Gemma, sorry that you got bad news.

Generally, they will suggest weight loss first, but if age is a factor they may want to start fertility treatments anyway.

As for the risk of multiples, it is increased, but not hugely so! It freaked my DH out a bit at first, too - I can't find the exact information just now, but I believe it's only a 10% risk of twins with clomid.

I hope your next appointment with the specialist reveals good news.

I had some success with the CSIRO eating plan - lost 4kg, and could still stand to lose another 4kg, but my acupuncturist messed about with my diet and I'm finding it hard to eat low-carb, low-GI, low-fat, yeast-free, dairy-free food!

BW