Q: do progesterone fluctuates with twins in the first trimester?

IT INCREASES: Your Progesterone levels are very high when you are pregnant. With twins even higher. Your corpus luteum (the remainder of the cyst that formed your egg, then released it) continuous to produce Progesterone until the placenta takes over. When you are having two babies the levels are usually higher. You can have some side effects from this (bloating, constipation, gassiness, breasttenderness).

Q: how common are ivf pregnancies that result in twins?

Very: Ivf pregnancies, whereupon ovulation induction agents are used, markedly increases the occurance of multiple gestations. Embryos are screened before implantation to reduce this concern, but it still occurs with greater frequency than spontaneous pregnancies.

Q: will a vanishing twin (lost at 7 weeks) affect the results of first trimester down's syndrome blood testing?

Unlikely: These tests rely on the active production of various markers in the blood and so a demised twin this early on will be unlikely to affect the test. These tests however, should be interpreted in the setting of a screening ultrasound to help better understand the risk. That being said, no test is ever 100% accurate, though they are useful. Consultation with a genetic counselor will help.

Question 1

are the chances of miscarriage still high in 2nd trimester with twins?

Accepted Answer

Twin Pregnancies : The twin miscarriage rate is 17-20% overall, but does become less frequent later in pregnancy. Nevertheless, as you already know, twin pregnancy is a high risk pregnancy, and should be under the close care of your OB provider.

Question 2

is it normal to be in your second trimester with twins and  feel extreme fatigue? how long will the extreme fatigue last?

Accepted Answer

Yes, can be: normal, but you also should get checked for anemia. The fatigue may persist till after delivery. Please discuss with your doctor as well.

Question 3

i dont have current symptoms of bv but do have a history of it. im 15+2 with twins. what are the chances that asymptotic bv can cause me to miscarry? is this a common cause of second trimester miscarriage? and should i be worried? cervix is closed?

Accepted Answer

BV in pregnancy: It was once believed BV could increase the risk of premature labor, but no suggestion that it causes miscarrige. The main problem of BV in pregnancy is risk of uterine infection after delivery (post-partum endometritis). Although asymptomatic BV is possible, it's unlikely you have it if you don't have abnormal vaginal odor or discharge. Your Ob will be on top of all this:  discuss w/ her.

Question 4

looking for answers to a second trimester twin loss with painless cervical dilation and membrane rupture, no prior signs or symptoms

Accepted Answer

Cervix insufficiency: The inability of the cervix to retain a pregnancy in the second trimester is referred to as cervical insufficiency. This is dilation of the cervix without symptoms of contractions or labor in the second trimester. No definite cause has been identified, but there factors which may increase risk. You may be a candidate for a cerclage in a future pregnancy to help maintain the pregnancy.

Question 5

i have a question about second trimester ultrasound results for my fraternal twins. us was at 23 weeks. everything looked structurally sound, brain, heart, kidneys, and bowel looked good. only concern was short humerus and femur. doc said this increased t

Accepted Answer

Ultrasound: Even though we did not get the complete result of your twins ultrasound, it is best to rely on your treating physician for information concerning it.  If you need a second opinion (especially for twins) I suggest you take the Ultrasound images, which you can check out from the facility which did the ultrasound, and see a Maternal Fetal Specialist.  They are the experts in this field.

Question 6

i'm in my second trimester and since the beginging of my prgnancy, i can't stop spitting. what can i do to stop this please?

Accepted Answer

Annoying!: Ptyalism or excess saliva is common during pregnancy. Try eating dry plain crackers, chewing sugarless gum or sucking on sunflower seeds or sugar free mints . Stay well hydrated. This too shall pass!

Question 7

what are the main differences between singleton pregnancies and twin pregnancies?

Accepted Answer

Twice as many babies: Because the number of babies is doubled, the uterus grows larger faster; this will typically lead to a premature delivery at <37 weeks.  There are also increased risks of pregnancy complications such as pre-eclampsia.  Delivery route can also be affected if the first twin is not head down.  If the first baby is head down, then a vaginal delivery of both twins can usually be performed.

Question 8

do  progesterone fluctuates with twins in the first trimester?

Accepted Answer

IT INCREASES: Your Progesterone levels are very high when you are pregnant. With twins even higher. Your corpus luteum (the remainder of the cyst that formed your egg, then released it) continuous to produce Progesterone until the placenta takes over. When you are having two babies the levels are usually higher. You can have some side effects from this (bloating, constipation, gassiness, breasttenderness).

Question 9

how common are ivf pregnancies that result in twins?

Accepted Answer

Very: Ivf pregnancies, whereupon ovulation induction agents are used, markedly increases the occurance of multiple gestations. Embryos are screened before implantation to reduce this concern, but it still occurs with greater frequency than spontaneous pregnancies.

Question 10

will a vanishing twin (lost at 7 weeks) affect the results of first trimester down's syndrome blood testing?

Accepted Answer

Unlikely: These tests rely on the active production of various markers in the blood and so a demised twin this early on will be unlikely to affect the test. These tests however, should be interpreted in the setting of a screening ultrasound to help better understand the risk. That being said, no test is ever 100% accurate, though they are useful. Consultation with a genetic counselor will help.

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Doctor answers about:

Twins pregnancy 2nd trimester

A member asked:

Are the chances of miscarriage still high in 2nd trimester with twins?

A member asked:

Is it normal to be in your second trimester with twins and feel extreme fatigue? how long will the extreme fatigue last?

A member asked:

I dont have current symptoms of bv but do have a history of it. im 15+2 with twins. what are the chances that asymptotic bv can cause me to miscarry? is this a common cause of second trimester miscarriage? and should i be worried? cervix is closed?

A member asked:

Looking for answers to a second trimester twin loss with painless cervical dilation and membrane rupture, no prior signs or symptoms

A member asked:

I have a question about second trimester ultrasound results for my fraternal twins. us was at 23 weeks. everything looked structurally sound, brain, heart, kidneys, and bowel looked good. only concern was short humerus and femur. doc said this increased t

A member asked:

I'm in my second trimester and since the beginging of my prgnancy, i can't stop spitting. what can i do to stop this please?

A member asked:

What are the main differences between singleton pregnancies and twin pregnancies?

A member asked:

Do progesterone fluctuates with twins in the first trimester?

A member asked:

How common are ivf pregnancies that result in twins?

A member asked:

Will a vanishing twin (lost at 7 weeks) affect the results of first trimester down's syndrome blood testing?

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