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Short answer:

The treatments increase the number of viable eggs present in the female. The more eggs present, the more children possible.

Longer answer:

It should first be noted there are two types of multiple birth (or "twins"); "Identical" and "fraternal".

In a normal birth one egg is fertilized by one sperm and produces one child. If more than one egg happens to get fertilized, then more than one child is produced (commonly referred to as a fraternal twin).

In rare cases one egg may split after it has been fertilized; this becomes two (or more) identical twins. Identical twins have nearly matching DNA and from a genetic stand point are almost the same person on a biological level. (some tests cannot distinguish between them at all, the difference in DNA sequence often being less than a fraction of a percent)

With fraternal twins they do not share identical DNA. Fraternal twins are when more than one egg is fertilized and grow at the same time. From a genetic stand point these are clearly two different people. They share the same amount of DNA as normal siblings, but not the nearly matching DNA of an identical twin. On a biological level they honestly are not twins, they just happen to be born on the same day.

In regards to fertility treatments; the presence of more eggs from the treatment increases the odds of fraternal twins. This is pretty straight forward logic; if the presence of a normal amount of eggs typically produces 1 or more children than the presence of an even larger amount of eggs will increase the odds of even more children at once.

However the odds of identical twins is not increased. Basically the rarity of any one of those eggs splitting to become identical twins remains just as rare.

So while multiple births are more common, that is simply more eggs being fertilized at the same time because more are present; but none of them individually have any increased chances of splitting.

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Q: Why are multiple births more common after infertility treatments?
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