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Topic:Cortisol

Cortisol is a steroid hormone produced by the adrenal glands in horses, playing a significant role in the regulation of metabolism, immune response, and stress management. As a glucocorticoid, cortisol influences various physiological processes, including glucose metabolism, inflammation modulation, and the maintenance of homeostasis during stress. Its levels in horses can vary due to factors such as exercise, environmental changes, and psychological stressors. Cortisol is often measured to assess stress responses and overall well-being in equine health management. This page compiles peer-reviewed research studies and scholarly articles that explore the production, regulation, and implications of cortisol in equine physiology and health.
Associations among beta-endorphin, ACTH, cortisol concentration, age, and clinical signs indicative of pituitary pars intermedia dysfunction in geriatric horses.
Journal of veterinary internal medicine    February 26, 2026   Volume 40, Issue 1 aalag023 doi: 10.1093/jvimsj/aalag023
Billmann P, Durham A, Christen G, Savioli G, Gross JJ, Gerber V, Fouché NE.Limited published data are available regarding the relationships among clinical signs associated with pituitary pars intermedia dysfunction (PPID), age, and concentrations of proopiomelanocortin-derived peptides and cortisol. Objective: Identify clinical signs associated with age, beta-endorphin (β-END), adrenocorticotropic hormone (ACTH), and cortisol concentrations and compare β-END and cortisol concentrations between horses with PPID and geriatric controls. Methods: A total of 113 horses aged 18-32 years. Methods: Cross-sectional study. Clinical signs were scored, plasma β-END, ACTH, an...
Pharmacokinetics and Anti-Inflammatory Effects of Intramuscular Betamethasone in Exercised Thoroughbred Horses.
Journal of veterinary pharmacology and therapeutics    February 7, 2026   doi: 10.1111/jvp.70052
Sullivan J, Blea J, McKemie DS, Kass PH, Knych HK.The pharmacokinetics and pharmacodynamics of betamethasone following intra-articular administration to horses have been described; however, studies characterizing intramuscular administration are lacking. Twenty-four horses received an intramuscular dose of 12 mg betamethasone sodium phosphate/betamethasone acetate. Blood and urine were collected at post administration for up to 408 h. Concentrations of betamethasone were determined using LC-MS/MS and pharmacokinetic parameters determined using a Population PK three-compartment model. The duration of pharmacodynamic effects was assessed by...
Effects of a rehabilitative whole-body resistance band wrap on equine gait, posture, cortisol, and muscular function.
Frontiers in veterinary science    January 28, 2026   Volume 12 1738766 doi: 10.3389/fvets.2025.1738766
Boger B, Naraian M, Hernandez E, Eaton A, Rockburn R, Tillman I, Payne S, Yob C, Panek C, Manfredi JM.Resistance bands used while horses are exercised with their handlers have shown benefits, but it is unknown if whole-body resistance bands used independently have therapeutic benefits. This study hypothesized that horses with varying gait asymmetries would experience improvements in lameness, muscular function, range of motion, posture, and cortisol following short-term use of a whole-body resistance band wrap (RBW). In this study, nine lame adult horses were evaluated with and without the RBW. The assessment included: objective gait analysis, acoustic myography, postural analysis, gait kinema...
Effects of total parenteral nutrition and electrolyte solutions with or without glutamine on the hormonal profiles of horses subjected to exploratory laparotomy.
Brazilian journal of veterinary medicine    January 14, 2026   Volume 48 e005725 doi: 10.29374/2527-2179.bjvm005725
Ferreira C, Palhares MS, de Melo UP, Leme FOP, Maranhão RPA, Garcia HC, Gheller VA.Starvation and nutritional support clinically influence horses, particularly during the treatment of gastrointestinal diseases and post-surgical recovery. In this study, we aimed to evaluate the effects of different nutritional strategies on the endocrine response of horses subjected to exploratory laparotomy followed by food deprivation. Sixteen healthy adult horses were randomly allocated into four groups (n=4) based on treatments: enteral fluid therapy without (ENTFL) or with glutamine (ENTGL), and parenteral fluid therapy with glucose (PARFL) or total parenteral nutrition with glutamine (P...
Effects of Social Interactions and Foundational Training on Behavior, Temperament, and Hormone Levels in Weanling Horses.
Animals : an open access journal from MDPI    January 4, 2026   Volume 16, Issue 1 142 doi: 10.3390/ani16010142
Choi Y, Jung Y, Wickens CL, Yoon M.Horses are social animals, with early life experiences playing a crucial role in their physiological and behavioral development. This study explored the influence of herd dynamics and foundational training on behavioral and hormonal changes in weaned foals. We examined 13 six-month-old Quarter Horse foals over a three-month training period, performing behavioral observations, temperament assessments, and hormone analyses at the start, midpoint, and end of the training. The results indicated that affiliative behaviors decreased significantly, while agonistic behaviors first increased and then d...
Serum cortisol concentrations in newborn foals are increased by transfusion with anti-rhodococcal hyperimmune plasma and inversely associated with immunoglobulin activity.
Journal of equine veterinary science    December 30, 2025   Volume 157 105759 doi: 10.1016/j.jevs.2025.105759
Sayre KC, Flores-Ahlschwede P, Wethington AB, Kahn SK, Bray JM, Volding DM, Ahlschwede S, Bordin AI, Cohen ND, Welsh TH.Transfusion of Rhodococcus equi hyperimmune plasma (REHIP) to neonatal foals is done to reduce the incidence of rhodococcal pneumonia. Objective: To determine effects in newborn foals of REHIP transfusion on serum cortisol concentrations; the association of serum cortisol concentrations with serum globulin concentration and anti-rhodococcal immunoglobulin activity; and cumulative incidence of rhodococcal pneumonia. Methods: Serum samples were collected from 356 newborn foals from 13 New York farms immediately before and after transfusion of 1 L or 2 L of REHIP. Serum samples were assayed for c...
Effect of transdermal melatonin on circulating cortisol and blood chemistry in horses exposed to transport stress.
Journal of equine veterinary science    December 26, 2025   Volume 157 105756 doi: 10.1016/j.jevs.2025.105756
Crossland WL, Aviles-Rosa EO, Perry EB, Crowell C, Webberson E, Brown J, Fassbender J.Our objective was to evaluate the effect of transdermal melatonin on physiological stress biomarkers in horses, with some subjected to transport stress. Sixteen horses were assigned to a 2 × 2 factorial design assessing treatment (melatonin vs. no melatonin) and transport status (transported vs. non-transported), creating four groups: Control (CON), Transport only (TRS), Melatonin only (MEL), and Melatonin plus Transport (MELTRS). Horses in melatonin groups received 24 mg/day transdermally for 21 days and transported groups underwent a 3-hour trailer ride on day 21. Day 21 blood samples were ...
Measuring emotional contagion in Horse-Human interactions: A systematic scoping review of methods and outcomes.
Journal of equine veterinary science    December 16, 2025   Volume 156 105754 doi: 10.1016/j.jevs.2025.105754
Tripon MA, Manolăchescu D, Papuc I, Daradics Z, Crecan CM.Emotional contagion between horses and humans is a key aspect of their interaction, influencing welfare, training, and therapy, yet current methods for measuring this phenomenon lack standardization and consistency. Objective: The aim of this study was to verify what methods are used to assess emotional contagion in horse-human interactions, and what outcomes have been reported. Methods: A systematic search of Google Scholar, Web of Science, Scopus, PubMed, and Science Direct was conducted up to March 2024. Peer-reviewed studies assessing emotional transfer through behavioral and/or physiologi...
I feel your pain: Individual differences in welfare indicators after castration in horses.
Veterinary journal (London, England : 1997)    December 16, 2025   Volume 315 106538 doi: 10.1016/j.tvjl.2025.106538
Briefer-Freymond S, Dalla Costa E, Jolivald A, Bruckmaier RM, Atallah E, Giorgia Riva M, Ijichi C.Personality affects both experience and expression of pain and the welfare impact of castration on horses is poorly understood. Therefore, the current study observed 19 horses to determine: the welfare impact of standard castration on horses; whether individuals consistently vary in their behavioural and emotional responses to pain; the influence of personality on behavioural and physiological responses to pain; whether Horse Grimace Scale (HGS) indicates how individuals feel about painful experiences. Eye temperature (IRT), salivary cortisol, HGS and a pain ethogram were measured at intervals...
Monitoring Weaning Stress in Fillies and Colts on a Thoroughbred Breeding Farm by Cortisol and Blood Inflammatory Markers: The Benefits of Gradual Separation and Social Support.
Animals : an open access journal from MDPI    December 10, 2025   Volume 15, Issue 24 3551 doi: 10.3390/ani15243551
Deniz Ö, Erol HS, van den Hoven R, Onmaz AC, Aragona F, Fazio F.Weaning represents a major developmental milestone for foals, especially when 4- to 7-month-old foals are abruptly separated from their dams. Studies have shown that the post-weaning period is associated with physiological and psychological stress, which may affect immune function. The present study aimed to describe and analyze the pattern of blood inflammatory biomarkers related to the innate immune system. A gradual foal-dam separation procedure was chosen, which included post-weaning social buffering by a familiar adult horse. Twelve Thoroughbred foals (six fillies, six colts) aged 4-6 mon...
Introducing an Innovative Pain Scale for Assessing Postpartum Pain in Mares: Preliminary Clinical Evaluation.
Animals : an open access journal from MDPI    November 30, 2025   Volume 15, Issue 23 3454 doi: 10.3390/ani15233454
Bolesławska-Szubartowska J, Kucharczuk M, Skrabska A, Zbysław A, Adamowicz J, Alszko A, Domagalska-Stomska K, Durska M, Dziekcierów A....Pain after giving birth is commonly observed in horses, yet there has not been a specific tool developed for assessing this pain in postpartum mares. The goal was to adapt existing equine pain scales and to preliminarily validate a practical pain scale for use by veterinarians and caregivers after foaling. Methods: The pain scale was developed by adapting items from other pain scales, including established orthopedic and colic equine pain scales, and incorporating caregiver feedback. The final scale includes eight areas for assessing pain: behavior, facial expressions, vital signs, udder exami...
Characterization of intramuscular Isoflupredone acetate in horses: pharmacokinetics and effects on anti-inflammatory mediators and plasma electrolytes.
BMC veterinary research    November 25, 2025   Volume 21, Issue 1 685 doi: 10.1186/s12917-025-05135-7
Sullivan J, Blea J, Morales CJ, McKemie DS, Kass PH, Knych HK.Corticosteroids, such as isoflupredone, are effective anti-inflammatory medications and as such are commonly used to treat inflammation associated with training and injuries in performance horses. While the pharmacokinetics and pharmacodynamics of isoflupredone acetate (IPA) following intra-articular administration to horses has been well described, studies characterizing intramuscular (IM) administration are lacking. The objective of the current study was to describe the pharmacokinetics and anti-inflammatory effects of IPA following IM administration to horses. Twelve horses received a singl...
The potential value of cytokine, cortisol and vitamin D profiles in foals from birth to weaning for respiratory disease prediction on a farm endemic for Rhodococcus equi pneumonia.
Equine veterinary journal    September 9, 2025   Volume 58, Issue 2 359-371 doi: 10.1111/evj.70093
Berghaus LJ, Venner M, Helbig H, Hildebrandt D, Hart K.Rhodococcus equi causes pneumonia in young foals, but disease susceptibility and severity vary. Cortisol and vitamin D modulate immune responses and cytokine production during bacterial infection, and altered concentrations are associated with sepsis in neonatal foals. We hypothesised an age and disease effect on circulating steroid hormone concentrations in foals, and that differences in cytokines and steroid hormone concentrations would predict disease severity in pneumonic foals. Objective: To investigate circulating concentrations of various cytokines, cortisol and vitamin D as predictors ...
Efficacy and welfare effects of different forms of physical restraint for upper airway endoscopy of horses.
Equine veterinary journal    September 8, 2025   doi: 10.1111/evj.70081
O'Brien C, Simon O, Franklin SH, Ferlini Agne G, Weaver S, Raidal SL.Physical restraint of horses for veterinary procedures is necessary to allow completion of tasks effectively and without injury to patient or personnel. Objective: To compare physiological effects and behavioural responses to four commonly used restraint techniques for upper respiratory tract (URT) endoscopy in unsedated horses. Methods: Blocked and randomised interventional study. Methods: Twelve university owned teaching horses were blocked into groups of four and randomly allocated to one of four restraint methods (nose twitch, ear hold, Stableizer® and nil restraint) for URT endoscopy. Ho...
Cortisol and heart rate response of mares during the in-hand breeding procedure with and without restraint.
Equine veterinary journal    September 2, 2025   doi: 10.1111/evj.70083
Atayde MF, Vidondo B, Bruckmaier R, Freymond SB, Sieme H, Rey-Kaeser R, Burger D.In-hand breeding involving restraint methods is likely the most common practice in the horse breeding industry worldwide. However, welfare issues that arise from such management have not been investigated in detail. Objective: (1) To investigate whether the mares show increased stress responses during in-hand breeding using (a) a lip twitch and (b) hobbles. (2) To evaluate if the use of restraint methods influences the mare's expression of oestrous behaviour. Methods: Intra-individual cross-over design. Methods: Six Franches-Montagnes stallions and 10 warmblood mares were used in these experim...
Long-Term Changes of Physiological Reactions in Young Lipizzan Stallions During Exercise Testing.
Animals : an open access journal from MDPI    August 23, 2025   Volume 15, Issue 17 2479 doi: 10.3390/ani15172479
Čebulj-Kadunc N, Frangež R, Kruljc P.The aim of the study was to determine the fluctuations of selected physiological parameters in young Lipizzan stallions ( = 10) during the initial phase of their training as indicators of adaptation to a graded exercise load and stress exposure. For this purpose, four exercise tests (ExT) with lunging were carried out over a period of one year. Physiological parameters (gait speed, heart and respiratory rate (HR and RR), rectal and body surface temperature (RT and BST), and cortisol and lactate concentration (CORT and LAC)) were measured before and after training. In all ExT, gait speeds incre...
Road transportation is associated with decreased intestinal motility in horses.
Frontiers in veterinary science    August 18, 2025   Volume 12 1647236 doi: 10.3389/fvets.2025.1647236
Raidal SL, Freccero F, Carstens A, Weaver S, Padalino B.Transportation of horses has been associated with colic and changes to the gastrointestinal microbiome. Percutaneous abdominal ultrasonography using wireless, point-of-care transducers can be used to assess gastrointestinal motility in field settings. Unassigned: Characterization of intestinal motility and salivary cortisol responses of horses completing commercial transportation of 10-12h. Unassigned: Prospective observational study of 30 horses with diverse signalment and transport histories. Clinical parameters, sonographic assessment of intestinal motility and saliva samples, were collecte...
Do stereotypies help or harm? Exploring the link between cortisol level and abnormal behaviours in animals: a review.
Frontiers in zoology    August 13, 2025   Volume 22, Issue 1 20 doi: 10.1186/s12983-025-00576-0
Hildebrand WH, Zaleśny G.Stereotypical behaviours in animals, often linked to stress, are repetitive actions that may lack a clear purpose. This review examines the relationship between cortisol levels, a key stress hormone, and stereotypic behaviour across various animal species, including zoo mammals, horses, and dogs. A total of 99 studies were analysed to understand whether elevated cortisol levels are associated with stereotypies. While many studies report a positive correlation between cortisol and stereotypical behaviour, more detailed research suggests that these behaviours may also serve as coping mechanisms,...
Stress responses of horses transported long-distance by road to and from a jumping competition in a tropical climate.
Journal of animal science    June 24, 2025   skaf214 doi: 10.1093/jas/skaf214
Sanigavatee K, Wonghanchao T, Poochipakorn C, Pongnarudech P, Suchairat T, Jitsopin S, Wanichayanon B, Sripiboon S, Chanda M.Long-distance road transport is known to be stressful for horses, with most research conducted in temperate climates. This study investigated horses' stress responses during long-distance transport before and after a jumping competition in a tropical environment. Ten healthy horses (aged 7.9 ± 1.9 years) were studied. Blood cortisol concentrations, haematology, and heart rate variability (HRV) were monitored during outbound (OTJ) and inbound journeys (INJ). Cortisol concentrations increased five minutes after unloading and remained elevated for up to 180 minutes in the OTJ (P < 0.05-0.001)...
Group housing increases alertness and social interaction compared to traditional single stabling in two-year-old sport horse stallions during pretraining.
Animal : an international journal of animal bioscience    June 16, 2025   Volume 19, Issue 8 101584 doi: 10.1016/j.animal.2025.101584
Kroschel L, Pilger F, Aurich J, Nagel C, Aurich C.Horses in training are often stabled individually, but this is increasingly questioned. We have investigated the effects of different stabling systems in Warmblood stallions during a 12-week pretraining programme. Stallions were 24 months old and housed either in a group stable (Group 24, n = 9) or in individual boxes (Box 24, n = 10), or they were 30 months of age and housed in individual boxes (Box 30, n = 10). Cortisol, heart rate, heart rate variability (HRV), body development, injuries and selected behaviour patterns were analysed (1) at transfer from pasture to stable and (2) the...
Overnight dexamethasone suppression and cortisol index tests in clinically healthy horses and with crib-biting.
Journal of equine veterinary science    June 10, 2025   Volume 151 105628 doi: 10.1016/j.jevs.2025.105628
Osorio-Cardona JJ, Usuga-Moreno VM, Martínez-Aranzales JR.The dexamethasone suppression test (DST) has been used in humans for the diagnosis of psychiatric problems such as depression, anxiety and Cushing's syndrome, and in horses for the ante mortem diagnosis of dysfunction of the intermediate part of the pituitary. Objective: This study aimed to examine the functionality of the hypothalamic-pituitary-adrenal axis through the DST and the cortisol index (CI), to evaluate the rhythmicity of the circadian cycle of cortisol in healthy horses with crib-biting or windsucking. Methods: A total of 20 Colombian Creole horses of both sexes, under similar mana...
Transportation to the Slaughterhouse: Can Training Reduce the Stress Response in Horses?
Veterinary sciences    June 3, 2025   Volume 12, Issue 6 doi: 10.3390/vetsci12060547
Dai F, Toson M, Bertotto D, Dalla Costa A, Heinzl EUL, Lega F, Minero M, Padalino B, Stefani AL, Trestini S, Maietti F, Zonta G, Di Martino G.The present study aimed to evaluate the effects of self-loading training on the overall stress response during pre-slaughter transportation in slaughter horses. Thirty-two slaughter horses were divided into two groups: the control group (CG) and the Trained Group (TG). For six weeks, the TG horses were trained to self-load using a method based on target training and shaping. Animals from both groups were transported to the same slaughterhouse in small groups on different days using the same truck along the same route. The baseline and post-transportation values of the eye temperature and fecal...
Effect of birth month on endocrine function in Thoroughbred foals born in Hokkaido, the northern part of Japan.
The Journal of veterinary medical science    May 23, 2025   Volume 87, Issue 7 804-815 doi: 10.1292/jvms.25-0061
Ishimaru M, Kume K, Murase H, Sato F, Matsui A, Ohmura H, Taya K.Thoroughbreds born early in the year are believed to have an advantage in racing. However, the development of endocrine functions in early-born foals in the cold winter climate is unclear. The present study was conducted to elucidate the effect of birth month on the development of endocrine function in Thoroughbred foals born from February to May in Hokkaido by comparing hypothalamic-pituitary axis, adrenal and thyroid functions from birth to 24 weeks of age. Eighty-seven Thoroughbred foals were used to compare the changes in circulating luteinizing hormone (LH), follicle-stimulating hormone (...
Circulating ACTH and Cortisol Investigations in Standardbred Racehorses Under Training and Racing Sessions.
Veterinary sciences    May 19, 2025   Volume 12, Issue 5 doi: 10.3390/vetsci12050493
Cravana C, Medica P, Fazio E, Satué K, Brancato G, La Fauci D, Bruschetta G.The hypothalamic-pituitary-adrenal (HPA) axis is a neuroendocrine system involved in the coping response to stressful challenges during exercise stimuli. Exercise represents a significant disruptor of homeostasis, inducing an ACTH-cortisol co-secretion, based on different characteristics of exercise in sport horses. Based on this statement, the aim of this study is to evaluate the circulating adrenocorticotropin and cortisol changes in Standardbred trotters, after training and racing sessions, considering the different age and sex. In particular, the aim is to determine to what extent the leve...
The Effect of Ambient Temperature, Relative Humidity, and Temperature-Humidity Index on Stress Hormone and Inflammatory Response in Exercising Adult Standardbred Horses.
Animals : an open access journal from MDPI    May 15, 2025   Volume 15, Issue 10 1436 doi: 10.3390/ani15101436
In the present study, the changes in the markers of stress and inflammatory responses of 12 Standardbred horses were investigated before and after exercise during late spring and summer. The environmental temperature, relative humidity, and temperature-humidity index (THI) were assessed during this study. From horses, blood sampling, measurement of heart and respiratory rate (HR and RR), and measurement of rectal temperature (RT) were performed before exercise (Pre) and within 5 min following the end of the exercise (Post). THI values showed mild stress in June and high stress in July. Direct ...
Characterisation of facial expressions and behaviours of horses in response to positive and negative emotional anticipation using network analysis.
PloS one    May 14, 2025   Volume 20, Issue 5 e0319315 doi: 10.1371/journal.pone.0319315
Phelipon R, Bertrand L, Jardat P, Reigner F, Lewis K, Micheletta J, Lansade L.The welfare of an animal is closely linked to their emotional experiences, making it essential to identify reliable indicators of these emotions. This study aimed to identify behaviours and facial movements in horses experiencing contrasting emotional valence, triggered by the anticipation of a positive condition (going to pasture) or a negative condition (going alone to a novel environment). Twenty horses were daily trained to wait in a starting box before being exposed to these two conditions. After one week of positive training or negative training, we analysed horses' behaviours, cortisol ...
Roles of GDF9 and BMP15 in equine follicular development: in vivo content and in vitro effects of IGF1 and cortisol on granulosa cells.
BMC veterinary research    April 27, 2025   Volume 21, Issue 1 292 doi: 10.1186/s12917-025-04744-6
Samie KA, Kowalewski MP, Schuler G, Gastal GDA, Bollwein H, Scarlet D.In horses, the mechanisms behind ovarian follicle growth and oocyte maturation remain largely unknown. In other species, oocyte-secreted factors growth differentiation factor 9 (GDF9) and bone morphogenetic protein 15 (BMP15) have been related to the acquisition of developmental competence and to interaction with granulosa cells for the regulation of follicle development. This study assessed the expression and localization of GDF9 in the equine ovary, and its possible relationship with granulosa cell function. Results: Using custom-made antibodies, GDF9 protein was localized in oocytes from th...
The Effect of Victory and Defeat on the Correlations of Stress Parameters Between the Horse and Rider in Kök-Börü Equestrian Teams.
Veterinary medicine and science    April 24, 2025   Volume 11, Issue 3 e70356 doi: 10.1002/vms3.70356
Rişvanli A, Şen İ, Canuzakov K, Tulobayev A, Taş A, Salykov R, Ceylan N, Türkçapar Ü, Alimov U, Kazakbayeva A, Cunuşova A, Abdimnap Uulu N....The presented study outlines a research plan aimed at determining the effects of winning and losing situations on the relationship levels between the rider and horse's stress, metabolic, and physiological parameters in Kök-Börü, a traditional equestrian team game. For this purpose, blood samples were collected from both the horses and riders of four different teams participating in two different Kök-Börü games before and after the games. Cortisol, ACTH, beta-endorphin, epinephrine, norepinephrine, T3 and T4 analyses were performed on the collected blood samples using species-specific com...
Lipidomics and biochemical profiling of adult Yili horses in a 26 km endurance race: exploring metabolic adaptations.
Frontiers in veterinary science    April 22, 2025   Volume 12 1597739 doi: 10.3389/fvets.2025.1597739
Chang X, Zhang Z, Yao X, Meng J, Ren W, Zeng Y.The equine lipid metabolism is activated during and after endurance exercise to provide energy in response to the metabolic and physiological changes in the body caused by prolonged exercise; however, the specific regulatory mechanisms remain controversial and identifying differential lipid metabolites associated with equine endurance is essential to elucidate these regulatory mechanisms. In this study, blood samples for lipid metabolomic analysis and biochemical indices were collected before and after a 26 km race from 12 Yili horses with different endurance performance. The biochemical res...
Physiological and behavioral parameters of pain and stress in mares during and after transvaginal ultrasound-guided follicular aspiration.
Frontiers in veterinary science    April 9, 2025   Volume 12 1574351 doi: 10.3389/fvets.2025.1574351
Van den Branden E, Salamone M, Broothaers K, Peere S, Polfliet E, Dewulf M, Van Steenkiste G, van Loon G, Smits K, Govaere J.The use of transvaginal ultrasound-guided follicle aspiration (TVA) for oocyte collection has become a widely used procedure in horses for embryo production (IVEP). The TVA procedure is characterized by various manipulations, which are physical restraint, perineal preparation, transrectal palpation, insertion of an intravaginal device, and needle punctures. These repeated transvaginal and transovarian punctures have raised concerns about their potential effects on mare welfare. Our study aimed to investigate the effects of TVA manipulations, and especially puncturing, on pain and stress in ma...
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