Monozygotic (identical) twins result from one fertilized egg dividing into two embryos, ensuring they are always the same sex due to their shared zygote origin. Dizygotic (fraternal) twins arise from two distinct eggs fertilized by separate sperm, meaning they can differ in sex and genetic makeup, similar to other siblings. A boy and girl twin combination is exclusively fraternal. In vitro fertilization does not dictate whether twins are monozygotic or dizygotic. A 75% genetic similarity is not a standard criterion for classifying twins.