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Originally Posted by DrPhil
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Was it in vitro, or just Clomid? Often times, the high-order multiples will be a result of high doses of Clomid because the parents can't afford to do in vitro. In vitro can be really expensive, and not all insurance carriers cover it. Clomid, on the other hand, is much cheaper and usually is covered by insurance. Most doctors won't implant more than two or three embryos in vitro just because of how difficult it is to carry anywhere near full-term.
Also, from what I understand, Clomid is the first line of defense when dealing with infertility, but in normal doses, it only causes an extra one or two eggs to come out...the crazy doses that these women are taking would cause abnormal hyperstimulation of the ovaries.