If you have very early and noticeable pregnancy symptoms such as fatigue, emotional ups and downs, nausea, vomiting, and constipation, you may be wondering if you are twins. You may also suspect that you are having twins if you have been treated for infertility, especially if you have had more than one embryo transferred, or have used certain fertility drugs to help you get pregnant.

The only sure way to know if you have twins or other twins is to have an ultrasound scan.

The best time for this ultrasound is 10-12 weeks of pregnancy. Usually at this time, your healthcare provider can tell you exactly how many fetuses, placentas, and amniotic sacs you have. This information can tell you if you have identical or fraternal twins. In addition, this information will help your healthcare providers recommend proper pregnancy care.

Hormone tests can’t tell for sure if you’re pregnant with twins.

Because twin pregnancies can be more difficult than singleton pregnancies, health professionals usually recommend specialized prenatal care. Specialized prenatal care usually includes visits to the obstetrician and midwife at the twin hospital. Antenatal care professionals can detect any complications early, which means they can be treated early.

In addition, health professionals generally recommend giving birth in a hospital rather than in a maternity hospital or at home. Hospitals have facilities to treat any complications of multiple pregnancies, such as premature births.