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Topic:Stallion

Stallions are adult male horses that have not been gelded and are often used for breeding purposes. They exhibit distinct behavioral and physiological characteristics compared to mares and geldings. Stallions are known for their strong musculature, prominent neck, and often more pronounced mane and tail. Their behavior can be more aggressive and territorial, especially during the breeding season, as they naturally compete for mating opportunities. This topic explores the anatomy, behavior, and management practices specific to stallions, as well as their role in equine reproduction. The page provides access to peer-reviewed research studies and scholarly articles that investigate various aspects of stallion health, fertility, and behavior, contributing to the understanding and management of these horses in equine science.
The relationship between post-thaw sperm quality parameters and blastocyst production following Intracytoplasmic Sperm Injection (ICSI) of in vitro-matured equine oocytes.
Theriogenology    May 20, 2025   Volume 244 117500 doi: 10.1016/j.theriogenology.2025.117500
Hernández-Avilés C, Ramírez-Agámez L, Love CC.In vitro production of equine embryos by Intracytoplasmic Sperm Injection (ICSI) is commonly utilized to maximize the availability of stallion sperm, particularly from stallions with limited semen supply. The relationship between standard measures of sperm quality in frozen/thawed semen (i.e., sperm motility, normal morphology, DNA quality) and embryo production after ICSI of in vitro-matured equine oocytes has not been thoroughly studied. In this study, frozen/thawed semen from 47 stallions utilized in a commercial ICSI program was analyzed for post-thaw sperm total and progressive motility (...
In vitro embryo production via ovum pick-up (OPU) and intracytoplasmic sperm injection (ICSI) in pure and crossbred Japanese Hokkaido native ponies.
The Journal of reproduction and development    May 10, 2025   Volume 71, Issue 3 191-194 doi: 10.1262/jrd.2025-011
Hannan MA, Watanabe H, Takeyama A, Yoshida S, Wudamu D, Lkhagvasuren N, Claes A, Stout TAE, Cheong SH, Haneda S, Nambo Y.This study evaluated the viability of in vitro embryo production using ovum pick-up (OPU) and intracytoplasmic sperm injection (ICSI) as breeding techniques for pure and crossbred Hokkaido native ponies (n = 9). Oocytes were collected using transvaginal ultrasound-guided follicle aspiration. ICSI was performed on in vitro matured oocytes using frozen semen. Embryonic cultures were monitored using time-lapse cinematography. Blastocysts were cryopreserved and, after thawing, were transferred non-surgically into recipient mares. Over nine OPU sessions, the mean number of aspirated follicles was 2...
Enhanced Reliability of the Evaluation of Fertility Traits in Pura Raza Española Horses Using Single-Step Genomic Best Linear Unbiased Prediction.
Genes    May 9, 2025   Volume 16, Issue 5 562 doi: 10.3390/genes16050562
Ziadi C, Valera M, Laseca N, Perdomo-González D, Demyda-Peyrás S, de Los Terreros AR, Molina A. By simultaneously integrating both genotyped and non-genotyped animals into genetic evaluation, the single-step genomic BLUP method enhanced the accuracy of genetic assessments. This study aimed to compare the increase in prediction reliability (R) between restricted maximum likelihood (REML) and single-step genomic REML (ssGREML) in the Pura Raza Española (PRE) horse breed. The dataset comprised reproductive records for seven fertility traits from 47,502 females, with a total of 57,316 animals represented in the pedigree. A total of 4009 animals were genotyped using the EQUIGENE 90K SNP ar...
Molecular assessment of Coxiella burnetii in horses in Northwestern Iran.
Iranian journal of microbiology    May 8, 2025   Volume 17, Issue 2 287-292 doi: 10.18502/ijm.v17i2.18389
Hosseinzadeh S, Nofouzi K, Hasanzadeh F, Esmaeili S, Ayen E.Q fever is a frequently occurring illness that is induced by the bacterium ) that can infect humans and various animals. It targets the macrophage cells in the tissues, and circulating monocytes. Unassigned: This study was conducted between 2022 and 2023 in the West Azerbaijan and Ardabil provinces of northwestern Iran to examine the presence infection of . Specimens were obtained by swabbing from 140 mares (70 from each province) and 20 stallions (10 from each province) which were apparently healthy, and their DNA was analyzed using quantitative PCR assay detecting the element of the bacteri...
Molecular assessment of Coxiella burnetii in horses in Northwestern Iran.
Iranian journal of microbiology    May 8, 2025   Volume 17, Issue 2 287-292 doi: 10.18502/ijm.v17i2.18389
Hosseinzadeh S, Nofouzi K, Hasanzadeh F, Esmaeili S, Ayen E.Q fever is a frequently occurring illness that is induced by the bacterium ) that can infect humans and various animals. It targets the macrophage cells in the tissues, and circulating monocytes. Unassigned: This study was conducted between 2022 and 2023 in the West Azerbaijan and Ardabil provinces of northwestern Iran to examine the presence infection of . Specimens were obtained by swabbing from 140 mares (70 from each province) and 20 stallions (10 from each province) which were apparently healthy, and their DNA was analyzed using quantitative PCR assay detecting the element of the bacteri...
Sperm Vitrification in Horse and Donkey.
Methods in molecular biology (Clifton, N.J.)    April 9, 2025   Volume 2897 137-145 doi: 10.1007/978-1-0716-4406-5_9
Hidalgo M, Ortiz I.Sperm vitrification is a novel-assisted reproductive technique that is increasingly gaining relevance in the last years. This technique allows to cryopreserve sperm from valuable stallions and donkeys without the exposure to permeable cryoprotectants, particularly toxic for the gametes of these species.This chapter aims to describe the current range of methodologies available that are key to ensure sperm quality after vitrification and warming of stallion and donkey sperm.
Cryopreservation of Horse Sperm.
Methods in molecular biology (Clifton, N.J.)    April 9, 2025   Volume 2897 193-206 doi: 10.1007/978-1-0716-4406-5_14
Miró J, Martínez-Rodero I, Yeste M, Catalán J.Cryopreservation is currently the only strategy for long-term conservation of equine sperm. To get optimal post-thaw sperm survival, carefully following each step of the freezing protocol is crucial. First, one needs to obtain and exhaustively analyze an ejaculate of good sperm quality. Then, the seminal plasma is removed by centrifugation, and the resulting pellet is resuspended in a certain volume of the freezing medium to reach the right sperm concentration. Finally, sperm samples are packaged into 0.5-mL straws, cooled, and frozen using an automatic, controlled-rate freezer. Once the tempe...
Effect of pre-freeze sperm concentration, freezing extender, and epididymal flushing technique on post-thaw quality of cryopreserved epididymal stallion sperm.
Theriogenology    March 31, 2025   Volume 241 117418 doi: 10.1016/j.theriogenology.2025.117418
Spacek SG, Hernández-Avilés C, Ramírez-Agámez L, Pearson M, Love CC.Cryopreservation of stallion epididymal sperm has become a common clinical procedure after routine castration, euthanasia, or acute death. Unique features of epididymal sperm compared to ejaculated sperm include the requirement to remove sperm from the cauda epididymis, lack of exposure to seminal plasma, and potential recovery of large sperm numbers. In this study, the effect of the flushing technique (Extender (INRA) vs. AIR), freezing extender (LE, CMLE, MFR5, CFR5, or BOTU), and the concentration at which sperm are cryopreserved (200, 400, or 800 × 10 sperm/mL) on post-thaw epididymal s...
Sperm Motility Evaluation in Stallion Fresh, Cooled and Frozen Semen Using a Portable Computer-Assisted Sperm Analysis System.
Reproduction in domestic animals = Zuchthygiene    March 20, 2025   Volume 60, Issue 3 e70052 doi: 10.1111/rda.70052
Brito LFC.Semen analysis is an important laboratory diagnostic test for stallions. Evaluation of sperm motility is integral to basic semen analysis and results are important for breeding management and clinical practice. Computer-assisted sperm analysis (CASA) allows objective sperm motility evaluation and increases analytical precision. The objective of the present study was to validate a portable CASA system (AndroScope). Fresh/cooled semen samples (33 ejaculates, 18 stallions) and frozen semen (40 ejaculates and one epididymal flush, 27 stallions) were evaluated using the AndroScope and the IVOS II C...
Cryoprotective effect of zinc and gold nanoparticles during cooling and freeze-thawing on Marwari stallion sperm parameters and reactive oxygen species production.
Cryo letters    March 16, 2025   Volume 45, Issue 6 361-369 
Sultan T, Chaudhary AK, Mehta JS, Mehra R, Manuja A, Talluri TR, Bhattacharya TK.Sperm cryopreservation is one of the most important procedures in the development of biotechnologies for assisted reproduction. Cryopreservation of stallion spermatozoa tends to cause plasma membrane damage due to the low ratio of cholesterol to phospholipids. Different substances and compounds can be added to semen extenders to improve sperm quality. Objective: To investigate the effect of supplementing semen extender with zinc nanoparticles (ZnONPs) and gold nanoparticles (AuNPs) on cooled and frozen-thawed spermatozoa of Marwari stallion. Methods: A total of 20 ejaculates from four Marwari ...
Equine in vitro fertilization with frozen-thawed semen is associated with shortened pre-incubation time and modified capacitation-related changes.
Biology of reproduction    March 9, 2025   ioaf043 doi: 10.1093/biolre/ioaf043
Felix MR, Dobbie T, Woodward E, Linardi R, Okada C, Santos R, Hinrichs K.We recently reported successful equine IVF using fresh semen pre-incubated for a prolonged period (22 h) before co-culture with oocytes. In this study, we evaluated the feasibility of equine IVF with frozen-thawed sperm and evaluated capacitation-related changes in these sperm over the pre-incubation period. Sperm selected via a commercial sperm separation device (SSD) yielded significantly higher fertilization than did sperm selected by swim-up or by colloid centrifugation. Using the SSD method, fertilization rates with sperm pre-incubated for 15 min, 3 h, 6 h, and 9 h were 7.1, 22.2, 38...
Strategic approaches to improve equine breeding and stud farm outcomes.
Veterinary world    February 13, 2025   Volume 18, Issue 2 311-328 doi: 10.14202/vetworld.2025.311-328
Khan IU, Khairullah AR, Khan AY, Rehman AU, Mustofa I.This review explores advanced strategies for enhancing fertility and optimizing reproductive outcomes in equine breeding programs. Horses, being seasonal breeders, present unique reproductive challenges influenced by environmental and physiological factors such as photoperiods, hormone cycles, and aging. Key approaches discussed include hormonal therapies, artificial light manipulation, and nutritional supplementation to improve ovulation and conception rates during the breeding season. Specific hormones such as gonadotropin-releasing hormone analogs, equine follicle-stimulating hormone, and p...
Gait kinematics at trot before and after repeated ridden exercise tests in young Friesian stallions during a fatiguing 10-week training program.
Frontiers in veterinary science    February 10, 2025   Volume 12 1456424 doi: 10.3389/fvets.2025.1456424
Siegers EW, Parmentier JIM, Sloet van Oldruitenborgh-Oosterbaan MM, Munsters CCBM, Serra Bragança FM.Appropriate training is essential for equine athletes to improve fitness and ensure welfare. Young Friesian stallions must complete a 10-week training program for acceptance as breeding stallions. Earlier, this training program was demonstrated to induce overtraining. Unassigned: To evaluate how this training program affects stallions' trot locomotion variables in relation to fatigue. Unassigned: Prospective analytical study. Unassigned: 3 or 4 years-old (n = 16) Friesian stallions performed three ridden indoor standardized exercise tests (SETs) in week-1 (SET-I; n = 15), week-6 (SET...
The inability of spectral Doppler ultrasonography to identify stallions with testicular dysfunction.
Journal of equine veterinary science    February 4, 2025   105367 doi: 10.1016/j.jevs.2025.105367
Pozor MA, Macpherson ML, Kelleman AA, Smith H, McNaughten JW.This retrospective study aimed to validate the usefulness of spectral Doppler ultrasonography in diagnosing testicular dysfunction in stallions. The first part of the study included a pony stallion with age-related testicular degeneration (18 - 21 yrs. old). Testicular dimensions, spectral Doppler parameters of testicular blood flow, and semen parameters were obtained numerous times from this pony over four consecutive years. While testicular volume decreased dramatically, and the stallion became azoospermic, there were no changes in any of the spectral Doppler parameters of testicular blood f...
Laparoscopic Inguinal Hernioplasty with a Polyether Ether Ketone Anchoring Device in Intact Male Horses Does Not Compromise Testicular Perfusion, Sperm Production or Motility Characteristics.
Animals : an open access journal from MDPI    January 31, 2025   Volume 15, Issue 3 doi: 10.3390/ani15030402
Vitoria A, Barrachina L, Romero A, Fuente S, de Blas I, Gil L, Vázquez FJ.A new surgical technique using a polyether ether ketone (PEEK) anchoring device for testicle-sparing laparoscopic inguinal hernioplasty in stallions was described in 2023 and is known as the PEEK harpoon technique (PHT). In breeding stallions, it is essential that the surgery is effective in preventing inguinal hernia but also that it does not impair the testicular function. This study aims to evaluate whether the PHT may affect testicular function. To achieve that, changes in the testicular blood flow, sperm production and motility characteristics were assessed 28 days after use of the PHT. S...
Clinical findings of candidate stallions presented for licensing at all German Warmblood horse-breeding associations in 2018-2020.
Equine veterinary journal    January 22, 2025   doi: 10.1111/evj.14474
Folgmann MS, Stock KF, Feige K, Delling U.There is very little information available about the health status of young stallions from the German Warmblood population that will, once licensed, shape the future of equestrian sport and horse breeding. Objective: To evaluate the prevalence of clinical findings at licensing examinations of candidate stallions and the influences of season of birth, age at licensing, year of licensing, and the evaluator on the distribution of recorded findings. Methods: Retrospective observational study. Methods: Clinical records of 1655 candidate stallions presented for licensing in 2018-2020 were reviewed. ...
Factors associated with the selling price of sport horses in public auctions in Ireland.
Journal of equine veterinary science    January 3, 2025   105347 doi: 10.1016/j.jevs.2025.105347
Corbally AF, Fahey AG.Sale prices at auction significantly impact the economic return of sport horse production. This study aimed to determine factors associated with auction sales prices of sport horses at four maturity stages: foals, juveniles, young horses, and older horses. A total of 42,799 sales records from 2003 to 2022 were obtained from two Irish equine auction companies. A univariate regression model was used, and significant variables underwent multivariate analysis. Within each maturity category, factors associated with above-mean-priced horses differed from those associated with below-mean-priced horse...
Marked blastomere herniation is the only post-thaw morphological characteristic associated with a reduced pregnancy rate for in vitro produced equine blastocysts.
Theriogenology    December 30, 2024   Volume 235 1-8 doi: 10.1016/j.theriogenology.2024.12.028
Arnold LC, Stout TAE, Beitsma MM, Deelen CC, Rizzo M, Leemans B, Galli C, Colleoni S, Lazzari G, Barandalla M, Claes ANJ.It is not known whether the likelihood of pregnancy after transfer of cryopreserved equine in vitro produced (IVP) blastocysts is related to post-thaw morphological characteristics, or could be impacted by other factors such as embryo biopsy prior to cryopreservation. This study examined associations between post-thaw morphological appearance of equine IVP embryos, and biopsy prior to slow-freezing, on the likelihood of pregnancy. Biopsy of IVP blastocysts was performed by harvesting cells herniated through the intra-cytoplasmic sperm injection (ICSI)-derived hole in the zona pellucida (ZP). M...
The use of sex-sorted semen in horses.
Journal of equine veterinary science    December 5, 2024   Volume 145 105251 doi: 10.1016/j.jevs.2024.105251
Samper JC, Hernandez Aviles JC, Ramirez-Agamez LF, Love CC, Gonzalez-Marin C, Fleury P, Dini P, De La Fuente A, Foss R, Campos FL, Ross PJ.The application of sex-sorted semen in horses has historically lagged the bovine industry due to differences in the reproductive physiology and grater variability in equine semen quality. Recent advancements, including SuperGen™ sorters and Ultraplus™ semen processing methods developed by STgenetics® (Navasota, Texas), have significantly improved the efficiency of the sex-sorting process and reduced the sperm damage previously reported. To facilitate the broader use sex-sorted semen in the equine industry, it is essential to address challenges such as shipping cooled semen to a central so...
Prolonged maintenance of stallion semen by optimization of cooling conditions.
Journal of equine veterinary science    November 19, 2024   Volume 144 105243 doi: 10.1016/j.jevs.2024.105243
Guertin JE, Losano JA, Salazar S, Callaham J, Daigneault BW.Bottlenecks to the success of equine assisted reproductive technologies (ART) include suboptimal conditions for prolonged storage of stallion sperm. Shipped stallion sperm are transported in cooling devices designed to maintain temperature for up to 48 h. Increasing the storage time of cooled semen while maintaining acceptable motility would relieve logistical ART challenges. Experiments were conducted to test the hypothesis that external regulation of shipment container temperature would prolong storage time of cooled stallion semen. Initial experiments determined the effect of pre-freezing c...
Beneficial effects of pentoxifylline on spermatogenesis and germ cell apoptosis in stallions subjected to scrotal heat stress.
Theriogenology    November 16, 2024   Volume 233 32-41 doi: 10.1016/j.theriogenology.2024.11.004
Sancler-Silva YFR, Papa FO, Esteller-Vico A, Silva-Junior E, Oliveira TES, El-Sheikh Ali H, Boakari YL, Freitas MSE, Ball BA.This study evaluated the effects of oral pentoxifylline on testicular biometry, histology, and gene expression in stallions subjected to scrotal heat stress. Fourteen stallions were divided into three groups: Control (CRL, n = 4), Testicular Degeneration (DEG, n = 5), and Testicular Degeneration Treated with Pentoxifylline (DEG + PTX, n = 5). Testicular degeneration was induced by scrotal insulation, twice daily, over two consecutive days (D-1 and D0). Starting the next day (D1), oral pentoxifylline (17 mg/kg) was administered every 12 h for 30 days. Testicular biometry was measured ...
Warmblood fragile foal syndrome: Pregnancy loss in Warmblood mares.
Equine veterinary journal    November 14, 2024   Volume 57, Issue 4 915-923 doi: 10.1111/evj.14435
Kehlbeck A, Blanco M, Venner M, Freise F, Gunreben B, Sieme H.Fragile foal syndrome (FFS) or warmblood FFS Type 1 (WFFS) is a recessive, autosomal, hereditary, genetic defect causing late abortions, stillbirths and non-viable foals. Whether early pregnancy losses occur is unknown. Objective: To investigate how WFFS affects pregnancies and whether early pregnancy losses occur in WFFS matings and if there is a difference in pregnancy success between matings where both parents were allele carriers and those where only mare or stallion were WFFS carriers. Methods: Retrospective cohort study. Methods: Breeding records from a Warmblood stud farm were evaluated...
Stress response of 18-, 24- and 30-month-old sport horse stallions to a pretraining programme.
Animal : an international journal of animal bioscience    November 13, 2024   Volume 18, Issue 12 101373 doi: 10.1016/j.animal.2024.101373
Pilger F, Kroschel L, Aurich J, Nagel C, Hoffmann G, Hartmann U, Aurich C.Warmblood sires traditionally have been presented for stallion licencing at 2 years of age, but the age at which horses are mentally fit for training is a point of controversy. We have therefore investigated the stress response of young stallions to pretraining for licencing. Salivary cortisol concentration, heart rate and heart rate variability (HRV) were determined repeatedly over 12 weeks. Stallions were 24 and 30 months old and either housed in groups or individual boxes (Group 24, n = 9; Box 24, n = 10; Box 30, n = 10). Pretraining included free movement in an indoor arena, train...
Optimizing equine sperm quality: an alternative to single layer centrifugation for sperm isolation.
Reproduction & fertility    November 11, 2024   Volume 5, Issue 4 e230081 doi: 10.1530/RAF-23-0081
Medica AJ, Gibb Z, Aitken RJ.In vitro semen purification techniques have been developed that seek to mimic the in vivo selection process in order to generate the highest possible chance of oocyte fertilization following artificial insemination. Numerous methods have been developed to isolate functional spermatozoa for artificial insemination, yet only one method, single-layer centrifugation using commercial preparations like EquiPure, has been widely employed. In this study, we have introduced a novel approach for isolating spermatozoa and compared their quality to those isolated using EquiPure. The AI port system (Mempha...
Analysis of stallion spermatozoa metabolism using Agilent Seahorse XFp Technology.
Animal reproduction science    November 3, 2024   Volume 271 107633 doi: 10.1016/j.anireprosci.2024.107633
Ortiz-Rodriguez JM, Bucci D, Tovar-Pascual L, Granata S, Spinaci M, Nesci S.Sperm metabolism consists of a sophisticated network of biochemical reactions and varies between species, resulting in different metabolic strategies for ATP production to maintain sperm functionality. ATP can be produced through glycolysis or in the mitochondria by oxidative phosphorylation (OXPHOS). Since OXPHOS is the predominant metabolic pathway in horses spermatozoa, various assessments of mitochondrial activity are used to evaluate fertility, utilizing techniques such as fluorescent probes analysed via microscopy or flow cytometry, and polarographic electrode assays to measure current f...
Spermatozoal acrosome dysfunction and its role in stallion subfertility.
Journal of equine veterinary science    October 26, 2024   Volume 143 105213 doi: 10.1016/j.jevs.2024.105213
Hernández-Avilés C, Ramírez-Agámez L, Varner DD, Raudsepp T, Love CC.Cases of stallion subfertility due to acrosome dysfunction have been recognized since the 1990s. While some of these were observed in stallions with reduced sperm motility and morphology, a more severe form has been reported in stallions with normal-to-excellent sperm quality parameters, which is also uniquely observed in individuals of the Thoroughbred registry. These stallions carry a susceptibility genotype (A/A-A A in the gene FKBP6, exon 5) for Impaired Acrosomal Exocytosis (IAE). Current clinical observations from our group have identified a few highly subfertile stallions from other bre...
Influence of Loading Density and Gender on the Welfare and Meat Quality of Horses During Transport for Slaughter.
Animals : an open access journal from MDPI    October 24, 2024   Volume 14, Issue 21 3069 doi: 10.3390/ani14213069
Božić Jovanović V, Trailović R, Vićić I, Grković N, Radaković M, Karabasil N, Kaić A, Čobanović N.The aim of this study was to determine the effects of loading density and gender on blood welfare indicators, carcass bruises and horsemeat quality. Data were collected from twelve transports of 89 slaughter horses originating from the same collection centre. The transportation of slaughter horses at high loading densities (>200 kg/m), especially stallions, resulted in increased levels of lactate ( = 0.021), glucose ( < 0.0001), ceruloplasmin ( < 0.0001) and AOPP ( < 0.0001), but lower GSH levels ( 200 kg/m) during transport had lower levels of the aforementioned blood metabolites....
Prolonged incubation of frozen-thawed equine spermatozoa for in vitro fertilization: A preliminary study using low temperature and INRA96 medium.
Reproduction in domestic animals = Zuchthygiene    October 14, 2024   Volume 59 Suppl 3 e14593 doi: 10.1111/rda.14593
Luis-Calero M, Muñoz-García CC, Fernández-Hernández P, Macías-García B, González-Fernández L.A protocol for conventional in vitro fertilization (IVF) in horses using fresh semen has been described, using a prolonged incubation in FERT-TALP medium (22 h) at 38.2°C in the presence of penicillamine, hypotaurine and epinephrine (PHE). Our work aimed to develop a protocol that maintains quality parameters in frozen-thawed equine spermatozoa incubated for 22 h in the presence of PHE using different media (FERT-TALP and INRA96) and incubation temperatures (30 and 38.2°C). Twelve frozen ejaculates from four stallions were thawed and then incubated in either FERT-TALP or INRA96 with PHE...
Influence of Sires on Population Substructure in Dülmen Wild Horses.
Animals : an open access journal from MDPI    October 9, 2024   Volume 14, Issue 19 2904 doi: 10.3390/ani14192904
Duderstadt S, Distl O.The objectives of the present study were to analyze the influence of the stallions employed in the Dülmen wild horses on the genetic diversity and population substructure using Bayesian cluster analysis. The Dülmen wild horse is maintained as a unique horse population exposed to the natural conditions all year round in the Merfelder Bruch near Dülmen in Westphalia, Germany. Stallions selected for breeding have to prove their abilities to survive under this harsh environment. We used multilocus genotypic information from a set of 29 autosomal microsatellites to determine the paternity of 185...
Effect of refreezing extender on stallion sperm quality and embryo production after intracytoplasmic sperm injection.
Theriogenology    October 9, 2024   Volume 231 29-35 doi: 10.1016/j.theriogenology.2024.10.006
Brito LFC, Felix MR, Linardi RL, Martinez de Andino EV, Balamurugan NS, Hernández-Avilés C, Hinrichs K.Intracytoplasmic sperm injection (ICSI) is a valuable assisted reproduction technology in clinical practice, especially when semen availability is limited. Since the number of sperm required per ICSI cycle is much less than the number of sperm available in a standard straw of frozen semen, refreezing semen at lower sperm concentrations could yield multiple straws for ICSI use. However, there is little data on the effect of sperm refreezing on ICSI outcomes, especially on the effect of extender used for refreezing. The objective of the present study was to evaluate the effect of refreezing exte...