inject IUIs = 2 m/c's and 1 BFN
    IVF #1= BFP. m/c at 7w6d. Needed 2 D&C's and scar tissue removal. Mild OHSS
    IVF #2 = BFP. Severe OHSS. 4 Drainings. TWINS!
  • I believe 1/9 di di are identical.
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  • My doc told me the same thing at the beginning (that even though our di di twins were separate placentas and sacs, they could be identical).  I was totally confused as well. Obviously the gender scan gives us the knowledge that they are indeed fraternal. I did not do ivf but since I had four mature follicles at time of trigger my doc sincerely doubted that they were identical. Congrats again! 
    TTC #1 Since January 2011 Dx: PCOS and Anovulatory April 2012 BFP! Beta 1 5/22 - 1,000+ Beta 2 5/24 - 3,009 1st u/s 6/5 - TWINS!!! A/S Reveals we are Team PURPLE!!! Baby Birthday Ticker Ticker image image image  12/27 - surprise BFP - due August 2014
  • I think most people assume di/di with IVF, but I've seen people on here where only one egg has taken and it split, so they had mono/di or mono/mono.

     

    Married 07/2011 <3
    ID Twin girls 04/2012 <3<3
    Baby #3 Due Jan. 2017  <3


  • imageAmyJoy728:
    I believe 1/9 di di are identical.

    Yes, that's correct. Peakay will hopefully share her awesome link :). She has diagrams that clearly show the differences between mono/mono, mono/di, and di/di.

    J - 9/6/09 L and A - 1/17/12
  • Yep, 1/3 of twins are identical and 1/3 of ID twins are di/di so it's not super rare, but with IVF and transferring two I'm guessing the odds would be lower that they are ID. The wiki article on twin types also has some good information.
    fraternal twin boys born january 2009
  • Blue!

    Have no idea if you will remember me or not from SB - it's been a while - but congratulations on your babies! 

    image
    So this is the miracle that I've been dreaming of...
    Lilypie Premature Baby tickers
  • Yep ditto to the other responses.  Di/di identicals are a result of the embryo splitting early like days 1-3.  Since you did IVF and transferred 3 day old embryos, the chances of you having di/di identicals are slim to none.  I think with the exception of one person on here (she ended up doing DNA testing I believe), the only IVF identicals I've seen have presented as mono/di.  Make sense?
  • imageMrs. Alice:
    Yep ditto to the other responses.  Di/di identicals are a result of the embryo splitting early like days 1-3.  Since you did IVF and transferred 3 day old embryos, the chances of you having di/di identicals are slim to none.  I think with the exception of one person on here (she ended up doing DNA testing I believe), the only IVF identicals I've seen have presented as mono/di.  Make sense?

    ^^This. Di/di twins have a 10-15% chance of being identical in spontaneous pregnancies, but identical di/di twins almost always split within those first three days. If the embryos you transferred were 3-5 days, it is highly unlikely to have them be di/di and identical at the same time - possible, but very, very improbable.  

    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


  • My twin girls are di/di but my MFM said they could still be identical if the egg split early on, but we won't know unless we do testing when they are born!
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  • My twins are for sure identical because they have been in the same gestastional sac from the beginning.  Now the question is if they are mo/mo or mo/di.  Still waiting to see if the membrane shows up on u/s in a week.

    TTC since May 2006. After 3 failed Clomid cycles, 2 failed Injectibles/IUIs, 2 failed IVFs and 1 failed FET, we moved on to adoption! 

    image


    Last ditch FET resulted in BFP, and identical twin girls!

    image   
  • Blue! I'm so happy to see you here!  (You should remember me from 3TC and IF)

    Mine are MoDi Identical from IVF - We transferred two on day 3 but one didn't take and the other split. Go figure!  I was pretty confused on it all until I went to the MFM.  The RE's ultrasound tech kept saying they might not be "true identicals" (in this critical voice).  I think she was an idiot.  Though, I think what she meant was that they weren't likely to be MoMo, which as far as I know, doesn't mean anything in terms of DNA, so what's not "true" about that?  Irritating!  I liked the wiki page on DiDi / MonoDi/ MonoMono to help me understand what had happened.  Also, in my ultrasound today, the tech said that if I hadn't had an ultrasound early on, early enough to clearly see one chorionic sac, then it might be hard to distinguish between ID and Fraternal.  It's all so confusing.  I'm just still blown away that there's two in there!

    WELCOME! 

    TTC #1 2+ Years with Unexplained IF
    1st & Only BFP: 1st IVF w/ ICSI, 3dt of 2 7-cell, grade 2 embryos on 8/25/12
    Beta #1 9/5: 87.2 BFP! - Beta #2 9/7: 248 - 1st US @ 6w3d Two Heartbeats! - MoDi Girls!
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  • Peakay- thank you for that link, it was exactly the one I was looking for!

    Squishy- i recognize your pic!  But didnt you have a different sn on tk??

    Hi Raggedy :)

    Everyone else, thank you so much for the responses.  Like i said before, I am totally banking on them being fraternal, I  just thought what he said was interesting and curious as to how that could really happen.  I dont want you all to think im one of these people who is obsessed with having identicals!  I am just really interested in how this all works and google was giving me a bunch of junk about it.  Plus I figured IVF twins dont really fit into the statistics the way that spontaneous twins do.

    http://oi58.tinypic.com/nqv6fk.jpg

    DX: PCOS/Recurrent losses/MTHFR mutation (compound hetero)
    5 hysteroscopies/2 surgical
    3 Inject IUIs = 2 m/c's and 1 BFN
    IVF #1= BFP. m/c at 7w6d. Needed 2 D&C's and scar tissue removal. Mild OHSS
    IVF #2 = BFP. Severe OHSS. 4 Drainings. TWINS!
  • imageBlueyed228:

    imageRWMomma:
    Di-di twins can be identical. If the egg splits early, then there will be two sacs and two placentas. Mono-di are always identical. But yes, di-di can be identical. He is correct. The only way you will know for sure is if they are opposite sex or if you have them tested.

    This is facinating to me.  Do you have any idea of what the percentage is?

    Disclaimer: I fully expect these babies to be fraternal, im just really facinated by how this all works when it comes to twins.  My mind was always on "fraternal" since we did IVF and did 2 embryos.

    ETA: We did a 3dt

    At our 20W anatomy scan with an MFM, we confirmed we were having 2 boys. They each had their own placenta and sac.  The dr said there was a 30% chance they could be identical - since they are the same sex.  Now that they are here, we know for sure they are not identical. One looks like me, the other like DH.  

     

    D & R were born at 37w5d.

    Baby Birthday Ticker Ticker
  • I to have di/di twins and I did IVF. I transferred 2 5-day blasts so everyone is 99.99999% sure they are fraternal. I asked my OB and MFM if there was any chance they could be identical. It was explained to me that while technically medically possible, it was highly unlikely that a 5 day blast would split and be di/di. Very probable that it could split as there is a theory that the more you mess around with an embryo, the weaker it becomes and the more likely to split, but not be di/di.  

    Single Mother by Choice. Life didn't work out the way I planned so I did it on my own. IUI #s 1-3, unmedicated = BFN, IUI #s 4-6, 50mg Clomid, Ovidrel = BFN IVF #1: 23R, 20M, 17F. 5 day transfer 2 blasts. 2 Snowbabies BFP 6dp5dt, Beta #1 7dp5dt = 58, Beta #2 9dp5dt = 114, Beta #3 10dp5dt = 187 1st Ultrasound = 5/3, not much to see yet. 2nd Ultrasound = 5/17, TWINS!!! Hospital Bed Rest at 32 weeks due to pre-ecclampsia and severe edema. Audrey Grace, 5lbs9oz, & Lydia Louise, 6lbs, born via emergency c-section on 12/6/12 at 36w1d My IVF Journey
  • imageBlueyed228:

     

    Squishy- i recognize your pic!  But didnt you have a different sn on tk??

     

    After my wedding I felt exposed with it being an old email and a thing with a vendor calling me after a post. I had a hard time keeping up on conversations at work when they were interesting, but continued lurking.  Pretty dead over there these days.  I can handle the pace of the bump a bit better. Glad you are doing well!

    image
    So this is the miracle that I've been dreaming of...
    Lilypie Premature Baby tickers
  • Di-di can def be identical. It just depends on when the egg splits. The earlier it splits after fertilization, the more likely to have two placentas. I don't remember exact days, but I think it was something like 0-4 days after fertilization a split will result in di-di, 4-8 days it will result in mono-di (that's what we are), and 8+ days it will result in mo-mo.

    25% of di-di twins are identical, i think?

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    Lost our first little peanut on 1/17/2012 at 9 weeks and 5 days. We miss you little blessing, but we know you were too perfect for this world.
    My multiples/parenting/pregnancy/miscarriage blog
  • 30% of identical twins are di/di - but only 10-15% of di/di twins will be identical... and those statistics apply only to spontaneous conception. Fertility treatments alter the numbers substantially, specifically if you implanted 3-5 day blasts, because it is very rare to split into di/di more than 3 days after fertilization. Nearly all di/di twins resulting from a 3day+ transfer will be fraternal.
    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


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