You cannot toggle off the Fertility Treatment Lifetime Reward once purchased. It permanently increases twin/triplet odds for that Sim (and partners).
Designed for players wanting large families. The base twin chance is 2.5%; triplet 0.1%. Fertility Treatment raises to ~20% twins, ~2% triplets.
Best Practice: If you regret buying it, use MasterController to remove it cleanly. Back up saves first (Documents/Electronic Arts/The Sims 3/Saves).