When Lisa Rossell was 4 weeks pregnant, she suspected that she could be carrying more than one baby. Her pants fit tight in the waistline and her human chorionic gonadotropin (hCG) beta blood test results came back at an eye-opening 5,221 mIU/ml.

"My nurse practitioner told me they never diagnose multiples from just the hCG and progesterone levels, so we had an early ultrasound at 6 weeks," says Rossell, a special education teacher from Indianapolis, Ind. "She told me not to panic, but my hCG level had doubled to 10,000 and then again to 20,000. With test results that high, I was scared there were three. During my first ultrasound, I was so nervous we wouldn't hear two heartbeats that I was crying and shaking.

"Afterwards, I felt so happy and blessed to be having twins, but then I also felt overwhelmed until about 3:30 a.m. that next morning. I even woke up my husband, Keith, in the middle of the night and said, 'What are we going to do? We can't afford twins!'"

With a strong family history of multiples and having been previously prescribed a 150 milligram-dose of clomiphene citrate (Clomid), the popular infertility drug that can stimulate ovaries to produce eggs, Rossell is not surprised that she is expecting twins.

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