Progesterone is a steroid hormone produced primarily by the ovaries in mares and plays a significant role in the reproductive system of horses. It is involved in the regulation of the estrous cycle and the maintenance of pregnancy. Progesterone levels fluctuate throughout the reproductive cycle, influencing reproductive behavior and physiology. In veterinary medicine, measuring progesterone levels can aid in diagnosing reproductive conditions and managing breeding programs. This page compiles peer-reviewed research studies and scholarly articles that explore the production, regulation, and clinical applications of progesterone in equine reproductive health.
Oxender WD, Noden PA, Hafs HD.The luteolytic effect of PGF2alpha, administered by intrauterine infusion or subcutaneous injection during early dioestrus, was observed in mares of mixed breeds. An infusion of 10 mg on Days 7 to 9 after ovulation caused a sharp fall in plasma progesterone levels and induced oestrus and ovulation. Oestrus was significantly longer than in the natural cycle but the time of ovulation in relation to the end of oestrus was normal. The time of return to oestrus following luteolysis was not dependent on the amount of PGF2alpha within the range of doses given. Luteolysis could be induced as early as ...
Kenney RM, Ganjam VK, Cooper WL, Lauderdale JW.Seventy-three Standardbred and Thoroughbred mares in clinical anoestrus during the breeding season were treated with PGF2alpha. The mares were divided into four categories; foaling, barren, maiden and unknown. The response was consistent in all groups. Mares at Days 2 to 4 of dioestrus showed no decrease in plasma progesterone levels, and those at Days 6 to 8 showed a return of progesterone to baseline levels (less than 1 ng/ml) in 24 to 48 hr after treatment. Plasma progesterone levels returned to basal levels in 24 to 48 hr in 93% of mares; progesterone levels had not changed by 96 hr in 7% ...
Plotka ED, Foley CW, Witherspoon DM, Schmoller GC, Goetsch DD.Concentrations of progesterone and estrogen were measured in peripheral blood plasma samples from mares around the time of ovulation. Samples were collected every 2 hours from 36 hours before, to 26 hours after, ovulation and assayed by radioimmunoassay. Progesterone concentrations were between 60 and 100 pg/ml for the period 24 hours before ovulation through 8 hours after ovulation. By 10 hours after ovulation, concentrations increased to 140 pg/ml and, by 26 hours after ovulation, reached 346 pg/ml. Plasma estrogen concentrations did not change significantly throughout the same period.
Stickle RL, Erb RE, Fessler JF, Runnels LJ.Unilateral ovariectomy was performed on 3 mares affected with granulosa cell tumors. Tumor fluid in each mare was found to contain estrogen, testosterone, and progesterone. In 2 mares, preoperative blood plasma concentrations of these hormones were comparable to those of a series of clinically normal mares. The other mare, which had a history of aggressive, masculine behavior, had higher testosterone content in the tumor fluid and in the preoperative blood sample. After surgical removal of the tumors, each mare developed follicles and ovulated with the remaining ovary. Each was eventually bred...
Holtan DW, Nett TM, Estergreen VL.Jugular vein plasma from 13 mares was extracted with diethyl ether and chromatographed on Sephadex LH-20 columns (.5 × 9 cm) after which progesterone and 17α-hydroxyprogesterone (170HP) were quantified by a competitive protein binding radioassay. During pregnancy, progesterone increased (P < .05) from 1.1 ± .4 ng/ml (mean ± SE) on day 0 to 7.5 ± 1.2 ng/ml on day 8 followed by a transient (nonsignificant) decrease to 4.8 ± .4 ng/ml on day 28. From days 28 to 44 progesterone again increased (P < .05) attaining a maximum concentration of 15.2 ± 1.4 ng/ml on day 64. Thereafter progesterone ...
Douglas RH, Ginther OJ.Nine groups of pony mares (3/group) were used in a 3 times 3 factorial experiment. The factors were dose of PGF-2 alpha (0, 0.25 of 1.25 mg and route of administration (im, iu or il). Mares were laparotomized and treated on day 7 postovulation. Jugular blood was collected for progesterone RIA at 0 (pretreatment) and 1,6,12,24,48, and 72 hr posttreatment. In mares given either 0.25 mg or 1.25 mg PGF-2alpha, progesterone concentrations were not significantly different among the three routes at any of the posttreatment times studied except at 6 hr posttreatment. In mares given 0.25 mg, progestero...
Stabenfeldt GH, Hughes JP, Wheat JD, Evans JW, Kennedy PC, Cupps PT.The effect of hysterectomy on ovarian activity was studied
in four mares. The cyclic secretion pattern of plasma progestins normally
observed in the intact mare was interrupted by hysterectomy. Follicular
activity was observed in all four hysterectomized mares, in spite of pro-
longed luteal activity, with a large number of follicles attaining ovulatory
size without the occurrence of ovulation. Some ovulations were observed
at irregular intervals in two out of four hysterectomized mares in spite
of plasma progestin levels which ranged from 2 to 6 ng/ml. While all
ovulations which occur...
Smith ID.Progesterone concentration was measured by a protein-binding assay in peripheral plasma samples taken from 8 thoroughbred mares throughout pregnancy and for 2 days after parturition. There were considerable differences between individuals at any one time in gestation but, on average, levels rose during the first 60 days of gestation, fell to a minimum at about 180 days when the accessory corpora lutea regress and finally reached their highest mean value of 11.5 mg/ml±1.2 (S.E.M.) during the period 270 days to term, significantly higher than the mean, 7.6 ng/ml±0.5 (S.E.M) for the whole of ge...
van Niekerk CH, Morgenthal JC, Sanders CP, Malan JE.Progesterone concentrations were assayed by a competitive protein-binding technique
in peripheral plasma samples collected twice
daily during four oestrous cycles of three
mares, and once a day during the first seven
weeks of pregnancy in four mares. Large
variations were found in progesterone levels
between morning and evening samples on the
same day in the same mare.
The lowest progesterone concentration
was found about the time of ovulation. Within 24 hours after ovulation the progesterone
concentration increased and two peaks, one
at 5 days and another at 8 days, were found.
Be...
Loy RG, Swan SM.Progesterone in oil solution injected into mares intramuscularly in midcycle blocked estrus and ovulation at levels of 100 mg. per day or higher. Fifty milligrams per day prevented estrus but not ovulation. The interval from end of treatment to estrus appeared to depend upon dosage, and the effects on subsequent cyclic patterns were confounded by season of the year. Neither 50 nor 100 mg. per day stopped estrus or blocked ovulation when treatment was started on day 1 of estrus. Injection of 100 mg. per day of progesterone in oil delayed postpartum estrus and ovulation, but 50 mg. per day did n...
Channing CP.OUR knowledge of the pathways of steroid biosynthesis in the ovary has been gained mainly by incubations of ovaries in vitro1,2. The tissues incubated have contained numerous cell types: granulosa cells, theca interna cells, stromal cells, interstitial cells, and sometimes luteal cells. Possibly such mixtures of two or more different cell types are able to secrete hormones that one cell type cannot secrete by itself3–9. Furthermore, during such incubations in vitro an exchange of precursors and products between different cell types may be facilitated because of breakdown of naturally occurri...
SHORT RV.Progesterone levels have been measured in the peripheral blood of pregnant and non-pregnant
mares, and in umbilical cord blood collected during foaling. It was found that progesterone was
readily detectable in the blood of pregnant and non-pregnant animals provided that there was a
fully developed corpus luteum present in the ovaries. During the second half of gestation, when
the ovaries have become fibrotic, progesterone was no longer detectable in the peripheral blood,
even though it was present in high concentrations in umbilical cord blood.
The reasons for this apparent disappearance...
Nett TM, Pickett BW.Two studies were conducted to determine the relationship between LH and progesterone and between PMSG and progesterone during pregnancy in mares. In the first, samples of jugular blood were collected daily from 7 mares from the first day of oestrus until Day 28 of pregnancy, and in the second, samples were collected weekly from 14 mares from Day 35 of gestation until parturition. In an attempt to prolong secretion of progesterone from accessory corpora lutea, 7 of these 14 mares were injected with increasing doses (2--10 mg) of diethylstilboestrol (DES) between Days 84 and 142 of gestation. Th...
Dören M.17 beta-estradiol, conjugated equine estrogens, esterified estrogens, and estriol constitute postmenopausal replacement therapy, all of which are in clinical use as oral preparations. Non-oral routes--matrix and reservoir patches, gel--were developed for estradiol, as was the intravaginal administration of estriol and estradiol. Daily doses of 1 mg estradiol(valerate) or 25 micrograms estradiol delivered via a patch or 0.5 mg gel or 0.3 mg conjugated equine estrogens are often sufficient to alleviate climacteric symptoms. Bone resorption may be effectively reduced and bone mineral density main...
Shand N, Irvine CH, Turner JE, Alexander SL.Jugular blood samples were collected at 4 h intervals from six mares during an oestrous cycle to study the hormonal events that occur around the time of luteolysis. Blood samples from day 10 (day 0 = ovulation) until day 3 of oestrus were assayed for prostaglandin metabolite 13,14-dihydro-15-keto PGF2alpha (PGFM), oxytocin, prolactin, progesterone and oestrogen conjugates. PGF2alpha (0.5 or 1.5 mg) was administered to six mid-dioestrous mares and the oxytocin and prolactin responses were measured. One to five large (peak > or =2 x nadir) pulses of PGFM, oxytocin and prolactin were detected ...
van Niekerk CH, Morgenthal JC, Sanders CP, Malan JE.Progesterone concentrations were assayed by a competitive protein-binding technique
in peripheral plasma samples collected twice
daily during four oestrous cycles of three
mares, and once a day during the first seven
weeks of pregnancy in four mares. Large
variations were found in progesterone levels
between morning and evening samples on the
same day in the same mare.
The lowest progesterone concentration
was found about the time of ovulation. Within 24 hours after ovulation the progesterone
concentration increased and two peaks, one
at 5 days and another at 8 days, were found.
Be...
Hinrichs K, Riera FL, Klunder LR.Embryo transfer was performed in three mares with gonadal dysgenesis. Karyotypes of the mares were as follows: Mare 1, 63,XX, 64,XX, 65,XX; Mare 2, 63,X; and Mare 3, 65,XXX. The mares were administered progesterone in oil, 300 mg intramuscularly daily, starting 1 or 2 days after donor mare ovulation. Embryos were transferred on day 7 after donor ovulation. Mare 1 became pregnant after the first embryo transfer and had a normally developing fetus on necropsy on day 45 of gestation. Mare 3 became pregnant after the third embryo transfer, but the embryo was lost between day 14 and day 18 of gesta...
Viljanto M, Kaabia Z, Taylor P, Hincks P, Muir T, Habershon-Butcher J, Bailly-Chouriberry L, Scarth J.Boldenone is an anabolic-androgenic steroid (AAS) that is prohibited in equine sports. However, in certain situations, it is endogenous, potentially formed by the microbes in urine. An approach to the differentiation based on the detection of the biomarkers Δ1-progesterone, 20(S)-hydroxy-Δ1-progesterone and 20(S)-hydroxyprogesterone was assessed, and their concentrations were monitored in the urine of untreated female horses (n = 291) alongside boldenone, boldienone, testosterone and androstenedione. Using an ultra-sensitive analytical method, boldenone (256 ± 236 pg/mL, n = 2...
Chavatte-Palmer P, Duchamp G, Palmer E, Ousey JC, Rossdale PD, Lombès M.Progesterone, oestrogen and glucocorticoid receptor concentrations in the uterus and mammary glands of pregnant mares during mid- to late gestation (from day 150 of gestation to term) were measured by binding assays to investigate the hormonal mechanisms involved in pregnancy maintenance and lactation. Uterine progesterone receptor concentrations did not increase significantly with increasing gestational age (from 67.8 +/- 13.7 to 126.1 +/- 48.7fmol mg(-1) protein), whereas oestrogen receptor concentrations were significantly higher in pregnant mares (271.7 +/- 28.9 fmol mg(-1) protein) than i...
Fanhani GG, Cavalieri FLB, Andreazzi MA, da Silva CI, Andreazzi KC, Pereira LDC, Emanuelli IP, Dos Santos JMG, Moreski DAB, Colombo AHB, Morotti F....The aim of this study was to evaluate follicular dynamics and ovum pick-up (OPU) efficacy in untreated mares or mares treated with an intravaginal progesterone (P4) device during seasonal anestrus (acyclic) and during the breeding season (cyclic). Six mares (mean age = 5 years), were recruited into an ovum pick-up scheme that was performed every 14 days with and without the P4 device, during the acyclic and cyclic phases. Aspirations amounted to seven procedures with or without the P4 device during each phase. Five ultrasound assessments were performed at each interval between the OPUs. Data...
Magalhaes HB, Dell'Aqua JA, Canisso IF.This study assessed luteolysis and side effects in jennies receiving standard horse-recommended doses of cloprostenol and dinoprost. Sixteen cycles of eight jennies were randomly assigned in a sequential crossover design to receive dinoprost (5 mg, i.m.) and cloprostenol (0.25 mg, i.m.) at 5-d post-ovulation. B-mode and Doppler ultrasonography were employed to assess luteal tissue size and blood flow before (-15 min and 0h) and after (0.5, 1, 2, 3, 4, 5, 6, 7, 8, 12, 24, and 48h) administering PGF. Immunoreactive progesterone concentrations were assayed at similar timepoints via RIA. Side effe...
Delchiaro SB, Oliveira PVLF, Júnior RJP, Gonçalves GD, Morotti F, Seneda MM.Mares (n = 77) were evaluated by antral follicle count (AFC) and selected as embryo recipients. Cyclic recipients received embryos between days 4-6 after ovulation. The acyclic recipients received an intramuscular (i.m.) protocol with 5mg of estradiol benzoate (EB) on the day of donor ovulation (D0; D-4 recipient), 3mg of EB on the following day (D1; D-3 recipient), and 3mg of EB (D2; D-2 recipient). Furthermore, 1500mg of progesterone (P4) i.m. given on D0 of the recipient (D4 donor) followed by 1500mg of P4 on the day of ET (D4-6 recipient). On the ET day, the AFC and animals' weight, body c...
Fuentes F, Contreras MJ, Arroyo-Salvo C, Cabrera P P, Silva M, Merino O, Arias ME, Felmer R.Although under appropriate laboratory conditions, sperm from different mammalian species can be capacitated in vitro, the optimal conditions for sperm capacitation in the stallion have been elusive. This study evaluated the effect of different capacitating inducers in Whitten and Tyrode media and assessed their impact on capacitation-related factors. Stallion sperm were incubated with different combinations of capacitating inducers at 38.5 °C in an air atmosphere. Sperm quality variables such as motility, mitochondrial membrane potential, and lipid peroxidation were assessed. Membrane fluidi...
Martínez-Boví R, Gaber JTH, Sala-Ayala L, Plaza-Dávila M, Cuervo-Arango J.The effect of embryo reinsertion immediately after embryo flushing was studied. In Experiment 1, eight mares were used during 32 cycles (8 cycles in each group). For the first two groups, inseminated mares were flushed 8 days after ovulation and prostaglandin F2α was not administered: in group EF-ET (embryo flushing and embryo transfer) the embryo was reinserted in the same donor mare, while in the EF group, no further procedure was performed. In the third group (ET), non-inseminated mares (recipients) received a Day 8 embryo. Progesterone concentration was measured before EF/ET and 72 h afte...
Khan Y, El-Shalofy A, Kaps M, Gautier C, Aurich C.We aimed to determine associations between experimentally impaired uterine clearance or treatment with ecbolic drugs on luteal development in estrous mares after insemination. In a crossover design, eight mares were treated with saline (CON), clenbuterol (CLEN), oxytocin (OXY) and carbetocin (CARB) from the day of first insemination until 2 days after ovulation. Between treatments, the mares rested for one cycle. Estrous mares were examined for the presence of free intrauterine fluid by transrectal ultrasound. Endometrial swabs for cytology and bacteriology were collected on days 1 and 14. Blo...
Alkhadrawy JMH, Aboelmaaty AM, Abou-Ahmed MM, Ghallab AM.Commercial embryo flushing of horses has required hormonal management of both the donor and recipient mares throughout the breeding season. Unassigned: This study aimed to find out the effect of using human chorionic gonadotropin (hCG) and prostaglandin F2α (PG) on the ovarian and uterine dynamics and hemodynamics, estradiol (E2), progesterone, oxidants-antioxidants, and blood biochemicals in embryo donor mares during the hottest months of the year in a subtropical climate. Unassigned: Three Control estrous cycles of native mares (10-20 years; = 10) followed by two treated cycles with hCG an...
Muñoz-García CC, Luis-Calero M, Fernández-Hernández P, Pizarro-Hernández A, Fernández-González R, Gutiérrez-Adán A, Sánchez-Calabuig MJ....The present study aimed to evaluate whether primed anoestrus mares are suitable recipients for embryos produced by intracytoplasmic sperm injection (ICSI). Anoestrus was confirmed in four mares and daily doses of oestradiol benzoate (6 mg in total) over 5 days were administered; after 3 days of rest, oral altrenogest was administered at 0.088 mg/kg and embryos (1 to 5 embryos per mare; 15 in total) were transferred 3.5 days after progesterone onset. Uterine lavage was conducted 48 h after transfer. The results revealed an 80% embryo recovery rate, and among the retrieved embryos, 6...
Aboelmaaty AM, Elgharieb AEA, El-Debaky HA, Alkhadrawy JMH, Abou-Ahmed MM, Ghallab AM.Senility influences fertility in women and companion animals, especially horses. Unassigned: This study aimed to investigate the effect of aging in horses on the daily changes in the dominant follicle (DF) dynamics and hemodynamics, antimüllerian hormone (AMH), enzymes, antioxidants, and ovarian hormones during the estrous cycle. Unassigned: Ovaries of old mares ( = 5, age >20 years) and young native mares ( = 6, age <10 years) were scanned during 6 different estrous cycles from March 2022 to August 2023 with Doppler ultrasound. The DF diameter and color area, the corpus luteum (CL) dia...
Cui B, Liu Y, Wu X, Li X.The objective of this study was to evaluate the effects of exogenous GnRH administration at the beginning of estrus synchronisation in mares during the spring transitional period. Estrus was synchronised using a progesterone releasing intravaginal device (PRID). The PRID was left in the vagina for 10 days, followed by an injection of 0.4 mg of cloprostenol at PRID removal. The GnRH group (n = 32) was subjected to intramuscular administration of 100 μg of the GnRH agonist triptorelin at PRID insertion, while the control group (n = 32) received 1 mL of sterile physiological sali...
Gaber JTH, Cuervo-Arango J, Plaza-Dávila M, Martínez-Boví R.This experiment was performed to evaluate whether intrafollicular treatment of PGE2 or PGF2α administered in early estrus would induce normal ovulation, progesterone production (Experiment 1) and pregnancy (Experiment 2). In Experiment 1, mares in estrus after 2 days of endometrial edema were injected in all largest dominant follicles (28-35 mm in diameter) with 0.5 mL of sterile water containing 500 μg PGE2 (n = 6), 125 μg PGF2α (n = 6) or placebo (n = 7) (Hour 0). Ultrasound examinations were performed daily, until ovulation or anovulation was detected, and daily blood samples ...
Dubeibe-Marin DF, Borraez DF, Gomez-López DL, Velasco-Acosta DA.This study evaluated the effect of the presence and location of the corpus luteum (CL) on quantity and competence of equine cumulus-oocyte complexes (COCs). Pairs of ovaries were collected at the slaughterhouse and classified into three groups: ovaries with CL (CL+); ovaries with CL in the contralateral ovary (CL-) and ovaries without a CL (NCL). Were evaluated COC quantity, morphology, nuclear maturation rate, and intrafollicular progesterone concentration and gene expression (BAX, BMP-15, ODC1, GDF9, AURKA) in both cumulus cells and oocytes after in vitro maturation. Results showed a lower r...
Hedia M, Leroy JLMR, Loomans S, Benedetti C, Angel-Velez D, Chiers K, Govaere J, Van Soom A, Smits K.Lipopolysaccharide (LPS) in follicular fluid impairs steroid production and oocyte developmental competence in cows and mice. This study assessed LPS concentrations in equine follicular fluid and their association with steroid and some cytokine levels. Additionally, we evaluated whether LPS exposure during in vitro maturation (IVM) affects equine oocyte developmental competence. In experiment 1, follicular fluid from large follicles (>30 mm in diameter) was collected from 16 slaughterhouse mares, and concentrations of LPS, estradiol, progesterone, TNF-α, and IL-6 were measured. In experiment...
de Lara NSS, Weiss RR, Oba E, Kozicki LE, Souza FA, Bergstein-Galan TG, Muehlbauer E, Silvestri M, de Lima PHL, Vaz ES.In equine reproduction, determining foetal sex is of economic and strategic importance, but currently available methods are often invasive, costly, or require specialised expertise. This study aimed to assess whether plasma progesterone concentrations could serve as a predictive tool for foetal sex determination in Criollo mares between the 4th and 8th months of gestation and to determine whether these measurements could identify foetal sex. Blood samples were collected at 30-day intervals from 17 Crioula mares between 114 days and 240 days of gestation. Maternal plasma progesterone concen...
Khan Y, Gautier C, Aurich C, El-Shalofy A.Letrozole is a potent and highly selective third-generation aromatase inhibitor. In the present study, we aimed to investigate the effects of letrozole treatment of non-pregnant mares on estrous cycle characteristics. Cyclic, non-lactating mares (n = 9) were included. After estrus synchronization, mares were monitored to detect ovulation (d0:) of the treatment cycle. Each three mares were randomly assigned to one of three treatments: control, 0.5, and 1 mg/kg body weight letrozole in three consecutive cycles (d7 to d13 of the treatment cycle). Mares were inseminated in the estrus after trea...
Feijo LS, Ledeck J, Wolfsdorf K, Ponthier J, Parry S, Felippe MJB.Associations between the immune and endocrine systems during equine pregnancy remain poorly understood. Based on the hypothesis that distinct phases of the equine healthy gestation are characterized by specific associations between circulating immunological and hormonal parameters, contributing to pregnancy maintenance, this investigation aimed to: (i) evaluate how circulating immunological and hormonal parameters change across different phases of pregnancy; (ii) investigate associations between changes in circulating immunological and hormonal parameters; and (iii) propose potential hormonal ...
Sala-Ayala L, Cuervo-Arango J, Martínez Boví R.Endometrial edema is an ultrasonographic sign of estrus in mares and is positively associated with fertility. This study aimed to evaluate the influence of follicular size, systemic progesterone (P4), and exogenous estradiol benzoate (EB) on the onset and duration of endometrial edema. In Experiment 1, anestrus (n = 4) and diestrus mares (n = 4) received 4 mg of EB intramuscularly; edema scores and plasma P4 were monitored over four days. In a complementary group (n = 5), mares were monitored until ovulation, then administered 4 mg of EB and examined every 12 h for 48 h. In Experimen...
Pinto-Bravo P, Rebordão MR, Amaral AS, Szóstek-Mioduchowska A, Fernandes C, Galvão AM, Silva E, Alpoim-Moreira J, da Costa RPR, Skarzynski DJ....Oviduct glycoprotein 1 (OVGP1) is a key protein involved in oviductal functions. β-estradiol (E) and progesterone (P), oxytocin (OXT) and tumor necrosis factor-α (TNFα) modulate the equine oviduct function, through prostaglandin regulation. The objective was to evaluate OVGP1 expression within each equine oviduct segment (infundibulum, ampulla isthmus), throughout the estrous cycle. The in vitro effect of (i) E, P, OXT, TNFα; and (ii) spermatozoa, on oviduct OVGP1 transcription and secretion was studied. Gene transcription was assessed by real-time PCR; protein expression by western blot; ...
Profaska M, Zarzycka M, Dubniewicz K, Witkowski M, Wieczorek J, Gil D, Wafula S, Lanh DK, Kotula-Balak M.Mare endometrosis remains a poorly understood pathological process. Objective: Mare endometrial tissue with endometrosis was used to determine the effects of relaxin (RLX). Healthy tissues that were left untreated (H), or treated with vehicle (Hveh), and tissues with endometrosis that were left untreated (E), treated with vehicle (Eveh), and treated with RLX (10, 25, 50 nM; ER) were used for an ex vivo system for 72 h. Methods: Tissue histological examination, and immunoenzymatic measurement of the concentrations of transforming growth factor β (TGF-β), interleukins (IL-6 and IL-8), and pr...
Newcombe JR, Claes AN, Cuervo-Arango J.Early embryonic loss (EEL), particularly between Days 14 and 42 of pregnancy, remains a key concern in equine reproduction. This study investigates the incidence of spontaneous luteolysis-used here as a marker of maternal recognition of pregnancy (MRP) failure-in both pregnant Thoroughbred (TB) broodmares and recipient mares carrying either in vivo-derived (IVD) or in vitro-produced (IVP) embryos. Retrospective reproductive data from 2078 pregnancies in TB and 532 pregnancies in recipients were analysed to determine the incidence and characteristics of clinical luteolysis during pregnancy. Ove...
