Natural multiple pregnancy in women leading to dizygotic (DZ) twins is familial and varies across racial groups, suggesting a genetic predisposition. Mothers of DZ twins have a higher incidence of spontaneous multiple ovulation and elevated FSH concentrations. FSH release is controlled by feedback of inhibin peptides from the ovary, and immunization against inhibin ␣-subunit results in an increased ovulation rate in animals. The inhibin ␣-subunit is therefore a candidate gene for mutations that may increase the frequency of DZ twinning. Restriction digests of a PCR product from exon 1 with the enzyme SpeI detects a C/T polymorphism at bp 128 with two alleles of 447 and 323/124 bp. The polymorphism was typed in 1125 individuals from 326 pedigrees with 717 mothers of spontaneous DZ twins. The ␣-inhibin locus mapped within 3 centimorgans of D2S164, and linkage with DZ twinning was excluded [decimal log odds ratio (LOD) score, Ϫ2.81 at ϭ 0]. There was complete exclusion of linkage (LOD, less than Ϫ2) of a gene conferring relative risk 1.8 (s, Ͼ1.8) across the chromosome, except at the p-terminus region and a small peak (maximum LOD score, 0.6) in the region of D2S151-D2S326. Analysis using either recessive or dominant models excluded linkage with DZ twinning in this population (LOD score, less than Ϫ2.5) across chromosome 2. We conclude that dizygotic twinning is not linked to variation in the ␣-inhibin locus. The results also suggest that mutations in other candidates on chromosome 2, including the receptor for FSH and the  B -inhibin subunit (INHBB) cannot be major contributors to risk for DZ twinning. (J Clin Endocrinol Metab 85: 3391-3395, 2000) N ATURAL MULTIPLE pregnancy in women leading to dizygotic (DZ) twins is familial and varies across racial groups, suggesting a genetic predisposition. Female DZ twins and sisters of DZ twins have an increased frequency of twins compared with male DZ twins or brothers of DZ twins (1). Genetic effects on DZ twinning have been confirmed in subsequent investigations, but the estimated effects and modes of inheritance vary between studies (2-4). Analysis of families of 6596 twin pairs from the Australian Twin Registry found significantly higher frequencies of DZ twins in female relatives of DZ probands compared with MZ probands (4). The relative risks of DZ twin pregnancy for sisters of women with DZ twins and for female offspring of DZ probands were 1.7 and 2.5, respectively (4). Bulmer (2) postulated a recessive model of inheritance for DZ twinning, with a frequency of 0.5 and a penetrance of 5% in susceptible women, based on the data pooled from several studies. Segregation analysis of a Belgian/Dutch population-based study of twinning pedigrees suggests a dominant model of inheritance, with a gene frequency of 0.03 and a penetrance of 10% (3).DZ twinning results from the release and fertilization of multiple oocytes, and mothers of DZ twins have a higher incidence of spontaneous multiple follicle growth and multiple ovulation (5, 6). Several studies report in...