Once the IUI is completed, you’ll usually rest for 10–15 minutes in the clinic. Most women can resume normal daily activities the same day.
In the days that follow, your body may begin the two-week wait—the time between ovulation and the expected period or pregnancy test. This phase can be emotionally intense, filled with both hope and uncertainty.
📖 Table of Contents
- What Happens During IVF?
- Why IVF Can Increase Twin Pregnancies
- How Many Embryos Are Transferred in IVF?
- Risks Associated with Twin Pregnancies
- What Is Elective Single Embryo Transfer (eSET)?
- Can You Choose to Avoid Twins?
- Final Thoughts: Personalized IVF Care
What Happens During IVF?
In Vitro Fertilization (IVF) is a process where eggs are fertilized with sperm outside the body, and the resulting embryo(s) are transferred into the woman’s uterus. It gives many couples, especially those with infertility, the chance to conceive when natural methods haven’t worked.
The number of embryos transferred during IVF plays a key role in determining the chance of twins or multiples.
Why IVF Can Increase Twin Pregnancies
Yes, IVF does increase the likelihood of having twins, but not in the way many think. The increased rate of twin births is often due to the practice of transferring multiple embryos to improve the chances of at least one implanting.
When more than one embryo successfully implants, it results in a twin or multiple pregnancy. This is known as dizygotic (fraternal) twins, which are the most common type associated with IVF.
While identical twins can still happen naturally in IVF, they are less predictable and less common than fraternal twins.
How Many Embryos Are Transferred in IVF?
At Dr. Richa Gangwar’s IVF clinic in Lucknow, we determine the number of embryos to transfer based on:
- Age of the woman
- Quality of embryos
- Previous IVF outcomes
- Overall health and fertility diagnosis
In younger women, especially those under 35, a single embryo transfer is often recommended. In older women or in cases of poor embryo quality, two embryos may be transferred to increase the chances of success.
More than two embryos are rarely recommended now, as modern IVF techniques have improved success rates with fewer embryos — and the goal is always a healthy singleton pregnancy.
Risks Associated with Twin Pregnancies
While the thought of twins can be joyful, it’s important to understand that twin pregnancies come with higher risks, both for the mother and babies. These can include:
- Higher chances of preterm birth
- Low birth weight
- Increased risk of gestational diabetes and preeclampsia
- Possible NICU admission for the babies
- Greater physical and emotional demands on the mother during and after pregnancy
That’s why responsible embryo transfer planning is critical in any IVF cycle.
What Is Elective Single Embryo Transfer (eSET)?
Elective Single Embryo Transfer (eSET) is a modern IVF strategy where only one high-quality embryo is transferred, reducing the chance of multiples while still maintaining high success rates.
At our clinic, we offer eSET especially for:
- Women under 35
- First or second IVF attempt
- Those with good-quality blastocysts
This is a safe and effective way to avoid twin pregnancies without compromising the chance of a healthy outcome.
Can You Choose to Avoid Twins?
Yes, if you have concerns about carrying twins, you can absolutely opt for single embryo transfer. The decision should always be personalized, based on medical advice and your own comfort level.
At Dr. Richa Gangwar’s fertility center, we never pressure you into transferring multiple embryos. Instead, we guide you with:
- Honest success rate discussions
- Full explanation of risks and benefits
- Ethical and customized care plans
Whether you want to maximize your chances or minimize risks, we help you make a choice that aligns with your values and medical needs.
Final Thoughts: Personalized IVF Care
IVF does increase the chances of having twins — but only when multiple embryos are transferred. With modern protocols like eSET, couples now have more control over their journey and can prioritize safety without sacrificing success.
At Dr. Richa Gangwar’s IVF clinic in Lucknow, we believe in fertility care that is:
- Ethical
- Evidence-based
- Emotionally supportive
- And centered around your well-being
Whether you dream of one baby or more, we’re here to support you every step of the way — gently, wisely, and wholeheartedly.


