Treatment of adenomyosis with ultrasound ablation usually does not affect fertility. Ultrasound-guided ablation refers to the precise guidance of ultrasound equipment, through the ablation needle into the internal lesion. The temperature inside the lesion rises rapidly, leading to coagulative necrosis of the lesion and in-situ inactivation of the lesion tissues and cells. The trauma is minimal (only a needle eye is left on the surface of the body), which makes it safe, rapid and effective, with few side effects, and the procedure is virtually scarless, with fast postoperative recovery. This treatment effectively preserves the uterus, giving the patient hope for pregnancy. Also, because the uterus plays a role in supporting the pelvic floor, the pelvic structure of a woman changes after removal of the uterus, so it is important to preserve the uterus without destroying the pelvic structure. If the treatment of adenomyosis affects fertility, it is usually not caused by the ultrasound ablation treatment, but mostly by the disease itself. Patients with adenomyosis who have fertility requirements should consult an obstetrician and gynecologist in a timely manner and cooperate with active treatment, which should be carried out in strict accordance with the instructions of the doctor after the consultation.