Conclusion
Our study highlighted that in infertile women with singleton pregnancies
after reproductive surgery, the preterm delivery rate is comparable
between spontaneous conception and conception after IVF/ICSI. The
preterm delivery risk seems to be associated, preferably, with maternal
risk factors and their co-existence rather than with the mode of
conception as well as reproductive surgery. Thus, reproductive surgery
has a valuable role in infertility treatment that enables a high ratio
of spontaneous conceptions and should not be avoided before proceeding
to IVF/ICSI. In selected infertile women with no obvious indication for
IVF/ICSI or advanced age, we should encourage spontaneous conception
after reproductive surgery. So, we can spare women of a psychosocial and
medical treatment burden associated with IVF/ICSI procedure as well as
decrease the risk of multiple pregnancies.