Focused ultrasound treatment for uterine fibroids has been available to women in the U.S. since a treatment system was approved by the Food and Drug Administration (FDA) in 2004.

FDA Approved squareFocused ultrasound is a noninvasive way to treat uterine fibroids. Using this treatment method in conjunction with image guidance, the physician directs a focused beam of energy through the patient’s skin, superficial fat layer, and abdominal muscles to heat and destroy the fibroid tissue without damaging nearby tissue or the tissues that the beam passes through on its way to the target.

How it Works
Focused ultrasound energy heats and destroys the targeted tissue at the focal point. This process is repeated until the entire selected volume is destroyed.


  • Outside Approval SquareIt is a noninvasive treatment with a short recovery time and a quick return to work and activities of normal life (usually the next day).
  • It offers rapid and durable resolution of fibroid symptoms (sometimes within days of treatment).
  • It has a low rate of complications.
  • It preserves fertility with published studies reporting that women are able to conceive and have normal pregnancies after treatment.

Get Treated

Clinical Trials Square

There is a clinical trial in the Netherlands, which is a 2:1 randomized trial comparing MRI-guided focused ultrasound to other treatments (hysterectomy, myomectomy, or uterine artery ablation). See the website for this trial, called MYCHOICE, for more information. 

There is a clinical trial in Germany, that is a randomized trial comparing MRI-guided focused ultrasound to myomectomy.

There is a clinical trial in Turku, Finland, that is using focused ultrasound to treat uterine fibroids.

There is a clinical trial in Canada using MRI-guided focused ultrasound to treat uterine leiomyomas. This trial is only open to Canadian citizens.

See a list of treatment sites > 
See a list of clinical trials sites >
See a list of laboratory research sites >

Regulatory Approval and Reimbursement

In 2004, MRI-guided focused ultrasound was approved by US Food and Drug Administration for the treatment of uterine fibroids. Currently, no major U.S. insurance company provides consistent coverage and reimbursement for focused ultrasound treatment of fibroids. However, Blue Cross/Blue Shield, AETNA, and United have all approved cases on an individual basis.

Internationally, focused ultrasound is approved in Canada, China, Europe, India, Japan, Korea, the Middle East, Oceania, Russia, South America, and Taiwan. 

In the United Kingdom, Germany, and Russia, individual patients have gained local level approval. In China, healthcare insurance partially or fully covers the cost of the treatment. 

In Israel, Clalit Medical Insurance is covering MRgFUS for symptomatic uterine fibroids.

Notable Papers

Gong C, Lin Z, Lv F, Zhang L, Wang Z. Magnetic resonance imaging parameters in predicting the ablative efficiency of high-intensity focused ultrasound for uterine fibroids. Int J Hyperthermia. 2021;38(1):523-531. doi: 10.1080/02656736.2021.1904152.

Liao P, Jiang J, Zeng YH, Chen Y, Yong M, Qu DC, Zhou HG. Comparison of outcomes of hysteroscopic myomectomy of type 2 submucous fibroids greater than 4 cm in diameter via pretreatment with HIFU or GnRH-a. Int J Hyperthermia. 2021;38(1):183-188. doi: 10.1080/02656736.2021.1874546.

Ierardi AM, Carnevale A, Pellegrino F, Stefano GD, Bonelli C, Renzulli M, Giganti M, Carrafiello G. Uterine Myomas: Extravascular Treatment. Semin Ultrasound CT MR. 2021 Feb;42(1):56-74. doi: 10.1053/j.sult.2020.08.004. Epub 2020 Aug 29.

Napoli A, Alfieri G, Andrani F, Scipione R, Manganaro L, Pecorini F, Catalano C. Uterine Myomas: Focused Ultrasound Surgery. Semin Ultrasound CT MR. 2021 Feb;42(1):25-36. doi: 10.1053/j.sult.2020.08.001. Epub 2020 Aug 21.

Sainio T, Saunavaara J, Komar G, Mattila S, Otonkoski S, Joronen K, Perheentupa A, Blanco Sequeiros R. Feasibility of apparent diffusion coefficient in predicting the technical outcome of MR-guided high-intensity focused ultrasound treatment of uterine fibroids - a comparison with the Funaki classification. Int J Hyperthermia. 2021;38(1):85-94. doi: 10.1080/02656736.2021.1874545.

Melkozerova O, Shchedrina I, Gryshkina A, Bashmakova N, Malgina G, Michelson A, Chistyakova G. How noninvasive treatment of uterine fibroids affects endometrial receptivity: a prospective cohort study. Gynecol Endocrinol. 2020;36(sup1):28-32. doi: 10.1080/09513590.2020.1816725.

Zhang DL, Wu SS, Chen S, Liu XX, Tang JQ, Lin N, Ding GS, Li GP. Differences in the therapeutic effects of high-intensity focused ultrasound (HIFU) ablation on uterine fibroids with different shear wave velocity (SWV): a study of histopathological characteristics. Int J Hyperthermia. 2020;37(1):1322-1329. doi: 10.1080/02656736.2020.1849827.

Liu L, Wang T, Lei B. Uterine Artery Embolization Compared with High-intensity Focused Ultrasound Ablation for the Treatment of Symptomatic Uterine Fibroids: A Systematic Review and Meta-analysis. J Minim Invasive Gynecol. 2020 Nov 13:S1553-4650(20)31122-5. doi: 10.1016/j.jmig.2020.11.004.

Lee JY, Kim K, Hwang SI, Lee M, Son K, Kim D, Kim S, Kim YB. Efficacy and safety of transvaginal high-intensity focused ultrasound therapy in women with symptomatic uterine leiomyomas: A clinical trial. Eur J Obstet Gynecol Reprod Biol. 2020 Nov 17;256:302-307. doi: 10.1016/j.ejogrb.2020.11.049.

Yang C, Huang Q, Ji X, Bai J. Fusion of Multiple-angles Intraoperative US Images and Pretreatment MR Images for USgHIFU Treatment of Uterine Fibroid: Retrospective Evaluation Based on Clinical Dataset. Annu Int Conf IEEE Eng Med Biol Soc. 2020 Jul;2020:5236-5239. doi: 10.1109/EMBC44109.2020.9175248.

Jeng CJ, Long CY, Chuang LT. Comparison of magnetic resonance-guided high-intensity focused ultrasound with uterine artery embolization for the treatment of uterine myoma: A systematic literature review and meta-analysis. Taiwan J Obstet Gynecol. 2020 Sep;59(5):691-697. doi: 10.1016/j.tjog.2020.07.012.

Li W, Jiang Z, Deng X, Xu D. Long-term follow-up outcome and reintervention analysis of ultrasound-guided high intensity focused ultrasound treatment for uterine fibroids. Int J Hyperthermia. 2020;37(1):1046-1051. doi: 10.1080/02656736.2020.1807617.

Liu X, Dong X, Mu Y, Huang G, He J, Hu L. High-intensity focused ultrasound (HIFU) for the treatment of uterine fibroids: does HIFU significantly increase the risk of pelvic adhesions? Int J Hyperthermia. 2020;37(1):1027-1032. doi: 10.1080/02656736.2020.1811903.

Liu C, Chen B, Tang X, Xiong Y. Disseminated peritoneal leiomyomatosis after uterine artery embolization, laparoscopic surgery, and high intensity focused ultrasound for uterine fibroids: a case report. Int J Hyperthermia. 2020;37(1):925-928. doi: 10.1080/02656736.2020.1797909.

Cope AG, Young RJ, Stewart EA. Nonextirpative treatments for uterine fibroids: measuring success. J Minim Invasive Gynecol. 2020 Aug 22:S1553-4650(20)30396-4. doi: 10.1016/j.jmig.2020.08.016.

Nguyen MD. Magnetic Resonance Imaging-Guided Volumetric High-Intensity Focused Ultrasound Surgery for Pedunculated Subserosal Uterine Leiomyoma. Gynecol Minim Invasive Ther. 2020 Apr 28;9(2):104-105. doi: 10.4103/GMIT.GMIT_36_19. eCollection 2020 Apr-Jun.

Ker CR, Ou KY, Long CY, Chuang L, Jeng CJ. Acute renal insufficiency and thrombocytopenia after high-intensity focused ultrasound (HIFU) ablation for uterine myomas. Taiwan J Obstet Gynecol. 2020 Jul;59(4):594-597. doi: 10.1016/j.tjog.2020.05.021.

Browne JE, Gorny KR, Hangiandreou NJ, Edmonson HA, Long Z, Brandt KR, Laughlin-Tommaso SK, Hesley GK. Comparison of Clinical Performance Between Two Generations of Magnetic Resonance-guided Focused Ultrasound Systems in Treatments of Uterine Leiomyomas. Acad Radiol. 2020 Jul 3:S1076-6332(20)30363-9. doi: 10.1016/j.acra.2020.06.013.

Wang Y, Liu X, Wang W, Tang J, Song L. Long-term Clinical Outcomes of US-Guided High-Intensity Focused Ultrasound Ablation for Symptomatic Submucosal Fibroids: A Retrospective Comparison with Uterus-Sparing Surgery. Acad Radiol. 2020 Jun 8:S1076-6332(20)30286-5. doi: 10.1016/j.acra.2020.05.010.

Wu G, Li R, He M, Pu Y, Wang J, Chen J, Qi H. A comparison of the pregnancy outcomes between ultrasound-guided high-intensity focused ultrasound ablation and laparoscopic myomectomy for uterine fibroids: a comparative study. Int J Hyperthermia. 2020;37(1):617-623. doi: 10.1080/02656736.2020.1774081.

Ning G, Zhang X, Zhang Q, Wang Z, Liao H. Real-time and multimodality image-guided intelligent HIFU therapy for uterine fibroid. Theranostics. 2020 Mar 26;10(10):4676-4693. doi: 10.7150/thno.42830. eCollection 2020.

Liu X, Tang J, Luo Y, Wang Y, Song L, Wang W. Comparison of high-intensity focused ultrasound ablation and secondary myomectomy for recurrent symptomatic uterine fibroids following myomectomy: A retrospective study. BJOG. 2020 Apr 13. doi: 10.1111/1471-0528.16262.

Verpalen IM, Anneveldt KJ, Vos PC, Edens MA, Heijman E, Nijholt IM, Dijkstra JR, Schutte JM, Franx A, Bartels LW, Moonen CTW, Boomsma MF. Use of multiparametric MRI to characterize uterine fibroid tissue types. MAGMA. 2020 Mar 26. doi: 10.1007/s10334-020-00841-9.

Keserci B, Duc NM, Nadarajan C, Huy HQ, Saizan A, Ahmed WAW, Osman K, Abdullah MS. Volumetric MRI-guided, high-intensity focused ultrasound ablation of uterine leiomyomas: ASEAN preliminary experience. Diagn Interv Radiol. 2020 Mar 25. doi: 10.5152/dir.2019.19157.

Huang YF, Deng J, Wei XL, Sun X, Xue M, Zhu XG, Deng XL. A comparison of reproductive outcomes of patients with adenomyosis and infertility treated with High-Intensity focused ultrasound and laparoscopic excision. Int J Hyperthermia. 2020;37(1):301-307. doi: 10.1080/02656736.2020.1742390.

Verpalen IM, de Boer JP, Linstra M, Pol RLI, Nijholt IM, Moonen CTW, Bartels LW, Franx A, Boomsma MF, Braat MNG. The Focused Ultrasound Myoma Outcome Study (FUMOS); a retrospective cohort study on long-term outcomes of MR-HIFU therapy. Eur Radiol. 2020 Feb 10. doi: 10.1007/s00330-019-06641-7.

Ning G, Zhang X, Liao H. Morphological active contour without edge-based model for real-time and non-rigid uterine fibroid tracking in HIFU treatment. Healthc Technol Lett. 2019 Nov 26;6(6):172-175. doi: 10.1049/htl.2019.0067. eCollection 2019 Dec.

Zhang YJ, Xiao ZB, Lv FR, Sheng B, Li J, Zheng YN, Lv FJ, Chen JY. MRI evaluation of endopelvic fascial swelling and analysis of influencing factors in patients with uterine fibroids after high-intensity focused ultrasound ablation. Int J Hyperthermia. 2020;37(1):175-181. doi: 10.1080/02656736.2019.1701100.

Li C, Jin C, Liang T, Li X, Wang R, Zhang Y, Yang J. Magnetic resonance-guided high-intensity focused ultrasound of uterine fibroids: whole-tumor quantitative perfusion for prediction of immediate ablation response. Acta Radiol. 2019 Nov 28:284185119891692. doi: 10.1177/0284185119891692.

Liao D, Xiao Z, Lv F, Chen J, Qiu L. Non-contrast enhanced MRI for assessment of uterine fibroids' early response to ultrasound-guided high-intensity focused ultrasound thermal ablation. Eur J Radiol. 2019 Nov 10;122:108670. doi: 10.1016/j.ejrad.2019.108670.

Liao WL, Ying TH, Shen HP, Wu PJ. Combined treatment for big submucosal myoma with High Intensity Focused Ultrasound and hysteroscopic resection. Taiwan J Obstet Gynecol. 2019 Nov;58(6):888-890. doi: 10.1016/j.tjog.2019.04.001.

Nguyen MD. Magnetic Resonance-Guided Focused Ultrasound Surgery for Leiomyoma and Adenomyosis: An Alternative Nonvascular Approach. Gynecol Minim Invasive Ther. 2019 Oct 24;8(4):196-198. doi: 10.4103/GMIT.GMIT_19_19. eCollection 2019 Oct-Dec.

Sinha V, Mehta S, Kalantzis G, Steinberg F, LeBlang SD. Artifact from myomectomy/C-Section on MRI images - what does this mean for MR-guided focused ultrasound candidacy for uterine fibroids? Int J Hyperthermia. 2019;36(1):1079-1083. doi: 10.1080/02656736.2019.1682689.

Lee JY, Chung HH, Kang SY, Park EJ, Park DH, Son K, Han JK. Portable ultrasound-guided high-intensity focused ultrasound with functions for safe and rapid ablation: prospective clinical trial for uterine fibroids-short-term and long-term results. Eur Radiol. 2019 Nov 8. doi: 10.1007/s00330-019-06468-2.

Verpalen IM, Anneveldt KJ, Nijholt IM, Schutte JM, Dijkstra JR, Franx A, Bartels LW, Moonen CTW, Edens MA, Boomsma MF. Magnetic resonance-high intensity focused ultrasound (MR-HIFU) therapy of symptomatic uterine fibroids with unrestrictive treatment protocols: A systematic review and meta-analysis. Eur J Radiol. 2019 Nov;120:108700. doi: 10.1016/j.ejrad.2019.108700. Epub 2019 Oct 15.

Laughlin-Tommaso S, Barnard EP, AbdElmagied AM, Vaughan LE, Weaver AL, Hesley GK, Woodrum DA, Jacoby VL, Kohi MP, Price TM, Nieves A, Miller MJ, Borah BJ, Moriarty JP, Gorny KR, Leppert PC, Severson AL, Lemens MA, Stewart EA. FIRSTT study: randomized controlled trial of uterine artery embolization vs focusedultrasound surgery. Am J Obstet Gynecol. 2019 Feb;220(2):174.e1-174.e13. doi: 10.1016/j.ajog.2018.10.032. Epub 2018 Oct 26.

Liu X, Xue L, Wang Y, Wang W, Tang J. Vaginal delivery outcomes of pregnancies following ultrasound-guided high-intensity focused ultrasound ablation treatment for uterine fibroids. Int J Hyperthermia. 2018 Oct 25:1-8. doi: 10.1080/02656736.2018.1510548.

Click here for additional references from PubMed.

Animated treatment video courtesy of Insightec


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