Can having two follicles of similar size result in twins?

Nov 13, 2023 Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
Two follicles of similar size may lead to twins, but not necessarily—it depends on individual circumstances. Normally, women of reproductive age develop and release one mature follicle with one egg per menstrual cycle. However, some women may develop two follicles. For women planning pregnancy, ovulation induction under medical supervision or natural conception is recommended.

Under normal circumstances, having two follicles of similar size may lead to twins, but it may not necessarily result in twins either. This depends on the specific situation. The detailed analysis is as follows:

1. Possible

Normally, a woman of reproductive age develops and releases only one mature follicle containing a single egg each month. However, some women may develop two follicles. If these two follicles are approximately the same size, they may release two eggs simultaneously. If both eggs are fertilized, this could result in twin pregnancy.

2. Not possible

If the two follicles ovulate at different times, it is less likely to result in twins. Moreover, even if both follicles release eggs at the same time, it does not guarantee that both will be fertilized or successfully implant. Therefore, the possibility of conceiving twins remains uncertain.

Women who are planning a pregnancy are advised to undergo ovulation induction treatment or attempt natural conception under the guidance of a physician.

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