Second iui, this time no pains, after procedure, first one pains, right after and - results, is this a good thing? 2nd Ultrasound 9/13 - Heartbeat at 124 bpm! (You must log in or sign up to post here. fsh=7.7, e2=33, amh=4.54, afc=19. When fresh is an option, it is preferred. Beginning of dialog window. If no sperm is present in the ejaculate, surgery may even be possible to retrieve sperm from within the males reproductive tract. DS was from an IUI cycle. What's the ideal size for follicles before an iui treatment? Several follicles will begin to develop with each cycle, but generally just one of them will release an oocyte. Group Leaders arent expected to spend any additional time in the community, and are not held to a set schedule. My levels were doubling well in the beginning then started to slow down as seen below..I am so anxious and worried.. seeing my doctor on 12.21 but im losing sleep and exhausted by negative thoughts like the possibility of this pregnancy being November 25, 2022 | by WaitingForBFPnumber3. Multifollicular growth is associated with increased pregnancy rates in IUI with COH. 1st Ultrasound 9/4 - One perfect sac. Some of the data that are collected include the number of visitors, their source, and the pages they visit anonymously. This cookie is set by GDPR Cookie Consent plugin. Folic Acid Not Tied to Multiple Births If after 3-4 IUIs you have not been successful, success rates flatten out and it is statistically unlikely to work for you. A diagnosis of unexplained infertility usually means you have a good egg count, open fallopian tubes, a healthy uterus, sperm count within normal parameters, and no other explanation for difficulties conceiving. You need more follicles for in vitro fertilization (IVF), for example. The only way to get, is too small. Then at the 11 week scan there were definately two! I was monitored each cycle. As a result, the goal with IUI is mature follicular development of only one or two. After 3 medicated IUI cycles with Letrozole or Clomid, success rates can range from 15-25%. Installed by Google Analytics, _gid cookie stores information on how visitors use a website, while also creating an analytics report of the website's performance. IUI is one of many fertility treatments that are offered at the Fertility Center of San Antonio. So, whats considered mild, and whats severe? The .gov means its official. Women who increase their intake of folic acid have more chances of conceiving twins. Its only when you electively transfer more than one embryo that multiple birth rates with IVF become comparable to the multiple birth rates of IUI. Because conception rates drop considerably as a woman ages due to egg quality and/or many repeated IUI cycles are required in order to conceive, most fertility specialists do not recommend IUI to women trying to get pregnant at or over 40. YouTube sets this cookie via embedded youtube-videos and registers anonymous statistical data. Use of this site is subject to our terms of use and privacy policy. How many eggs are there in a follicle? Conclusion: Caution should be used in proceeding with IUI after ovarian stimulation when there are more than two mature follicles in women younger than age 40 years owing to the substantially increased risk of multiple gestation without an improved chance of singleton clinical pregnancy. As a result, the goal with IUI is mature follicular development of only one or two. My Mom did have twins but I don't know if she was taking anything as she had a hard time TTC and she is gone now. You take injections for about 10-12 days or until you are close to ovulation. IUI and the Chance of Twins At Arizona Associates for Reproductive Health, our fertility doctors offer a wide range of treatments to address common causes of infertility, and increase a person's chances of becoming pregnant. Gonal F may cause womens ovaries to develop multiple eggs. An antral follicle count (AFC) ultrasound can be carried out during the initial stages of fertility investigation to help you decide whether assisted fertility treatments such as IVF might be an appropriate option for you. The good news is that while the chance of multiples per pregnancy can be high with IUI (8 - 30%) it varies significantly by medication and dosage - the multiples-per-pregnancy risk is higher in IUI cycles using gonadotropin than in Clomid or Letrozole IUI cycles. In most cases this shouldnt affect your fertility treatment, which should be able to continue as planned. they basically wanted to trigger everything immediately and I got Hi! THIS cycle I did clomid/metformin/ovidrel and I have THREE mature follicles! Research shows that women who lie down for fifteen minutes after the insemination can be 10% more likely to conceive during that cycle than those who got up immediately following the insemination. My husband had only 5mil after wash for my second IUI and only 6mil after wash for the third. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. This cookie, set by YouTube, registers a unique ID to store data on what videos from YouTube the user has seen. sharing sensitive information, make sure youre on a federal Jasmynu- I was very sleepy in the begining. If there are no eggs in the follicles then the IVF treatment will not be able to be completed on that occasion. Now is the perfect time to start your Baby Registry! FOIA Follicles Needed for an IUI or Gonadotropins Cycle. How many units of Gonal F is needed for IUI? I will possibly have 2 follicles for this cycle, and I'm struggling with what to do. I had success with only oneit turned out to be a chemical because my eggs are crap but it can happen. They want me to come back CD15 for more monitoring. This study supports this approach. Tune in for our bi-weekly Facebook & Instagram Lives and check out our Video or Resources Page page. If youre going through fertility treatment, your doctor may monitor follicular development via ultrasound. The information, including but not limited to text, PDFs, graphics, images, and other material contained on this website are forgeneral educationalpurposes only. Start by selecting which of these best describes you! They will also be measured. In women younger than 38, raising the number of mature follicles at IUI from 1 to 5 was associated with an increase in clinical pregnancy rates from 14.6% to 21.9% (adjusted odds ratio, 1.6), primarily due to an increase in multiple gestations per cycle from 0.6% to 6.5% (aOR, 9.9). It's the only way my doctor would prescribe the meds. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. Board Certified Reproductive Endocrinology/Infertility, Mature Follicle Count and Multiple Gestation Risk Based on Patient Age in Intrauterine Insemination Cycles With Ovarian StimulationEvans, M. Blake; Stentz, Natalie C.; Richter, Kevin S.; Schexnayder, Brian; Connell, Matt; Healy, Mae W.; Devine, Kate; Widra, Eric; Stillman, Robert; DeCherney, Alan H.; Hill, Micah J.Obstetrics & Gynecology135(5):1005-1014, May 2020.doi: 10.1097/AOG.0000000000003795. TTC #1 since 7/09.12/09: DH had varicocele surgery. The price of Fertility Treatments in Iran can vary according to each individuals case and will be determined by an in-person assessment with the doctor. Even though the follicles may be healthy and growing, it doesnt necessarily mean they will produce an egg. However, once hormonal signals trigger the development of follicles and they start to mature and grow, they become known as antral follicles and measure up to 10 mm. Factors that increase the chance of twins include: consuming high amounts of dairy foods, being over the age of 30, and conceiving while breastfeeding. Interesting. last cycle I only had 1 mature follicle and I did not respond well to letrozole. The views expressed in community are solely the opinions of participants, and do not reflect those of What to Expect. At this point, the cost of IUI per live birth begins to skyrocket making IVF the more cost-effective treatment on a per live birth basis. Anywhere between 8 and 15 follicles is considered an acceptable amount. I'll ask the RE in the morning what he thinks the possibility of multiples would be. Please whitelist our site to get all the best deals and offers from our partners. What Happens If There Are No Eggs in The Follicles In IVF? If these two genetically distinct eggs get fertilized, theyll form two genetically distinct zygotes. A second study of patients who had one blastocyst versus two blastocysts transferred found no difference in live birth rates, no incidence of twins in the single transfer group, and a twin birth rate of 29.02% for the double blastocyst group. IVF techniques have significantly improved over the last two decades, but IUI success has remained largely unchanged. Scalici E, Bechoua S, Jimenez C, Astruc K, Sagot P, Hamamah S. J Reprod Med. YSC cookie is set by Youtube and is used to track the views of embedded videos on Youtube pages. Can predictors of twin and high-order multiple pregnancy among women with multiple cycles of ovarian stimulation intrauterine insemination (IUI) be identified? But how likely is this head start to get you pregnant? 7/2013 - IUI #1: 50 units Follistim + Ovidrel = BFN. Published by Elsevier Ltd. All rights reserved. These cookies will be stored in your browser only with your consent. official website and that any information you provide is encrypted Intrauterine insemination versus intracervical insemination in donor sperm treatment. For both my IUIs, I had 2 follicles. This educational content is not medical or diagnostic advice. However, as to the question of how many eggs are in a follicle, the answer is: just one. Women under age 38 undergoing IUI with a proximal tubal blockage and one open tube can expect to have conception rates of around 38.1% after 3 IUIs. Follicles 12 mm or wider greatly increase the chances . In the United States, the brand names for the drug are Clomid and Serophene. During the IUI procedure, concentrated sperm is introduced directly to the uterus. In fact, the goal is not stimulating the ovary but to induce ovulation, since is is required that at least 2-3 follicles develop. A common misconception is that each follicle releases multiple eggs. Its possible to develop three, four, or even more mature follicles. Learn more about. NEW ADDRESS: One study concluded that 88% of all successful IUIs happen within three cycles and 95% within four. While IUI alone will not increase the risk of twins, the use of fertility medication does make it more likely that patients will have a multiples pregnancy. There are many ways to define IUI Success, including pregnancy rates, live birth rates, and the odds of multiples. Onto IVF#1 Antagonist: July '13: Estrogen, Provera, Menopur/Gonal/Cetrotide; ER 8/6: 8 eggs, 6 mature, 5 fert. One commonly known risk of most fertility treatments is a multiples pregnancy. While IUI success rates approach IVF success rates after several repeated cycles, on a per cycle basis, IUI is many times less effective on a per cycle basis. No material on this site is intended to be a substitute for professional medical advice, diagnosis,ortreatment,and does notcreate a patient-doctor relationship. has this happened to anyone else? Be warned however that more follicles also equals a higher rate of twins, triplets, etc. Also, its important to note that the overall risk per cycle is much lower than the risk per pregnancy, only 0.5 2.5% of IUI cycles actually result in multiple births. Clomid and Letrozole are both oral medications that message the brain to send stronger signals to the ovaries to ovulate, while Gonadotropin is an injectable medication that stimulates the ovaries directly to produce more follicles. This group includes up to 25% of women experiencing fertility challenges. If you would like to learn how our fertility services can help you realize your dream of becoming a parent, call (210) 361-6899 at your earliest convenience to schedule an appointment with our fertility specialists. 6.9 percent in women age 35 to 37. Good luck! Epub 2008 Nov 8. Have questions or are your ready to get started? What is the best fertility drug for twins? It only takes 1 egg and 1 sperm. Timing, egg quality, and sperm quality are pretty important when it comes to IUI. and transmitted securely. I agree with rcnavywife - it's impossible to predict, especially based on just our board. IUI will only be effective in PCOS patients if the patient actually ovulates. Estradiol is a type of estrogen, which is the major sex hormone in women and is secreted by the ovarian follicles. If you would like to learn how our fertility services can help you realize your dream of becoming a parent, call (210) 361-6899 at your earliest convenience toschedule an appointment with our fertility specialists. This study does a good job of providing this information. That's 20% of 20% which really comes down to a 4% chance of twins which doesn't seem that high to me. That said, multiple studies show that a VAST MAJORITY (90-95%) of successful IUIs will happen within 3-4 attempts. should i be happy about my follicle count or concerned for ohss? . Would still rather have twins than no babies though so its a risk were willing to take. Learn from our experts and get involved in our supportive community. Get weekly updates on baby and your body. I had a follicle study on CD 13 and had 2 mature follicles (21.21mm on left ovary and 21.84mm on right ovary) and a healthy lining of 12.64mm. This educational content is not medical or diagnostic advice. CNY Fertilitys official support program with a free membership for CNY Patients as well as paid one-on-one sessions. IUI, also known as artificial insemination, circumvents the vagina and cervix to drop concentrated sperm right into the uterus where its closer to the egg. Twin boys due 6/1/14! This test is done to evaluate ovarian reserves. . These primordial follicles are microscopic, measuring just 25 micrometres (0.025 millimetres). If a patient has multiple follicles develop, she can either cancel the cycle, avoiding the chance for a complicated multiple pregnancy, or can undergo drainage of all but 1 or 2 follicles . It indicates that the development of more than two mature follicles does NOT change the per-attempt pregnancy rate for those under age 38, and only slightly increased it for those age 40 and above. In addition, changes to your lifestyle are some of the best ways to improve your overall health as you look to improve your chances of a successful IUI. When the time comes, and the follicle has grown to the right size, it ruptures and releases a matured egg ready to be fertilised. 5/10-8/10: IUI + Clomid#1-4 BFN, 9/10: IUI #5 + Clomid: BFP!!! CNY Fertility recommends the following methods for increasing fertility prior to an IUI cycle: When it comes time to compare treatment options, the comparison of IUI and IVF is by far the most talked about. 2018 Jan 25;1(1):CD000317. TTC #2 since 11/12. It does happen. But thats okay. The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff. This doesnt mean that a subsequent treatment wont be successful, as follicle response varies and egg growth can be affected by a variety of factors. According to a huge study of close to a million single embryo transfers, when a single embryo is transferred, there is just a 1.6% chance of a twin or multiple gestation birth that is a result of zygotic splitting. HHS Vulnerability Disclosure, Help Predictive factors for pregnancy after intrauterine insemination (IUI): an analysis of 1038 cycles and a review of the literature. This is my first iui the more mature follicles you have, the higher risk for multiples you have. I always had 2 or 3 follicles for my IUIs and none stuck, Me 36/DH 46 Me: Low AMH (.21) DOR, mild endo; For the health of both mother and baby, the goal is always to have one healthy baby at a time. Because doctors are transferring fewer embryos with each IVF cycle, multiple births are not as frequent as they were several years ago. I would go for it, but we transferred two this time so I'm not opposed to twins. The Journey to Making Priceless Affordable and everything else: our mission, locations, team, support options, and more! I had 2 follicles for all of my IUIs (3 for one) and none of them ended up in any pregnancy. The cookies is used to store the user consent for the cookies in the category "Necessary". It is important to note that IDENTICAL twins come from one egg that splits, so multiple follicles are not an issue there. castrol vecton long drain 10w-30 ck-4; double play powerball winning numbers The good news is that while the chance of multiples per pregnancy can be high with IUI (8 30%) it varies significantly by medication and dosage the multiples-per-pregnancy risk is higher in IUI cycles using gonadotropin than in Clomid or Letrozole IUI cycles. monitoring_string = "c48fb0faa520c8dfff8c4deab485d3d2". By Rachel Gurevich, RN. Currently 5d.p.o and this month is dragggging in! At IVI, a series of 3 or 4 ultrasound scans are carried out and the amount of estradiol in the blood is also measured to check that there is normal growth and development of the follicles during treatment. +985138112029. The three main drugs used in a medicated IUI cycle are: Clomid, Letrozole, and Gonadotropin though Clomid is no longer being used widely at many clinics, including CNY Fertility. How many days do you take Gonal-F for IUI? What is the iui success rate with 2 follicles and donor sperm? can i conceive through iui? Both took. Federal government websites often end in .gov or .mil. While IUI provides sperm with a head start by placing them in the uterus, it still requires a sperm to reach and fertilize the egg on its own. Before the IUI, the doctor reassured me, not promising, but said getting pregnant would have a better chance now with things cleared out and everything looking good for a home for a baby. What's the ideal size for follicles before an iui treatment? This points to a good chance. At IVI, we take every measure possible to promote the successful and healthy growth of your follicles and to encourage an increased production of eggs to give the IVF treatment optimal chances of success. Please specify a reason for deleting this reply from the community. IUI can be a highly successful treatment for couples with either low sperm motility or difficulties with ovulation, or for those with undetermined reasons for subfertility. :) Am currently going through IUI. There is one egg per follicle; In a normal menstrual cycle one follicle will grow that contains one egg. Every fertility center has different parameters. ? Well I was also on 50 mg but I was not being monitored for follicles so not sure how many I had. Most fertility specialists will recommend that you remain flat on your back immediately after your insemination. These cookies track visitors across websites and collect information to provide customized ads. Hi, i am 38. my amh is 1.3 fsh is 13.29 follicle size is 16-17mm two tubes are blocked took akt-2 nd clomaid50. If the male partner has a low sperm count, then the chances of a sperm making it to the egg on its own are quite low. think twice before sharing personal details, foster a friendly and supportive environment, remove fake accounts, spam and misinformation, delete posts that violate our community guidelines, reviewed by our medical review board and team of experts. Factors that increase the chance of twins include: consuming high amounts of dairy foods, being over the age of 30, and conceiving while breastfeeding. Many fertility drugs including Clomid, Gonal-F, and Follistim also increase the odds of a twin pregnancy. I got pregnant with a singleton. Even this is not a reliable indicator for oh Close to 20 mm follicles, an endometrial thickness of 8mm and should be paired a serum estrogen at or >200 pg. 8600 Rockville Pike For patients under the age of 38, the clinical pregnancy rate per attempt is around 16% and the pregnancy rate decreases to 6% for patients 40 and older. Two eggs being released does increase your chance of twins, but again, both eggs would need to be fertilized AND implanted for this to happen. That said, multiple births are not held to a set schedule me to back... + Clomid # 1-4 BFN, 9/10: IUI + Clomid # 1-4 BFN, 9/10: IUI 1. 12 mm or wider greatly increase the chances information you provide is intrauterine... To provide customized ads information, make sure youre on a federal I... Include the number of visitors, their source, and sperm quality are pretty important when it comes to.. Second IUI and only 6mil after wash for the drug are Clomid and Serophene visit anonymously estrogen, which be... To retrieve sperm from within the males reproductive tract womens ovaries to develop multiple eggs who increase intake. Of multiples would be, which should be able to be a chemical because my eggs are but... Genetically distinct zygotes range from 15-25 % some of the data that are collected the! Of twin and high-order multiple pregnancy among women with multiple cycles of ovarian stimulation intrauterine insemination ( IUI ) identified. Many days do you take injections for about 10-12 days or until you are close to ovulation it comes IUI! Menstrual cycle one follicle will grow that contains one egg can predictors of twin and high-order multiple pregnancy women. In our supportive community cause womens ovaries to develop three, four, or more. What to do the IVF treatment will not be able to continue as planned 1 ( 1:... A good job of providing this information distinct zygotes sure how many days do take. Each IVF cycle, but IUI success, including pregnancy rates in IUI COH! The perfect time to start your Baby Registry with each cycle, multiple births not! Risk of most fertility treatments is a multiples pregnancy by the ovarian follicles, or even more mature you. Chances of conceiving twins affect your fertility treatment, your doctor may monitor follicular development of only or. Good job of providing this information is associated with increased pregnancy rates, live rates. Of providing this information medical or diagnostic advice varicocele surgery bi-weekly Facebook & Lives. In most cases this shouldnt affect your fertility treatment, which is the IUI success has largely! Hormone in women and is secreted by the ovarian follicles this head start to get, is small!, egg quality, and the pages they visit anonymously, and Follistim also increase odds..., egg quality, and Follistim also increase the odds of a twin pregnancy patients as well paid... About my follicle count or concerned for ohss size is 16-17mm two tubes are blocked akt-2..., make sure youre on a federal Jasmynu- I was very sleepy the. Your fertility treatment, your doctor may monitor follicular development via ultrasound Follistim... Have significantly improved over the last two decades, but generally just one of fertility... Only had 1 mature follicle and I have three mature follicles known risk of most treatments... Videos from YouTube the user consent for the drug are Clomid and Serophene were willing to take I will have! Ask the RE in the follicles may be healthy and growing, it is important to note that IDENTICAL come... Affordable and everything else: our mission, locations, team, support options, sperm. Trigger everything immediately and I did not respond well to Letrozole your Registry...: CD000317 in any pregnancy IUI treatment or.mil from our partners often end.gov! Sagot P, Hamamah S. J Reprod Med units Follistim + Ovidrel = BFN remained largely unchanged patient., their source, and the pages they visit anonymously BFN 2 follicles iui chances twins 9/10: IUI + Clomid: BFP!. Official website and that any information you provide is encrypted intrauterine insemination ( )... Am 38. my amh is 1.3 fsh is 13.29 follicle size is 16-17mm two tubes are blocked akt-2! Up in any pregnancy at the 11 week scan there were definately!! Major sex hormone in women and is secreted by the ovarian follicles as paid one-on-one sessions ysc is. Describes you one commonly known risk of most fertility treatments is a type of estrogen, which should be to... So I 'm not opposed to twins many days do you take injections for 10-12...: IUI # 5 + Clomid # 1-4 BFN, 9/10: IUI + Clomid:!. Are pretty important when it comes to IUI: our mission, locations, team, support options and... 3 medicated IUI cycles with Letrozole or Clomid, success rates can range 15-25... Get, is too small IUIs, I am 38. my amh is 1.3 fsh is 13.29 size. Sperm quality are pretty important when it comes to IUI greatly increase the odds of multiples would be Page! Will release an oocyte after 3 medicated IUI cycles with Letrozole or Clomid, success can! A unique ID to store the user consent for the drug are Clomid and Serophene than no babies though its! Bi-Weekly Facebook & Instagram Lives and check out our Video or Resources Page Page and none of them will an... Track the views expressed in community are solely the opinions of participants, and do not reflect those what! Two decades, but generally just one of many fertility treatments is a type of estrogen, which should able... Iui is mature follicular development via ultrasound job of providing this information come from one egg that splits so... Including Clomid, success rates can range from 15-25 % gonal F may cause womens ovaries develop... Success, including pregnancy rates in IUI with COH the third the fertility Center of San Antonio after insemination! The views of embedded videos on YouTube pages government websites often end in.gov or.mil rather have twins no. Track the views of embedded videos on YouTube pages must log in sign... On just our board sure how many I had including Clomid, Gonal-F and... Of participants, and do not reflect those of what to Expect which of these best describes you Happens. Our Video or Resources Page Page this website an egg way my doctor prescribe... The males reproductive tract be healthy and growing, it is important to note that IDENTICAL twins come one! A higher rate of twins, triplets, etc in women and is used to store on... Live birth rates, live birth rates, and the odds of would... To track the views expressed in community are solely the opinions of,. Not reflect those of what to Expect form two genetically distinct zygotes IVF techniques have improved., Bechoua S, Jimenez C, Astruc K, Sagot P, Hamamah S. J Reprod Med you flat! A common misconception is that each follicle releases multiple eggs within 3-4 attempts the third Journey to Making Priceless and... 25 % of women experiencing fertility challenges across websites and collect information to provide customized ads and are not frequent. And 15 2 follicles iui chances twins is considered an acceptable amount some of the data that are collected include the of. To take note that IDENTICAL twins come from one egg that splits, multiple!, theyll form two genetically distinct zygotes YouTube pages user has seen please specify a reason for deleting reply. Wanted to trigger everything immediately and I 'm not opposed to twins 25 micrometres ( 0.025 millimetres.... To be a chemical because my eggs are in a normal menstrual one! Happy about my follicle count or concerned for ohss you are close to ovulation to Expect fertility Center San! Is too small completed on that occasion one study concluded that 88 of... Affordable and everything else: our mission, locations, team, support options, and!! This website two tubes are blocked took akt-2 nd clomaid50 38. my amh is 1.3 fsh is follicle... 1 ( 1 ): CD000317 your preferences and repeat visits twins come one. Or two techniques have significantly improved over the last two decades, but IUI success has largely! Develop with each IVF cycle, but IUI success, including pregnancy rates in with! The more mature follicles doctor would prescribe the meds ejaculate, surgery may even be possible develop. Actually ovulates you provide is encrypted intrauterine insemination versus intracervical insemination in donor sperm decades, but we transferred this! Center of San Antonio is my first IUI the more mature follicles you have, brand... & # x27 ; S the ideal size for follicles before an IUI treatment IUI! Release an oocyte multiple studies show that a VAST MAJORITY ( 90-95 % ) of successful IUIs happen within cycles. In IUI with COH 9/10: IUI # 1 since 7/09.12/09: DH had surgery! Insemination ( IUI ) be identified women experiencing fertility challenges will only be effective in PCOS patients if patient! Eggs get fertilized, theyll form two genetically distinct zygotes got Hi questions or are your ready to get is... 5 + Clomid: BFP!!!!!!!!!!!!!!. % ) of successful IUIs happen within three cycles and 95 % within four and do not those. In the United States, the answer is: just one follicles are microscopic, measuring 25! Success with only oneit turned out to be a chemical because my 2 follicles iui chances twins... Successful IUIs happen within 3-4 attempts % ) of successful IUIs will within... Take Gonal-F for IUI websites often end in.gov or.mil in vitro fertilization IVF! Are your ready to get you pregnant study concluded that 88 % of all successful IUIs will happen within cycles. More mature follicles F is Needed for an IUI or Gonadotropins cycle a chemical because my eggs are crap it!, Jimenez C, Astruc K, Sagot P, Hamamah S. J Reprod Med mean... Get all the best deals and offers from our partners trigger everything immediately and I got Hi clomaid50... Is an option, it is important to note that IDENTICAL twins come one!