HIFU treatment room at Gangnam Podo Women's Clinic with the HIFUNIT 9000 focused ultrasound system and treatment table
HIFU treatment room

How Podo approaches fibroids

Podo Women's Clinic treats uterine fibroids with ultrasound-guided HIFU (high-intensity focused ultrasound) using the HIFUNIT9000 system. HIFU treats the fibroid through the skin of the abdomen, without an incision. The uterus is not removed; HIFU treats the fibroid tissue and leaves the uterus in place. Before treatment, the size, type and location of each fibroid are assessed by ultrasound to decide whether HIFU is suitable. HIFU can cause skin burns or heat injury on the abdomen; you are monitored throughout, and aftercare instructions are given in English. Results and recovery vary from person to person. This page is general information and is not a diagnosis; a consultation is needed to decide whether a procedure suits you. The clinic limits HIFU to two patients a day, and the doctor who performs your treatment also manages your aftercare. Consultations are available in English. We prepare the documents international insurers typically require: an itemized English receipt, a medical certificate, procedure codes and a completed claim form. Recovery rooms are private single-occupancy suites. Overnight stays are available in the clinic's recovery suites. After HIFU you go home the same day, following about 4 hours of observation at the clinic. Daily activities can resume, and flying is possible, from about 3 days after HIFU, subject to the follow-up check. HIFU is offered for fibroids up to about 12 cm in size and up to 12 fibroids in number. Subserosal fibroids that project outward from the surface of the uterus (pedunculated subserosal fibroids) are not treated with HIFU.

We start with the fibroids themselves: how many there are, how large, and where they sit in the wall of the uterus. That decides whether HIFU is likely to help, or whether another treatment would serve you better, and we tell you which.

HIFU is limited to two patients a day, and the doctor who treats you also looks after your follow-up scans. The treated tissue is absorbed gradually over the following months, so symptom relief builds over time rather than all at once; how much a fibroid shrinks varies from person to person.

Who is suitable for HIFU: fibroid size, number and position

Choosing HIFU uterine fibroids treatment starts with a scan, not a booking, because not every fibroid can be treated this way. Before treatment, the size, type and location of each fibroid are assessed by ultrasound to decide whether HIFU is suitable. HIFU is offered for fibroids up to about 12 cm in size and up to 12 fibroids in number. Subserosal fibroids that project outward from the surface of the uterus (pedunculated subserosal fibroids) are not treated with HIFU.

Symptoms matter as much as measurements. The NHS says many fibroids cause no symptoms and need no treatment, that treatment is more likely when symptoms are painful or cause heavy bleeding, and that large fibroids can press on the bladder. If you plan a pregnancy, tell us at consultation; it affects which treatment we recommend and the timing.

The criteria for who can have HIFU at Podo are on the candidates page, Is HIFU right for your fibroids?

Fibroid treatment without surgery: how HIFU compares with other options

The NHS lists the main fibroid treatments: medicines for pain and heavy bleeding; uterine artery embolization, which blocks the blood supply so fibroids shrink; and surgery, meaning myomectomy (removing the fibroids) or hysterectomy (removing the fibroids and the womb). No single treatment suits every woman: the choice depends on your symptoms, the size and position of the fibroids, whether you want a pregnancy and how much recovery time you have. Fibroid Treatment Options Compared: HIFU, Embolization, Myomectomy sets them side by side.

Fertility is where the options differ most. The studies of HIFU uterine fibroids treatment and pregnancy are fewer than for myomectomy, and their conclusions differ. A 2024 meta-analysis found pooled pregnancy and live birth rates of 23.3 and 17.3 percent after HIFU, against 56.9 and 44.1 percent after myomectomy; its authors said the quality of the HIFU studies leaves much room for improvement and that comparative trials are needed. A 2023 meta-analysis of embolization also found a lower pregnancy rate than in comparison groups. If you hope to conceive, say so early.

Uterine fibroid treatment in Korea: treatment day, recovery and flying home

HIFU treats the fibroid through the skin of the abdomen, without an incision. The treatment session usually takes one to two hours. The doctor adjusts the energy and pauses as needed throughout the treatment. After HIFU you go home the same day, following about 4 hours of observation at the clinic. Overnight stays are available in the clinic's recovery suites.

Daily activities can resume, and flying is possible, from about 3 days after HIFU, subject to the follow-up check. Follow-up scans are scheduled one week, three months, six months and one year after treatment. Follow-up scans done abroad can be sent to the clinic for review. The flight home is long: the NHS lists a journey of more than 4 hours as a risk factor for deep vein thrombosis and advises moving around every hour or so, so plan breaks as you would on any long flight.

Side effects and risks of HIFU for fibroids

HIFU can cause skin burns or heat injury on the abdomen; you are monitored throughout, and aftercare instructions are given in English. A 2024 systematic review of 60 studies and 32,448 patients pooled the side effects it found: lower abdominal pain in about 38 percent, abnormal vaginal discharge in 14.7 percent, leg numbness or tingling in 3.5 percent, vaginal bleeding in 1.7 percent, skin burns, blisters or nodules in 0.6 percent, and blood in the urine in 0.3 percent. The pain resolved with analgesics and the skin effects with conservative treatment. The authors reported very few severe complications. Fibroids can also need further treatment later, as the reintervention figures below show.

HIFU fibroid treatment cost: why there is no single price

HIFU uterine fibroids treatment is quoted after the fibroids have been measured, because their size and number set the treatment time. We do not print a figure here. You receive a written estimate in English after your scan and consultation, and prices follow the clinic's published fee list. Other items can move a quote: imaging beforehand, sedation or anesthesia, observation time, medication, and whether follow-up scans are in the same estimate.

Whether a procedure is reimbursed depends on your policy; we provide documentation, not coverage decisions. We prepare the documents international insurers typically require: an itemized English receipt, a medical certificate, procedure codes and a completed claim form. HIFU Fibroid Treatment Cost in Korea explains how to read an estimate line by line.

In this section

Questions

Is HIFU the same as the HIFU used for facial lifting?

No. Facial HIFU treats skin with low energy. Fibroid HIFU is a medical treatment that targets tissue inside the uterus under ultrasound guidance, with a different machine and a different purpose.

Do I need to stay in hospital?

No. After HIFU you go home the same day, following about 4 hours of observation at the clinic. Overnight stays are available in the clinic's private recovery suites.

Can I get pregnant after HIFU?

Many women treated for fibroids go on to conceive, but no treatment can promise it. If you plan a pregnancy, tell us at consultation; it affects which treatment we recommend and the timing.

Will my fibroids come back?

A fibroid that has been fully treated usually shrinks and does not regrow. New fibroids can form over the years, and a pooled analysis of 18 studies and 5,216 women found reintervention after HIFU in about 1 percent at one year, 7 percent at two years, 19 percent at three years and 29 percent at five years (Dou et al., 2024); this is discussed at your follow-up.

When can I get back to normal activities and fly home?

Daily activities can resume, and flying is possible, from about 3 days after HIFU, subject to your follow-up check. Recovery varies from person to person. The recovery page covers the first days and the follow-up scans.

Is HIFU for fibroids safe?

A 2024 systematic review of 60 studies judged HIFU for fibroids generally safe, with mostly mild side effects and very few severe complications, and said its safety relative to other minimally invasive treatments such as embolization still needs further evaluation. HIFU can cause skin burns or heat injury on the abdomen; you are monitored throughout, and aftercare instructions are given in English.

Sources

  1. ACOG patient FAQ: Uterine fibroids
  2. NHS: Fibroids
  3. Dou et al., 2024: reintervention after HIFU for fibroids, meta-analysis (PubMed)
  4. Ali et al., 2024: side effects of HIFU for fibroids, systematic review (PMC)
  5. Chen et al., 2024: pregnancy after HIFU and after myomectomy, meta-analysis (PubMed)
  6. Yan et al., 2023: pregnancy after uterine artery embolization, meta-analysis (PMC)
  7. NHS: Deep vein thrombosis (DVT)

About the reviewer

Dr. Mo Hyung-jin, MD, PhD, board-certified OB-GYN specialist, is the medical director of Podo Women's Clinic. He developed the pelvic ligament suspension technique used at the clinic for stress urinary incontinence and pelvic organ prolapse. Profile

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Gangnam Podo Women's Clinic
2F, 428 Gangnam-daero, Gangnam-gu, Seoul, South Korea

Mon–Fri 10:00–19:00 · Sat 10:00–17:00
Closed Sundays and public holidays

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