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.