My husband and I have discussed having multiple children. We have been trying to get pregnant for three to four months now without success, and we are starting a family much later than I had wanted. I am in my mid 30s and would like many children but I don't want to be too old to watch them grow. We are wondering about the overall ethical dilemma faced by physicians when a couple asks for fertility drugs to try to have more than one child in a pregnancy.
A multiple gestation has many more dangers than a single baby pregnancy. For this reason, meddling with fertility drugs solely for the purpose of trying for more than one may be putting all of the babies at risk by your own doing. If it were to happen spontaneously, that's a good problem, and you make the best of it. But to actually make it happen would be unfair to the babies should you suffer with complications of pregnancy.
Modern obstetrics has a good track record with twins, even triplets, but who's to say you won't be in the minority? I would recommend you do it without the meddling, unless you can't get pregnant at all, which is what Artificial Reproductive Technology (ART) is all about. Your age isn't as fertile as a 20-something year-old, but you're still reproductive and will remain so into your early forties. You'll certainly see your children grow up, but unless you want to be the little old lady who lived in a shoe, enjoy natural reproduction. It's what intimacy is all about. And you'll end up doing that more if you have your babies one at a time.