Reproductive Surgery: Revisiting Its Origins and Role in the Modern Management of Fertility.

Overview

For years, reproductive surgery was the mainstay of reproductive care. As the evolution and ultimate success of in vitro fertilization (IVF) took hold, reproductive surgery became an adjuvant therapy, indicated mainly for severe symptoms or to enhance success rates with assisted reproductive technologies. As success rates for IVF have plateaued, and emerging data rekindles the enormous benefits of surgically correcting reproductive pathologiesthere is renewed interest amongst reproductive surgeons, in reviving research and surgical expertise in this area. In addition, new instrumentation and surgical techniques to preserve fertility have gained traction and will solidify the need to have skilled REI surgeons in our practice.