Abstract
Transvaginal ultrasound-guided oocyte retrieval is routine for assisted reproduction, but unfit for some special patients. We report an elderly infertile patient with adenomyosis, whose transvaginal retrieval was high risk. Intraoperative conversion to transabdominal retrieval succeeded safely. For high-risk transvaginal oocyte retrieval patients, transabdominal retrieval is safe and feasible.