Twins or More Do Twins Run in Families? Releasing more than one egg per month is the genetic culprit By Pamela Prindle Fierro Pamela Prindle Fierro Pamela Prindle Fierro is the author of several parenting books and the mother of twin girls. Learn about our editorial process Updated on June 14, 2021 Medically reviewed by Brian Levine, MD, MS, FACOG Medically reviewed by Brian Levine, MD, MS, FACOG Brian Levine, MD, MS, FACOG, is board-certified in obstetrics-gynecology, as well as reproductive endocrinology and infertility (REI). He is the director and founding partner of CCRM New York and was named a rising star by Super Doctors from 2017 to 2019. Learn about our Medical Review Board Print Ryan McVay / Getty Images Table of Contents View All Table of Contents Is There a "Twin Gene"? Do Twins Skip a Generation? Identical Twins and Genetics Do Twins Run in Families? People are very curious about a family or genetic connection to twinning as twins are a fascinating phenomenon. If you suspect a genetic link, you are partially right, but the link is quite complex. For one, genes may play a role in your chance of having fraternal twins (called dizygotic twins) but not identical twins (monozygotic twins). Secondly, it's important to understand that there may be other factors besides genes that increase a woman's chance of having twins. Is There a "Twin Gene"? According to genetic research, the chance of having fraternal twins is approximately two times greater for women whose mother or sister had fraternal twins. This increased chance is due to a gene that promotes hyperovulation—sometimes referred to as the "twin gene." Hyperovulation is the tendency to release more than one egg during ovulation, which increases the chances of conceiving dizygotic (or fraternal) twins. So, in families where the women have a tendency towards hyperovulation, genetics could sufficiently explain an increased presence of fraternal twins. However, since only women ovulate, the connection is only valid on the mother's side of the family. While men can carry the gene and pass it on to their daughters, a family history of twins doesn't make them any more likely to have twins themselves. But, if a father passes on the "twin gene" to his daughter, then she may have a higher chance than normal of having fraternal twins. Do Twins Skip a Generation? If your father was a twin but you weren't, are you more likely to have twins? It's a common misconception that twins skip a generation in families. There is absolutely no evidence, other than circumstantial, that twins are more likely to occur every other generation. However, if you consider the influence of genetic hyperovulation, this pattern could appear in families depending on whether their children were sons or daughters. Generation 1 Grandma: Grandma has the gene for hyperovulation. She and Grandpa have fraternal boy twins, Rob and Bob.Generation 2 Rob & Bob: While Grandma's sons may carry the gene for hyperovulation, they do not ovulate. They will not have twins (excluding other factors). However, they each have a daughter.Generation 3 Molly & Polly: Cousins, Molly and Polly, inherit the gene for hyperovulation from their fathers. They each have a set of twins. You can see how this example makes it appear that twins skip a generation in families. The pattern is influenced by whether the inheritor of the hyperovulation gene is male or female. Identical Twins and Genetics Although theories and research abound, there is no established connection between genetics and monozygotic (identical) twinning. Scientists haven't really identified a clear cause for monozygotic twinning, which occurs when a fertilized egg splits and develops into two (or more) embryos. At this time, monozygotic twinning appears to be a random event, so all parents have an equal chance of conceiving identical twins. Do Twins Run in Families? There is no way to predict precisely who will and who will not have twins. That being said, when calculating your chances, consider these factors: What Type of Twins Are in Your Family? Remember, monozygotic (identical) twins don't run in families—they are random. You may not know if your great-granduncles were identical or not and often there is no way to know for sure without DNA testing. That being said, twins that share a close physical resemblance are more likely to be identical than fraternal. Also, remember that boy/girl twins are always fraternal (dizygotic). Are the Twins a Result of Assisted Reproduction? Over the past four decades, the increased use of fertility treatments, both in vitro fertilization (IVF) and non-IVF, have been associated with the increased number of twin and multiple births. For example, the fertility drug Clomid can stimulate the release of more than one egg during ovulation. This can lead to fraternal twins if two eggs are fertilized. Which Side of the Family Has Twins? If the twins are present on your husband's/partner's side, it won't influence your chances of having twins. Remember, the gene for hyperovulation is only a factor for the mother. If your mother (or your grandmother or aunt) was or had fraternal twins, you might have the gene. But your husband's family history has absolutely no bearing on your own children, except maybe for the future possibility that you might have twin grandchildren—if you have a daughter who inherits the hyperovulation gene. A Word From Verywell Remember, a family history of twins is only one of many factors that influence multiple births. Maternal age, race, weight, diet, and reproductive history all contribute to twinning and may have a stronger influence than family history. 5 Sources Verywell Family uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Hoekstra C, Zhao ZZ, Lambalk CB, et al. Dizygotic twinning. Hum Reprod Update. 2008;14(1):37-47. doi:10.1093/humupd/dmm036 Boklage CE. Traces of embryogenesis are the same in monozygotic and dizygotic twins: not compatible with double ovulation. Hum Reprod. 2009;24(6):1255-1266. doi:10.1093/humrep/dep030 White C, Wyshak G. Inheritance in Human Dizygotic Twinning. N Engl J Med. 1964;271:1003-1005. doi:10.1056/NEJM196411052711908 Knopman JM, Krey LC, Oh C, Lee J, McCaffrey C, Noyes N. What makes them split? Identifying risk factors that lead to monozygotic twins after in vitro fertilization. Fertil Steril. 2014;102(1):82-89. doi:10.1016/j.fertnstert.2014.03.039 Kulkarni AD, Jamieson DJ, Jones HW Jr, et al. Fertility treatments and multiple births in the United States. N Engl J Med. 2013;369(23):2218-2225. doi:10.1056/NEJMoa1301467 Additional Reading American College of Obstetrics and Gynecologists. (July 2015). Frequently Asked Questions: Multiple Pregnancy. Online Mendelian Inheritance in Man (OMIM): An Online Catalog of Human Genes and Genetic Disorders. (June 2016). By Pamela Prindle Fierro Pamela Prindle Fierro is the author of several parenting books and the mother of twin girls. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit