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Topic:Ovulation

Ovulation in horses is a physiological process involving the release of an ovum from the ovary, typically occurring during the mare's estrous cycle. This process is regulated by hormonal changes, primarily involving luteinizing hormone (LH) and follicle-stimulating hormone (FSH). Ovulation is a key component of equine reproduction, influencing breeding management and fertility outcomes. The timing and detection of ovulation are critical for optimizing breeding strategies, often involving techniques such as ultrasound examination and hormone assays. This page compiles peer-reviewed research studies and scholarly articles that investigate the mechanisms, detection methods, and implications of ovulation in equine reproductive health.
Increase of Body Temperature Immediately After Ovulation in Mares.
Journal of equine veterinary science    May 18, 2023   Volume 127 104565 doi: 10.1016/j.jevs.2023.104565
Epper P, Glüge S, Vidondo B, Wróbel A, Ott T, Sieme H, Kaeser R, Burger D.To successfully inseminate mares, precise detection of ovulation time is crucial, especially when using frozen-thawed semen. Monitoring body temperature, as has been described in women, could be a noninvasive way to detect ovulation. The objective of this study was to investigate the relationship between the time of ovulation and the variation of body temperature in mares based on automatic continuous measurements during estrus. The experimental group included 21 mares for 70 analyzed estrous cycles. When the mares showed estrous behavior, they were administered intramuscular deslorelin acet...
Sustained-release deslorelin acetate implants disrupt oestrous cyclicity in the mare.
Australian veterinary journal    April 16, 2023   Volume 101, Issue 7 275-278 doi: 10.1111/avj.13244
Joonè CJ, Cavalieri J.There is a need for a safe, effective and practical method of oestrus suppression in the mare. The aim of this study was to monitor ovarian activity in mares exposed to either 9.4 or 28.2 mg deslorelin acetate, a GnRH agonist, in the form of a sustained-release implant. Following oestrus synchronisation, mares were randomly assigned to one of three groups (n = 4 per group) and administered either one (Des1 group; 9.4 mg) or three (Des3 group; 28.2 mg) implants of deslorelin acetate (Suprelorin-12, Virbac Australia) or one blank implant (Control group; Virbac Australia). Mares underwe...
The Effect of Treatment with Oestradiol Benzoate on Oestrus Expression and Endometrial Oedema in Anovulatory and Cyclic Mares.
Animals : an open access journal from MDPI    March 5, 2023   Volume 13, Issue 5 doi: 10.3390/ani13050938
Silva ESM, Newcombe JR, Cuervo-Arango J.Oestrogens treatment is often used to induce oestrus behaviour in anoestrous mares to aid in the collection of stallion semen and as recipient mares to receive embryos when combined with progesterone. However, there are no studies to describe the effect of dose and individual mare on the intensity and duration of the response, in both anoestrous and cyclic mares. In Experiment 1, 13 anoestrous mares were treated with one of five doses of oestradiol benzoate (OB) (1, 1.5, 2, 3 and 4 mg) per mare in five consecutive treatment periods (n = 65), to determine the response in terms of endometrial oe...
Dynamics of extracellular vesicle-coupled microRNAs in equine follicular fluid associated with follicle selection and ovulation.
Molecular human reproduction    March 1, 2023   Volume 29, Issue 4 doi: 10.1093/molehr/gaad009
Gebremedhn S, Gad A, Ishak GM, Menjivar NG, Gastal MO, Feugang JM, Prochazka R, Tesfaye D, Gastal EL.Innumerable similarities in reproductive cyclicity and hormonal alterations highlight the considerable utility of the mare to study aspects of follicular dynamics and reproductive function in view of the largely constricted, human research subjects. The bi-directional communication between the growing oocyte and the surrounding somatic cells embodies the hallmark of mammalian follicular development, partially mediated by extracellular vesicles (EVs) encapsulated with microRNAs (miRNAs) and present in the follicular fluid (FF). Here, we aimed to decipher the dynamics of the miRNAs in EVs from e...
The Temporal Associations of B-Mode and Power-Doppler Ultrasonography, and Ovarian Steroid Changes of the Periovulatory Follicle and Corpus Luteum During Luteogenesis and Luteolysis in Jennies.
Journal of equine veterinary science    January 18, 2023   Volume 122 104224 doi: 10.1016/j.jevs.2023.104224
Magalhaes HB, Canisso IF, Dell-Aqua JA.This study aimed to determine the associations between B-mode and Power-doppler ultrasonography and ovarian steroids of the periovulatory follicle and respective corpus luteum (CL) during luteogenesis and luteolysis in jennies. Twenty-four periovulatory follicles/estrus of correspondent one inter-ovulatory interval (n = 12 jennies) were assessed in the study. B-mode ultrasonography and teasing were carried out once day until the detection of a periovulatory follicle (≥28 mm, uterine edema, and signs of estrus). Thereafter, jennies were monitored at 4-hour-intervals by B-mode and Power-dopp...
Computer-assisted assessment of ovarian echotexture parameters in mares following changes after ovulation determined by ultrasonography.
Polish journal of veterinary sciences    January 18, 2023   Volume 25, Issue 4 525-533 doi: 10.24425/pjvs.2022.142040
Akkus T, Korkmaz Ö, Emre B, Zonturlu AK, Yaprakci Ö.This study was carried out to determine the time-dependent changes in the ultrasonographic image of the ovary with computer-assisted analysis programs at certain intervals after ovulation and to determine whether computer-assisted analysis programs and ovulation programs can be managed in cases where the ovulation time is unknown. The study included 40 purebred Arab mares. The study was subdivided into 4 different time periods of 6 (Group 1), 12 (Group 2), 18 (Group 3) and 24 (Group 4) hours following ovulation. In addition, after ovulation and ultrasonographic examination, natural inseminatio...
Proteomic Differences Between the Ovulatory and Anovulatory Sides of the Mare’s Follicular and Oviduct Fluid.
Journal of equine veterinary science    December 30, 2022   Volume 121 104207 doi: 10.1016/j.jevs.2022.104207
Shen Y, Ulaangerel T, Ren H, Davshilt T, Yi M, Li X, Xing J, Du M, Bai D, Dugarjav M, Bou G.The follicular fluid and oviduct fluid play major roles in oocyte maturation, sperm activation, and fertilization. To better understand the physiological environments for equine oocyte maturation and fertilization, here we conducted the proteome analysis and comparison on follicular fluids and oviduct fluids from the ovulatory side and the anovulatory side. The results showed that there is no significant difference between two side oviduct fluids, but a total of 71 differential abundance proteins (DAPs) were identified between two side follicular fluids, of which 9 are up-regulated and 62 are ...
Follicle Selection in Mares as a Model for Illustrating the Many Hormonal and Biochemical Interactions That Drive a Single Physiological Mechanism.
Journal of equine veterinary science    December 22, 2022   Volume 121 104196 doi: 10.1016/j.jevs.2022.104196
Ginther OJ.The mechanism for selection of the future dominant or ovulatory follicle in mares involves a relatively abrupt separation in growth rates between the future dominant follicle and several subordinate follicles and is termed diameter deviation. The event is used to illustrate that a coordinated complex of many follicular, hormonal, and biochemical factors interact and interbalance during a single physiological mechanism. For example, a positive effect of follicle stimulating hormone (FSH) on development of all follicles during the growing phase can later involve a positive effect of luteinizing ...
The effect of dexamethasone and flunixin-meglumine on ovulation, endometrial oedema, and inter-ovulatory interval length in the mare.
Theriogenology    November 28, 2022   Volume 197 57-61 doi: 10.1016/j.theriogenology.2022.11.042
Martínez-Boví R, Plaza-Dávila M, Cuervo-Arango J.The use of flunixin-meglumine (a potent non-steroidal anti-inflammatory drug) during the critical period of intrafollicular prostaglandin production before ovulation (24 and 36 h after hCG treatment) results in a high rate of ovulatory failure and formation of haemorrhagic anovulatory follicles (HAF) in the mare. Dexamethasone is commonly used to prevent persistent mating-induced endometritis in susceptible mares, but the effect on ovulation blockage within the pre-ovulatory critical window of intrafollicular prostaglandins production following hCG administration has not been determined. Six ...
Relationship between estrus endometrial edema and progesterone production in pregnant mares two weeks after ovulation.
BMC veterinary research    November 21, 2022   Volume 18, Issue 1 414 doi: 10.1186/s12917-022-03512-0
Grabowska A, Kozdrowski R.Progesterone plays a crucial role in the maintenance of pregnancy from conception to about 100-120 days of gestation when placenta becomes the main source of gestagens. The aim of the study was to test progesterone concentration 14 days after ovulation in pregnant mares and relate it to peak estral endometrial edema and the presence of intrauterine fluid (IUF) after artificial insemination (AI), the number of treatments against IUF, and the time from AI to the day when the uterus was found free of fluid. Results: Mares were divided into two groups: group A (n = 13; age 10.8 ± 4.5 y...
Metabolic profiling of preovulatory follicular fluid in jennies.
Research in veterinary science    November 3, 2022   Volume 153 127-136 doi: 10.1016/j.rvsc.2022.10.026
Catalán J, Martínez-Rodero I, Yánez-Ortiz I, Mateo-Otero Y, Bragulat AF, Nolis P, Carluccio A, Yeste M, Miró J.Follicular fluid is formed from the transudation of theca and granulosa cells in the growing follicular antrum. Its main function is to provide an optimal intrafollicular microenvironment to modulate oocyte maturation. The aim of this study was to determine the metabolomic profile of preovulatory follicular fluid (PFF) in jennies. For this purpose, PFF was collected from 10 follicles of five jennies in heat. Then, PFF samples were analysed by nuclear magnetic resonance (NMR) and heteronuclear single quantum correlation (2D H/C HSQC). Our study revealed the presence of at least 27 metabolites i...
Equine chorionic gonadotropin administered on day 5 of a 7-days fixed-time artificial insemination program improves ovulation synchrony and corpus luteum function in anestrous beef cows.
Theriogenology    October 17, 2022   Volume 195 62-68 doi: 10.1016/j.theriogenology.2022.10.016
Aragunde Vieytes R, Viñoles Gil C, Gastal GDA, Cavestany D.In order to assess the effect of equine chorionic gonadotropin (eCG) administered on Day 5 or 7 of a fixed-time artificial insemination protocol (FTAI) in anestrous suckled beef cows, two experiments were performed to determine the following endpoints: Experiment 1 (n = 22), preovulatory follicle (POF) diameter, ovulation time, corpus luteum (CL) area, estradiol (E2) and progesterone (P4) concentrations; and Experiment 2 (n = 676), a field trial to evaluate conception rate using the same experimental design. In both experiments, a synchronization protocol using estradiol benzoate (EB) (Day...
The post-ovulatory rise in progesterone is lower and the persistence of oestrous behaviour longer during the first compared with the second cycle of the breeding season in mares.
Reproduction in domestic animals = Zuchthygiene    October 6, 2022   Volume 58, Issue 1 141-145 doi: 10.1111/rda.14273
Newcombe JR, Wilsher S, Cuervo-Arango J.Mares are seasonally polyoestrous breeders. Therefore, the first ovulation of the season, following winter anoestrus, is the only cycle in which mares ovulate without the presence of an old CL from the previous cycle. The objective of this study was to compare the length of oestrous behaviour, and plasma progesterone concentrations during the early post-ovulatory period between mares after the first and second ovulation of the breeding season. Overall, 38 mares and 167 oestrous periods were used in the study. From those, 11 mares were used during the first and subsequent oestrous period to mea...
Endocrine and ovarian responses to combined estradiol benzoate-sulpiride in seasonally anovulatory mares treated with kisspeptin.
Animal reproduction science    September 30, 2022   Volume 247 107087 doi: 10.1016/j.anireprosci.2022.107087
Bailey VN, Sones JL, Camp CM, Gomes VCL, Oberhaus EL.The objective of this experiment was to determine if incorporation of kisspeptin-10 (Kp10) into treatment with estradiol benzoate (EB) and sulpiride to induce early cyclicity would result in greater endocrine responses and a greater number of mares responding with either follicle(s) > 30 mm or ovulation within 25 days of treatment. Eighteen anestrous mares were blocked by breed, body condition, and age before random assignment to treatment or control. All mares received 50 mg EB before receiving osmotic minipumps containing either saline (n = 9) or Kp10 (50 μg/hour; n = 9) one day ...
Ovarian and Uterine Dynamics During the Estrous Cycle in Criollo Breed Mares.
Journal of equine veterinary science    September 29, 2022   Volume 118 104131 doi: 10.1016/j.jevs.2022.104131
Duval LH, Rechsteiner SMF, Gastal GDA, Gastal MO, Mattos RC, Gastal EL.After having been brought to America 400 years ago, the Criollo horse reproduced freely for centuries in the southern part of the American continent. Roughness, resistance, and endurance are typical characteristics of this breed of horses. Although the natural selection that occurred over the centuries may have positively influenced the fertility and longevity of this breed, information regarding ovarian function and other reproductive aspects of Criollo breed mares under natural or controlled management conditions is scarce. The objectives of the present study were to (1) characterize the fol...
The Correlation of Endogenous Progesterone Concentration in Diestrus on Early Pregnancy Rate in Thoroughbred Mares.
Journal of equine veterinary science    September 15, 2022   Volume 118 104127 doi: 10.1016/j.jevs.2022.104127
Hollinshead FK, Mehegan MK, Gunn A, Nett T, Bruemmer JE, Hanlon DW.The aim of this project was to test the hypothesis that progesterone concentration 5 days after ovulation did not differ between pregnant and nonpregnant Thoroughbred mares on stud farms located in the Waikato region of New Zealand. A prospective cohort study was performed involving five stud farms in the Waikato region of New Zealand during the 2018 breeding season. A total of 275 mares were enrolled in the study. Mares were served by 34 individual stallions. Blood samples were taken from each mare 5 days after ovulation (D0) and measured for progesterone concentration. Early pregnancy was co...
Effect of day of estrus cycle at time of transvaginal follicle aspiration for oocyte recovery on rates of in vitro maturation and blastocyst production after intracytoplasmic sperm injection.
Journal of the American Veterinary Medical Association    July 28, 2022   Volume 260, Issue 13 1683-1689 doi: 10.2460/javma.22.06.0240
Walbornn SR, Felix M, Schnobrich MR, Bradecamp EA, Scoggin CF, Stefanovski D, Hinrichs K.To determine the effect of stage of estrus cycle (day after ovulation) at the time of transvaginal ultrasound-guided follicle aspiration (TVA) on parameters related to the success of in vitro equine embryo production. 14 healthy mares were used; 11 completed the study and were included for analysis. Mares underwent TVA of all follicles ≥ 5 mm diameter at each of 3 timepoints: 7 days after ovulation, 14 days after ovulation, and S-DSF (subordinate to a dominant stimulated follicle), during estrus at 24 hours after gonadotropin administration. The 3 treatments were assigned to each mare in ran...
Luteal Tissue Area and Immunoreactive Concentration of Progesterone in Plasma of Bred and Non-bred Mares.
Journal of equine veterinary science    July 10, 2022   Volume 118 104075 doi: 10.1016/j.jevs.2022.104075
Colombo I, Podico G, Rudolf-Vegas A, Bauersachs S, Canisso IF.Progesterone is pivotal to maintain pregnancy in the first trimester and low concentration ( .05). Multiple ovulations were associated with greater progesterone concentration and luteal tissue area (P = .0001). There was a moderate positive association between the number of ovulations and luteal tissue area (r = 0.54; P = .0001). The lack of change in the progesterone concentration and luteal tissue area between bred and non-bred mares suggests that horse seminal plasma does not affect luteal function in mares. As all mares had progesterone above 4 ng/mL after 5-days post-ovulation; it i...
Follicular-fluid proteomics during equine follicle development.
Molecular reproduction and development    June 27, 2022   Volume 89, Issue 7 298-311 doi: 10.1002/mrd.23622
Ishak GM, Feugang JM, Pechanova O, Pechan T, Peterson DG, Willard ST, Ryan PL, Gastal EL.The complex composition of the follicular fluid (FF), the intimate proximity to the oocyte, and the continual changes in their composition have a major effect on folliculogenesis and oogenesis. To date, the profiling of FF proteomes during follicle selection, development, and ovulation has not been comprehensively investigated. Therefore, a shotgun proteomics approach and bioinformatics analyses were used to profile the proteomes of equine FF harvested in vivo from follicles at the following development stages: predeviation (18-20 mm), deviation (22-25 mm), postdeviation (26-29 mm), preo...
The Kisspeptin analogue C6 induces ovulation in jennies.
Theriogenology    June 15, 2022   Volume 189 107-112 doi: 10.1016/j.theriogenology.2022.06.014
Fanelli D, Beltramo M, Conte G, Cerretini B, Lomet D, Rota A, Aucagne V, Camillo F, Panzani D.Kisspeptins (KPs) are the most potent stimulating neurotransmitters of GnRH release, and consequently KP administration triggers LH and/or FSH release. In small ruminants, KP or its analogs induced an LH surge followed by ovulation in both cyclic and acyclic animals, while in the mare KP only increased LH plasma levels but failed to induce ovulation. This study in jennies compares the endocrinological effects, ovulatory and pregnancy rates of the KP analog C6 and the GnRH analog buserelin acetate. The ovarian activity of nine Amiata jennies was monitored daily by transrectal ultrasound for thr...
Emergence and selection of the dominant follicle and gonadotropin dynamics in postpartum lactating versus non-postpartum cycling mares.
Reproductive biology    May 10, 2022   Volume 22, Issue 2 100618 doi: 10.1016/j.repbio.2022.100618
Pastorello M, Gastal MO, Godoi DB, Gastal EL.Among female livestock, the mare has the shortest interval from parturition to first ovulation. Due to the scarcity of research on postpartum mares, little progress has been made on the characterization of the resumption of ovarian cyclicity after parturition. This study compared follicular and gonadotropin dynamics during follicle emergence and deviation in postpartum lactating (PP Lactating) versus non-postpartum cycling (N-PP Cycling) mares. On the day of parturition, every PP Lactating mare was paired with a N-PP Cycling mare. Comparisons were made by considering the partum-ovulation inter...
Suppression of reproductive behaviour and gonadal function in female horses-An update.
Reproduction in domestic animals = Zuchthygiene    May 1, 2022   Volume 57 Suppl 4, Issue Suppl 4 4-12 doi: 10.1111/rda.14129
Aurich C, Kaps M.The behaviour of mares is often detrimental to their performance resulting in frequent demand for methods to suppress gonadal function. In addition, prevention of unintended reproduction especially in feral horse populations may require methods for suppression of gonadal function. Surgical ovariectomy is a safe method but not an acceptable approach in feral mares and undesired in mares where future breeding is considered. There are different approaches for artificial prolongation of the luteal phase resulting in transient inhibition of oestrus and ovulation. Among those, treatment with natural...
Success rate in a clinical equine in vitro embryo production program.
Theriogenology    April 24, 2022   Volume 187 215-218 doi: 10.1016/j.theriogenology.2022.04.019
Claes A, Stout TAE.In vitro embryo production (IVEP) via Ovum Pick-Up (OPU) and Intracytoplasmic Sperm Injection (ICSI) has become a popular breeding technique in Warmblood mares because of the high success rate and several practical advantages. IVEP offers a solution for a variety of reproductive issues including, but not limited to, sub-fertility in stallions or mares, poor quality or scarce frozen semen, difficulty in synchronizing donor and recipient mares, and inefficient use of recipient mares. In 515 OPU-ICSI sessions performed in our facility in 2021, a mean of 25.9 antral follicles were aspirated yield...
Effect of short-term artificial light and transvaginal progesterone device on first ovulation in late transitional mares.
Journal of equine science    April 19, 2022   Volume 33, Issue 1 1-6 doi: 10.1294/jes.33.1
Bianchi CP, Bruno S, Videla Dorna I, Rodríguez E, Aba MA.In study I, plasma progesterone concentrations were evaluated in anoestrous mares that received an intravaginal progesterone release device (IPRD) for 10 days. Mares were divided into 3 groups based on the dosage of progesterone (0 g, n=3; 1.38 g, n=5; and 1.9 g, n=5). No statistical differences were found in plasma progesterone concentrations between the two doses tested. In study II, the effects of a protocol based on a short program of artificial light combined with an IPRD containing 1.38 g of progesterone on oestrous behaviour and onset of ovulation were evaluated. IPRDs were inserted int...
Ovulatory response to GnRH agonist during early and late fall in mares.
Theriogenology    March 15, 2022   Volume 185 140-148 doi: 10.1016/j.theriogenology.2022.03.003
Spencer KM, Podico G, Megahed AA, Jones KL, Bittar JHJ, Canisso IF.This study aimed to assess the ovulatory response of deslorelin acetate during the fall and the response to PGF2α 8 d post-ovulation. One hundred estrous cycles from 22 mares kept in 40° latitude were evaluated. Mares were checked by transrectal ultrasonography until a preovulatory follicle was detected and ovulation induced with deslorelin acetate. Ovulation was confirmed by ultrasonography performed at 24, 36 h post-induction and then repeated at 2-h intervals post-induction. Serum progesterone concentrations and luteal tissue area were determined daily to assess CL function. A dose of P...
No increase in pregnancy rate of mares after preovulatory deep uterine horn application of misoprostol.
Theriogenology    March 14, 2022   Volume 184 132-139 doi: 10.1016/j.theriogenology.2022.03.005
Donatsch L, Friker B, Sieme H, Kaeser R, Burger D.A potential source of fertility loss in mares is oviductal dysfunction, potentially caused by masses or debris in the lumen, that may prevent either sperm from reaching the fertilization site or the embryo from reaching the uterus. Recently a novel therapeutic method leading to increased pregnancy results was described by infusing misoprostol, a synthetic prostaglandin E, in the uterus of mares with unexplained fertility problems. In this study, we aimed, after examining the compatibility of misoprostol with semen, to evaluate the pregnancy rate after routine preovulatory deep uterine horn app...
Dominant follicle and gonadotropin dynamics before ovulation in postpartum lactating mares.
Molecular reproduction and development    January 9, 2022   Volume 89, Issue 2 113-124 doi: 10.1002/mrd.23552
Gastal MO, Pastorello M, Godoi DB, Gastal EL.The aim of this study was to compare the dominant follicle (DF) and gonadotropin dynamics for 9 days before ovulation in postpartum lactating (PP Lactating) versus non-postpartum cycling (N-PP Cycling) mares. Every PP Lactating mare on the day of parturition was paired with a N-PP Cycling mare, and the data analyses considered the partum-ovulation interval (POI) and the postpartum interovulatory interval (PPIOI) in PP Lactating mares and two interovulatory intervals in N-PP Cycling mares. The results of the present study revealed several novel and unique aspects of DF development and FSH and L...
Assessment of anti-Müllerian hormone in mares’ transitional period and in relation to fertility in elderly mares.
Theriogenology    November 30, 2021   Volume 179 97-102 doi: 10.1016/j.theriogenology.2021.11.025
Fouché N, Gerber V, Bruckmaier RM, Erni-Wespi B, Zander Y, Vidondo B, Sieme H, Claes A, Kaeser R, Burger D.Anti-Müllerian Hormone (AMH) has been linked to reproductive tract abnormalities in mares and stallions. This study aimed at evaluating AMH as a biomarker for two reproductive conditions in mares. In the first part of this study, plasma AMH was evaluated as an early indicator of the onset of cyclicity in mares in the transitional period from the anovulatory phase during winter anoestrus to the cyclic phase during the breeding season. Ten mares between 8 and 17 years old were included in the experiment which lasted from mid-February until the end of April. Ovarian activity was monitored with u...
Interrelationship between reproductive hormones and acute phase proteins during estrous cycle and pregnancy in Spanish purebred broodmares.
Veterinary and animal science    October 26, 2021   Volume 14 100212 doi: 10.1016/j.vas.2021.100212
Satué K, Calvo A, Muñoz A, Fazio E, Medica P.In some species, female steroid hormones modify the profile of acute phase proteins (APPs) during the estrous cycle and pregnancy, according to the ovulation, embryonic implantation and placental development; however, nowadays there's no experimental evidence for equine species. Objectives of this study were: to compare the serum amyloid A (SAA), haptoglobin (Hp) and C-reactive protein (CRP) concentrations between cyclic and pregnant mares, and to analyze the influence of estradiol-17β (E) during estrous cycle or estrone sulfate (E) during pregnancy, and progesterone (P) on these proteins to ...
Variables Affecting Veterinary Students’ Ability to Accurately Interpret Ovulation in Live Mare Palpation.
Journal of veterinary medical education    September 27, 2021   Volume 49, Issue 5 618-624 doi: 10.3138/jvme-2021-0031
Fanelli D, Tesi M, Rota A, Panzani D, Camillo F.In a veterinary medicine curriculum, students' hands-on practice is essential but is still considered one of the major deficiencies in veterinary schools in Europe. After theoretical and basic practical training, students, under the control of experienced veterinarians (supervisors), monitored the reproductive cycle of embryo recipients by transrectal palpation and ultrasound. To evaluate the skills of students, the question "Has she ovulated?" was posed when a dominant follicle ≥ 35 mm was recorded in the previous day's examination and a score of 1 or 0 was assigned in the case of a correct...