Doctor insights on:
Conjoined Twins In Children
Conjoined twins are identical twins whose bodies are connected to each other, which is a rare phenomenon. Most conjoined twins are stillborn or die shortly after birth. Some surviving conjoined twins can be surgically separated. Conjoined twins develop when a single fertilized egg only partially splits into twin fetuses, or when an egg splits into twins but ...Read more
Good one - no.: Although your question has metaphysical attributes, I would say that clearly cephalopagus conjoined twins are two genetically identical individuals fused at the head, but having separate brain anatomy and psyche. ...Read more
Varies: Depends on the degree and site of joining. It can be as simple as a skin tube with a few vessels in it, to sharing internal organs and fusion of the crest of the skulls. The surgery to separate each in creases in complexity and sometimes would require the sacrifice of one for instance if there were only one brain or one heart. ...Read more
Expect that this: Would be managed through a C section. ...Read more
When conjoined twins are separated and survive the surgery do they still have the same average life span as would a baby born un conjoined?
Depends: Often conjoined twins share organs and other structures that are vital for living a normal life. It would depend on how they are conjoined. Generally their life expectancy would be lower and moreso in 1 twin. Please ask your pediatric surgeon for guidance. He/she would be the best to know. All the best with this difficult dilemma. ...Read more
Uncomfortably.: The few historically reported non-separated conjoined twins that survived to adulthood had even fewer instances of marriage and I can only imagine that their intimate relations were not comfortable as they could not have been private. ...Read more
Case reports only.: Most such cases die. The exceptions serve to illustrate this rule and are few and far between. ...Read more
Unless very: Superficial connection, both twins are likely to die if not separated. ...Read more
Conjoined twins: The term "Siamese twins" isn't used medically any longer and may be considered a somewhat crude term for conjoined twins who are identical twins who did not fully separate from each other in the very early stages of development during gestation (prior to birth). Identical twins are really natural "clones"-- a single fertilized egg that split early long before birth into two fully separated beings. ...Read more
How indeed?: By bending a lot of rules of society, ethics and even physics, I am sure. ...Read more
They both die.: Unless they can be emergently/urgently separated with the focus on maximizing the survivor's chance of independent living, both conjoined twins die when one dies. ...Read more
I have a fraternal twin brother with microdeletion 22q11.2 (velocardiofacial syndrome). What are the chances my children will have the same disorder?
Minimal: These odd micro-deletion syndromes are thought to arise as new defects which could be dominantly passed. Unless you carry it, you won't pass it to your kids and they would have the same risk as the general population to acquire it (new). You might benefit from discussing any and all genetic risk issues from both sides of the family with a geneticist. ...Read more
Not always: They would be no more likely to look alike than any other siblings. ...Read more
How can I prevent my 3 children from suffering depressive illness like me. Ages twins 10 and 13 yrs.
Why worry?: There is nothing you can do directly to prevent if it is a genetic illness. Life bangs us all around a bit and if we have the genetics of depression, which by the way require more than one gene, then there's a chance that we will develop it and a chance that it could be recurrent or chronic. Trust that as they get older the treatments will be better and perhaps even a cure will be found. ...Read more
Twin girls, one dies complications of histiocytosis x (dod 1985) other twin has had no evidence. Are her children at risk?
Most likely no...:
Langerhans cell histiocytosis is usually not inherited and typically occurs in people with no history of the disorder in their family.
A few families with multiple cases of langerhans cell histiocytosis have been identified, but the inheritance pattern is unknown. ...Read more
What do you suggest if my husband always like the idea to have twins children. Is there really a way to get yourself a twins, or is it just pure luck?
Not natural ways: There are medications that can cause multiple eggs to ovulate. There is also in-vitro fertilization where you place two embryos in. But there are no natural ways to promote twinning - what you hear and read are a bunch of wives tales - otherwise it is indeed just something that happens. Not always a good thing, though. Much higher risk of premature birth and all the accompanying problems. ...Read more
Depends on issue: Fraternal studies are more relevant as studies of early childhood environment, rather than genetic influences. Any study can be valid if the target of that study is reasonable. ...Read more
I have four single children, youngest being 6months old. I'm 25 years old and my husband is 23, I would like to try for twins and how.
Sorry, can't help you: The reason--multiple pregnancies pose an increased risk to both. See the booklet for parents prepared by the American Socienty of Reproductiie Medicine. One startling statistic: "after ultrasound has shown heart movement in twins, spontaneous loss of one of the fetuses occurs in up to 20% of twin pregnancies." plus a much higher serious complication rate. ...Read more
Is it safe to to take generic Clomid (clomiphene) bought offline to try and conceive twins? I have no medical problems and have two children? I am 31 and my husband is 36
Clomid (clomiphene) is a prescription medication and should be taken under the direction of a physician familiar with the use of this medication.
Since Clomid (clomiphene) has been around for a long time, there are generic forms of this medication that work just fine. It is a stable medication so it can be sent through the mail system and not lose its potency.
When Clomid (clomiphene) is taken, there is an increase risk of having a twin pregnancy. This is estimated at 15 to 25%. As an infertility specialist, I do not intentionally try to establish a twin pregnancy in my patients. Though the majority of twin pregnancies have a good outcome, about 5% of the time they have a very bad outcome. They are born prematurely. If they are born too premature they can die. If they live, they can have complications of prematurity such as cerebral palsy, mental retardation, blindness, or severe lung problems to name a few.
Rarely, Clomid (clomiphene) can result in triplets or more. I have seen this happen in a patient who took Clomid (clomiphene) on her own. It is always a good idea to take prescription medications only under the direction of a physician. ...Read more
Can a vanishing twin actually be hidden? I am 35 have and have 10 living children, 4 miscarriages. 6 week sonogram clearly showed 1 baby. 8 week sonogram showed 1 baby with heartbeat and another sac partially hidden behind baby. It definitely wasn't eas
Yes: It sounds like a retained dead twin that was small and not so much hidden, but difficult to see. This does not happen often, but it definitely can happen... ...Read more
My aunt (45) have a bleeding nipple. She has 4 children youngest is the twin girls aged about 6 years old. What could be the reason & what can I do?
Bleeding: Please see a family doc or a obg/gyn doc. ...Read more
I have two children. My youngest is 18 months. Both were born by c-section. Is it safe to try to have twins? I'm 35, husband 33. What % chance twins?
Yes it is safe to have twins. The likelihood is dependent on many factors. Overall the % is between 1-3% and does increase as you get past the age of 35.
Good luck. ...Read more
Does in veto mostly come out multiples? What's the percent of me getting pregnant with more than one child by going to a fertility clinic. ..I have 2 children already (not twins) my dad is a twin and my mother got pregnant with twins twice but miscarried
Hello.: Hello. There seems to be some variability to the statistics. With Clomid (clomiphene) there is reported to be a 5 to 12 percent chance of twins. With in vitro fertilization (ivf), the odds could increase to 20 to 40 percent, depending on the number of embryos used. However, before fooling around with mother nature, think about what will you will do if your become pregnant with triplets or quads. Take care. ...Read more
After ivf, 1st u/s at 7 weeks: twins measured 8.76 mm, 7.86 mm My 2nd u/s at 8 wks, 12.63mm 153bpm, 12.2mm 163bpm Are these good results?
Triplets may represent twins and a singleton or three separate fetuses. Conjoined multiple births have been describe, but usually the conjoined fetuses are monozygotic (identical twins) with other singleton fetuses that in toto make up multiple fetuses in a given gestation.
See bernirscke, k. The placenta, springer 2006. ...Read more
I had an u/s done at 6 weeks. I thought I was 7. Found out it was twins. Found no heartbeat or flicker. Is it to soon?
Talk w/ Dr: The Dr who did the u/s is the best to ask about the results - that's part of the procedure! If there was anything drastically wrong - even mildly off - they'd probably have told you. But do call to ask all? S you have. Yes, it might be a tiny bit soon in your case. Read here: http://americanpregnancy. Org/while-pregnant/first-trimester/. ...Read more
Faternal twins at my last u/s they where in the t shape now I'm feelings kicks all over are they able to move all around I assumed they would stay t?
Wrong assumption: When they are small enough they will move around. As they get bigger and take up more space they will inevitably restrict their ability to move around. There growth will be monitored by your OB. There are standard growth curves. Full term for twins is frequently 38 weeks. Best wishes for a successful pregnancy. ...Read more