Identical twins are nearly always the same biological sex because they originate from a single fertilized egg that splits to form two embryos. This shared genetic origin means they possess the same sex chromosomes, making them either both female (XX) or both male (XY). While biological sex refers to chromosomes, anatomy, and hormones, gender identity is a distinct, personal sense of self. This article focuses on the biological sex determination of twins, which is tied to their genetic makeup.
Monozygotic Twinning and Shared DNA
Identical, or monozygotic, twinning begins with a single instance of fertilization, where one egg is penetrated by one sperm to create a single zygote. This cell contains the complete genetic blueprint, including the sex chromosomes provided by the sperm (either X or Y). The sex of the resulting twins is determined at this moment of conception.
Early in development, typically within the first two weeks, this single zygote spontaneously divides into two distinct masses of cells that continue to develop independently. Because the two embryos arose from the exact same initial genetic material, they possess an identical set of chromosomes and share nearly 100% of their DNA. If the original zygote was XX, both twins will be female, and if it was XY, both twins will be male.
This shared chromosomal foundation is the scientific basis for why all identical twin pairs are the same biological sex. They are genetic copies of one another, ensuring a match in their primary sexual characteristics.
How Fraternal Twins Differ
Fraternal twins, known as dizygotic twins, result from two entirely separate fertilization events. This occurs when a woman releases two separate eggs during a single ovulatory cycle, and each egg is fertilized by a different sperm cell. The resulting two zygotes are genetically distinct individuals.
Dizygotic twins are genetically no more similar than standard siblings, sharing an average of only 50% of their DNA. The sex of each twin is determined randomly and independently by the specific sperm that fertilized each egg. For example, one egg may be fertilized by an X-carrying sperm (XX), resulting in a female, while the other is fertilized by a Y-carrying sperm (XY), resulting in a male.
Fraternal twins can be same-sex pairs, but they can also be opposite-sex pairs, which is a clear indicator of dizygosity. Their separate genetic origins are the reason opposite-sex twins are always fraternal.
Scientific Anomalies to the Rule
While the rule holds true in the vast majority of cases, extremely rare scientific exceptions exist where monozygotic twins are born with different biological sexes due to post-conception genetic changes.
Chromosomal Loss
One documented anomaly involves a chromosomal loss occurring after the single zygote has split into two. If a male (XY) zygote splits, and one of the two resulting embryos loses its Y chromosome, that twin will develop as a female with Turner Syndrome (45, X).
Mosaicism
Another source of difference is mosaicism, where a twin possesses different sets of chromosomes in different cells of their body. A non-disjunction event during early cell division could cause an uneven distribution of sex chromosomes, leading to a twin with a mix of XX and XY cells, or an entirely different sex chromosome combination like XXY. These post-zygotic mutations are spontaneous and not inherited.
Sesquizygotic Twins
The ultra-rare phenomenon of semi-identical or sesquizygotic twins represents another deviation, where a single egg is fertilized by two different sperm, leading to an unusual genetic makeup. These cases, with only a few documented worldwide, result in twins who share all of their mother’s DNA but only a portion of their father’s, which can sometimes lead to different sex chromosomes and thus different biological sexes.

