Focused ultrasound surgery of intramural leiomyomas may facilitate fertility: a case report.

OBJECTIVE

To describe a successful pregnancy after a change in configuration of the endometrial cavity after magnetic resonance imaging-guided focused ultrasound surgery (MRgFUS) for leiomyomas.

DESIGN

Case report.

SETTING

University hospital.

PATIENT

A 40-year-old woman with known leiomyomas and a history of secondary infertility.

INTERVENTION

Magnetic resonance imaging-guided focused ultrasound surgery treatment of two intramural myomas, one with a significant submucosal component.

MAIN OUTCOME MEASURE

Change in conformation of the uterine cavity.

RESULT(S): A viable intrauterine pregnancy, with full-term uneventful labor and vaginal delivery.

CONCLUSION(S): Magnetic resonance imaging-guided focused ultrasound surgery changed the configuration of the endometrial cavity, and a subsequent pregnancy resulted in a term delivery.