This case report presents a delayed delivery of the 2^nd twin following preterm labor in a twin pregnancy achieved through intracytoplasmic sperm injection (ICSI). The patient, with primary infertility due to male factor (azoospermia), underwent embryo transfer, resulting in twin gestation. Preterm labor led to the delivery of the 1^st twin at the end of the fifth month. The 2^nd twin remained in utero and was managed with tocolytics, and supportive medications. At 32 weeks, a cesarean delivery has been carried out to deliver the second twin, who required 17 days in the Neonatal Intensive Care Unit. This case highlights the viability of delaying delivery for one twin to improve outcomes.