Twin Pregnancy: 10 Weird Signs You’re Carrying Two Babies

Think you’re carrying multiples? You might be right—twins are on the rise. Find out what your pregnancy symptoms have to say.

Think you're carrying multiples? You might be right—twins are on the rise. Find out if your pregnancy symptoms match these weird signs of a twin pregnancy.

The chance that you’re having twins is greater than ever before—twin pregnancies have been on the rise since 1980, peaking in 2014 at about 3 percent of all babies born.

But are you carrying twins.

How can you tell?

What are the signs of a twin pregnancy?

Keep scrolling for all the answers.

10 Signs of a Twin Pregnancy

In addition to the more common early pregnancy signs, women who are pregnant with multiples may have the following twin pregnancy symptoms:

1. HCG levels

In general, a twin pregnancy causes mama’s body to produce more hCG, the hormone the body secretes during pregnancy.

In studies, moms with twin pregnancies produce more hCG and for longer periods of time than a singleton pregnancy.

Keep in mind, though, that hCG production varies widely from woman to woman so high levels should not be used as a definitive measure of whether mama is carrying twins. Some women with singleton pregnancies produce an unusually high amount of hCG, and some women carrying multiples produce an unusually low level of hCG.

Since many mamas do report higher hCG levels with twin pregnancies, other early signs of pregnancy are exacerbated in a twin pregnancy. Here, some common complaints in mamas carrying multiples:

Natural Remedies for Morning Sickness – Mama Natural

2. Extreme morning sickness

Because of the bigger increase in several pregnancy hormones, morning sickness can be especially bad during a twin pregnancy. In studies, twin pregnancies are a risk factor for the most severe form of morning sickness, hyperemesis gravidarum. But, not all moms pregnant with twins will experience severe morning sickness! Some may not feel queasy at all. Every mom and pregnancy is different.

If the nausea does hit, here’s what to do:

  • Eat a healthy balanced diet: Sometimes easier said than done, but a mix of protein, fat, and complex carbs at each meal will not only nourish you and baby but help regulate blood sugar (one potential cause of morning sickness).
  • Support the liver: The liver is responsible for processing hormones and other toxins and is often overburden in first trimester of pregnancy. Milk thistle or dandelion root teas are excellent, as are safe digestive bitters, fermented foods like raw apple cider vinegar, and lemon water.
  • Boost digestion: Age old remedies of both ginger and peppermint are helpful for stomach upset and nausea. Try these ginger chews or tea and these real peppermints and/or tea.
  • Beware of the empty stomach: As soon as you wake up, eat something with protein and complex carbs. Some moms even keep whole grain crackers by their bedside. This can reduce nausea caused by sluggish bile or low blood sugar.

If you want to dive deep with many more strategies for combating morning sickness, check out our dedicated post on morning sickness remedies.

3. Food intolerance

Similarly to the extreme morning sickness, some mamas with a twin pregnancy notice an especially strong aversion to certain foods. Blame this (again!) on the hormonal fluctuations you’re experiencing.

Common culprits include:

  • Green leafy veggies
  • Fish/seafood
  • Coffee (When pregnant, be sure to stick to 200 mg of caffeine or less per day!)
  • Meat

Some evidence suggests that changes in taste perception during pregnancy is to blame.

Another theory suggests that food aversions are protective for the developing baby but also mentions that aversions are likely more complicated than that.

In any case, it may be best to listen to those aversions and stay away from those foods for now. Try to eat the healthy, mild tasting foods you can tolerate like broth, bananas, avocados, oats and smoothies and don’t stress about it. These aversions usually pass within a few weeks and you can get your fill of nutrient-dense foods later.

Exhausted woman with extreme morning sickness pregnant with twins

4. Extreme exhaustion

Any pregnant woman is going to be tired, but many mamas with a twin pregnancy report feeling utterly exhausted. The sharp rise in progesterone to support the gestation of two babies, combined with a higher basal metabolic rate (the rate at which the body uses energy), can cause the debilitating fatigue. Plus, the first trimester is the most critical for developing the baby’s foundational body systems (and you’re doing this for two babies!)

When you’re feeling wiped out, here’s what to do:

  • If you’re working, take naps during your lunch break.
  • Go to bed early every night (before 9 p.m.!).
  • Practice deep breathing if you’re unable to sleep.
  • A healthy diet and good prenatal can boost energy levels.
  • Some moms find foods high in B vitamins like nutritional yeast flakes or bee pollen help.
  • Drink plenty of water. Believe it or not, dehydration is a HUGE cause of fatigue.
  • Finally, walk 20 minutes a day. While it may seem like torture, it can really boost your energy! (And it’s good for your babies’ IQs.)

5. Serious breast tenderness

Pregnancy can make breasts incredibly sore and tender. This is another early pregnancy symptom that is often extreme when it’s a twin pregnancy and hormone levels are elevated. Your breasts are working overtime since they’ll have to support two babies rather than just one.

Here are some tips to reduce the pain of sore breasts:

  • Ditch the tight, underwire bras for softer ones.
  • Wear a cotton sleep bra to avoid the pain of moving in bed.
  • Avoid running, bouncing or jarring your breasts until the sensitivity subsides.
  • Consider making your breasts temporarily off limits to your partner.
Woman has to urinate pee bathroom emergency pregnant with twins

6. Frequent urination

Just like with a singleton pregnancy, carrying twins can cause increased urination due to rising levels of hCG. Since twin pregnancy hCG levels rise faster than those in singleton pregnancies, the increased need to go to the bathroom may be especially obvious.

Here are some ways to deal:

  • Drink your fluids earlier in the day and stop 1-2 hours before bed.
  • Try to avoid beverages that are diuretics. This could include tea, seltzer, and coffee. Stick with hydrating electrolyte drinks like coconut water, broth or plain filtered water.
  • Empty your bladder fully by leaning forward with each pee. You can also wait a few seconds while on the toilet to be sure your bladder is completely empty.

7. Bigger belly than usual

Many women wonder, “when do you start showing with a twin pregnancy?” Well, it depends on so many factors but, in general, earlier than a singleton pregnancy!

Looking bigger than expected for gestational age is a possible sign of twin pregnancy, but keep in mind that many women show much earlier in subsequent pregnancies than their first.

Measuring the fundal height may be a more reliable identifier for possible twins.

Midwives and doctors measure the fundal height (the height of the uterus) starting at about 12 weeks of pregnancy to see that baby is growing normally. When the fundal height is larger than expected, it could mean that you’ve got twins! (Or, you have your conception or last period dates off.)

8. Higher resting heart rate

As we mentioned earlier, in pregnancy, the basal metabolic rate increases to provide nourishment for the baby. Similarly, the resting heart rate can increase too. A normal resting heart rate is around 70 beats per minute (bpm). During pregnancy that increases to 80 to 100 bpm. With a twin pregnancy, the heart rate can be even higher. After 100 bpm, tachycardia may be diagnosed. Tachycardia is often considered normal in pregnancy (so there’s no need to worry), but should be monitored by your midwife or doctor.

While you can’t necessarily stop your heart from racing, it may be beneficial to include stress reduction in your life.

Some ways to keep your system calm include:

  • Not letting your body go into low blood sugar. Eat well-balanced meals and snacks at regular intervals.
  • Practice deep breathing, visualization, and/or meditation. You can even just sit in a comfy chair and listen to some Enya!
  • Avoid high stress environments like rock concerts, bumper-to-bumper traffic, walking along busy streets, etc.
  • Use therapeutic herbs like chamomile or lavender in tea
  • Diffuse their essential oils in a diffuser.

As always, talk with your doctor about what’s best for you.

Moody woman pregnant with twins

9. Moodiness

When those hormone fluctuations kick in, mood swings might not be far behind. And like with other early signs of twin pregnancy, increased moodiness due to massive biological changes may be a sign that you’re expecting two bundles of joy!

When pregnancy moodiness hits, do this:

  • Journal your feelings. You can write things that you sometimes wouldn’t say. Be free with your pen and “vent” all of your feelings without judgment.
  • Get support from a trusted person (your partner, family members, or friends).
  • Practice spirituality to keep a higher perspective and connect to peace. Whether that means go to church, join a Bible study, do meditation or practice yoga, find ways to connect to your spirit.

Also, keep in mind that intense feelings will go just as easily as they came (so don’t worry!).

10. Intuition

Some mamas just know it’s a twin pregnancy! Whether it’s a nagging thought or a dream about having two babies, intuition is a real thing, especially in pregnancy. As the saying goes, trust your gut!

How Soon Can You Tell If You Are Pregnant With Twins?

Though all signs may point to yes, you’ll have to wait until you can confirm with an ultrasound after six weeks of pregnancy. (One study found that transvaginal sonograms earlier than six weeks gestation were unreliable in picking up two gestational sacs.)

Do know that finding out you have a twin pregnancy this early means you may end up with a twin loss. Researchers estimate that 21 to 30 percent of twins pregnancies result in vanishing twin syndrome. This happens when a twin pregnancy is confirmed at around 6 weeks (with an ultrasound), but the twin has “vanished” or been reabsorbed by the next scheduled appointment (around 12 weeks). Some women would rather not know until both twins are relatively safe, while others want to know even if the chances of losing one twin are high.

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How Is a Twin Pregnancy Confirmed?


While there are many signs and symptoms of a twin pregnancy, there’s only one way to know for sure—an ultrasound.

Pregnant with twins ultrasound image

Some women choose to have one done early, while other women will choose to avoid ultrasounds until the 20-week scan. Still, other women, albeit rare, have no symptoms of twins and only find out at the birth!

Besides an ultrasound, there are very few things that definitively signal a twin pregnancy. They are:

Multiple heartbeats

At your prenatal appointment, the midwife or doctor will want to check for a heartbeat, starting at around 10 to 12 weeks. Sometimes a second heartbeat can be heard. However, sometimes you can be carrying twins and still not be able to hear two heartbeats with the doppler (even when you’re looking for two!).

Abnormal AFP

Alpha-fetoprotein (AFP) is a protein that’s produced by the liver and yolk sac of a developing baby during pregnancy. This protein then travels into mama’s blood. During the second trimester, a test measures the amount of AFP that the fetus releases from its liver (into mom’s blood). This test is used to screen for chromosomal abnormalities or birth defects such as Down syndrome.

However, a high level of AFP may mean there are simply two babies excreting it! One study found that women carrying twins had AFP tests that were twice as high as women carrying singletons.

Can There Be a Hidden Twin?

With an early ultrasound, it’s possible for there to be a hidden twin (one twin is hiding behind the other during the scanning), but it’s rare. By the 20-week ultrasound, no doubt about it, you would know for sure whether you were having twins or not!

Could you be pregnant with twins?

Take our twin pregnancy quiz to find out!

And don’t forget to sign up for our natural pregnancy week by week series. It’s a great free resource whether you’re pregnant with multiples or a singleton. ??

Genevieve Howland

About the Author

Genevieve Howland is a childbirth educator and breastfeeding advocate. She is the bestselling author of The Mama Natural Week-by-Week Guide to Pregnancy and Childbirth and creator of the Mama Natural Birth Course. A mother of three, graduate of the University of Colorado, and YouTuber with over 85,000,000 views, she helps mothers and moms-to-be lead healthier and more natural lives.


  1. Mum’s please pray for me that God should bless me with twins ?

  2. I am 9 weeks pregnant, but there was no heartbeat seen and I was given 2 weeks for another ultrasound scan. need your prayer

    • Hi Aishatu,

      I pray that your God grants you protection in times of worry; as well as a calm heart and keen mind. I pray that in the times of uncertainty that your Creator has made a way for you & your baby. Your God knows your beginning and end. And your child’s beginning and end. Trust that your God had made provisions for you, that He causes all things great and small. I pray over your beautiful belly carrying the light of the next generation. Please, Father God, bring Aishatu peace and knowledge that all is well. Make sure she feels the truth, she has never left Your arms and her baby will never leave them either.

      Amen. Let it be.

      God’s will is mysterious. He moves in ways we can’t understand. I ask for your prayers as well. I’m 47, never been a Mom. I resolved myself to being childless. And I mourned that loss. Yesterday, I tested positive twice. So, I ask for your prayers as well. I believe my Creator has picked the right time for me but I’m SCARED. Ultimately, I know God’s will is perfect and that whatever comes-He loves me & will carry me when I need it. I’m scared because of my age-the baby’s health, Downs (beautiful babies, hard life). I have high blood pressure and am epileptic. I think I’m 4-5 weeks and I’m beyond exhausted. I’ve never felt this way, bone tired. But, my actions & God’s will chose this for me. I pray for God’s mercy on my body so that I can carry the baby long enough to shelter them & make them healthy. (I keep saying them for some reason). My Mom knows, my fiancé doesn’t yet. So THAT will be interesting. (He’s 34)

      I don’t know you, but I love you. Please have peace knowing you have someone who wants the best for you in your corner, praying.

      • Hello Lora,
        Your comment and prayer is beautiful; please update us on your pregnancy.

      • Ohh Lora!
        I felt your every word.
        God is sure going to see and carry you through. You didn’t come this far just to come this far. God has a purpose for your existence. And this time, the time that He chose for you, is the best time. You are going to carry that baby full term. You are going to give birth to a healthy bouncing baby. It is well. It is done. It is finished. God has got you, always. He knew and still knows how much you wanted this. The Lord knows your heart. The Lord himself listened to your heart when you couldn’t say it out by your mouth. He loves you so much and He will give you pure joy. You are going to rejoice. You are going to testify. Because He is a good God and He does what only He can do. You are blessed. Big hug to you. I love you.

    • i am 13 and wondering if i could ever have twins ?

      • My gollie girl! You are 13!! This should be the furthest question from your mind right now! And cruising along in a pregnancy blog! Please! Take it from experience, I had my daughter at 16 (pregnant at 15) and although I would trade her for the world and she is the Apple of my eye….. I missed out on A LOT!! Pushed back in school, social activities, extra curricular activities, sports….. Life! Baby girl you are beautiful inside and out! Discover and cherish YOURSELF first! You owe to yourself!

        P.s. no rude remarks… I’m now 36 and pregnant possibly with twins… And saw her comment, and I’m pretty sure all you other moms would agree with me! I know if my daughter wrote this somewhere I would hope one of you would try and talk some sense into her lol

        • Couldn’t have said it better myself! Lovely advise

      • Don’t wish your life away, you will have all that in the future please concentrate on being a teenager and enjoying your childhood whilst you can

    • Thinking about you ❤️

  3. I’m wondering if I got twins in me. When I first read the quiz: I was first thinking “boy” diffrent things: no nausea; lower belly; & salty cravings; but the last couple times I had looked in the mirror; it’s starting to look more: upper; like it’s a girl. I’m thinking “Elsie Renata Keyes” if it’s a girl; “Glenn Lindy Keyes” if it’s a boy; It feels upper & lower. Beth

  4. Hi I need some advice. I’m 40 and have been trying to get pregnant for many years. I’m currently 14 days late on my period, the longest I have ever been late, usually 28 days and like clockwork. I am always feeling nauseous, I have gone off my favourite foods, really sensitive to certain smells, feel like I’m on an emotional roller coaster. Did a test today and it’s negative!!! Help! What is going on??? Why do I have all pregnancy symptoms but test is negative 🙁 any advice or similar experiences are welcomed. Ps I haven’t been under any stress or other medications to be so late

    • I see that you posted this comment a while ago, so you’ve probably got an answer by now. If not, there are a couple reasons you could be having these symptoms and a negative pregnancy test.
      1. You could be pregnant with twins or more, when pregnant with multiples your HCG levels are higher, sometimes too high for a home pregnancy test to detect. Also, your chances of conceiving twins goes up after, I believe doctors say, 35 years old.
      2. A possibility of early menopause. Many menopause symptoms are quite similar to pregnancy symptoms.

      There may be other reasons, but your doctor is the best way to put your mind at ease and get an answer.

  5. I didn’t even miss my period yet, I took at a test and it was positive. Then I went for an ultrasound at 8 weeks because I did with my first child just to see at this place called Baby Moon for a couple pics. Holy Moly I was in for a real surprise only to discover to 2 babies instead of 1. SHOCKING to say the least. Prior to even going for my ultrasound and finding out I was expecting twins, I asked a nurse practitioner this question: if I am pregnant with twins shouldn’t I have my head in the toilet all day and night puking my guts out? She said no not necessarily. So I thought ahh I’m not having twins then. WRONG, I had 0 morning sickness, never felt better I was quite well actually being pregnant with twins. My twins were born at 38 weeks via csection. They were 6 pounds a piece. No NICU time needed, I was and am beyond blessed as they are healthy and happy. They are 3 years old now :o).

    • This interested me, I’m currently 5 weeks pregnant but took a test at 2 weeks afre my last period, I had symptoms so tested, it came up with a faint purple line that I blamwd on being tired and bad lighting, the next week I took a 2nd one and this time the line was darker so I took the older test out of the bin to see and sure enough there was a line too ?? told my doc at my check up on Tuesday (she was confirming my pregnancy) so she sent my urine off to the lab for testing

    • Same case with mine. I’m currently 9 weeks with my forth pregnancy…all was fine no nausea no morning sickness, just delayed period n feeling sleepy more than usual. Done scan last night just to make sure i am pregnant and surprise! Double sac, double heart beat hehehe

      • Congratulations!

  6. My third pregnancy turned out to be twins. It is true that every pregnancy is different, but in retrospect, there were some signs early on. One morning, at maybe 4 weeks, I woke up and stretched and had a twinge of round ligament pain, the first sign I knew I was pregnant, although i’d only ever experienced it in late third trimester before. Fatigue is for real too, just immediate and totally overwhelming. I’d lay down for a nap and wake up 5 hours later. Finally, at the very beginning, I was soooo hungry. I’d wake up in the night hungry, or feel starving only a couple hours after lunch. And even though I’d eat when I feel hungry, that first month I was losing weight. An early home pregnancy test revealed immediately that I was pregnant, but that happened with my other two pregnancies too so I didn’t think twice about it until we saw two little bodies in the first ultrasound.

  7. Thank you for sharing this! I’ve fluctuated between really, really wanting twins, and being terrified of the thought of taking care of two newborns at the same time. I can’t make up my mind. But I have always wanted to know as quickly as possible in every pregnancy if it’s one baby or more. These signs will give things to watch for! Thank you!

    • I was terrified too but don’t be! They are so awesome! I never wanted twins & now I can’t imagine not having twins! I’m pregnant t with #6 & wouldn’t mind another set of twins!

      • I’m pregnant with number 5 I’m 35 and have a sting feeling I’m pregnant with twins. My hunger and nausea are so intense lots of lower belly pains I’ve read is round ligament pain I haven never experienced before. I’ve woke through the night hungry and will be too tired to get up then I’ll wake up feeling sick. I’m struggling to eat cause we own a restaurant I work at and the smells make me on the verge of puking all day. I’m struggling to eat at work.

        • Thanks Soo much

      • Am 32,already 10weeks pregnant,am always feeling tired and breathing heavily,whenever am hungry before I could reach for food I will be already famished .pls what is the cause

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