For women of childbearing age who suffer from hysteromyoma and are eager to give birth, it is extremely important to choose the appropriate treatment scheme. Hysteromyomectomy has always been the gold standard for the treatment of hysteromyoma women with fertility requirements. In recent years, high-intensity focused ultrasound (HIFU) has been widely used in the treatment of hysteromyoma. The generation of new technologies provides a new method for the treatment of hysteromyoma, and more and more studies show that HIFU does not increase the incidence of pregnancy complications compared with hysteromyomectomy in the treatment of hysteromyoma women with fertility requirements. On the contrary, HIFU has the advantages of shortening the interval of pregnancy after treatment, non-invasive, safe, effective and rapid recovery. HIFU is more advantageous than myomectomy in terms of pregnancy outcome.