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how early can you confirm twins on skin an ultrasound scan is used to diagnose twin pregnancy the time twins are visualized on ultrasound depends on the type of scan used there are two types of ultrasound scans in pregnancy the transvaginal and transabdominal skin with transvaginal ultrasound twins can be seen as early as five to seven weeks whereas transabdominal scan can show twins a little later around six to eight weeks of pregnancy