I am 32 and currently 14 wks preg with twins, I have a 9 year old son and a 7 year old daughter so this was an definite oops! They were conceived naturally, however, I was taking Tamoxifen to prevent breast cancer reoccurence. The Dr said twins can be caused by Tamoxifen but typically in much higher doses than is prescribed for cancer treatment. Has anyone else conceived while on hormone therapy? ↓