Analyze Diet
Theriogenology2026; 265; 118111; doi: 10.1016/j.theriogenology.2026.118111

Efficiency of transvaginal oocyte aspiration (TVA), post-mortem ovary harvest (OH), and Intracytoplasmic Sperm Injection (ICSI) in a Quarter Horse mare population in North America.

Abstract: In a clinical setting, Intracytoplasmic Sperm Injection (ICSI)-derived equine blastocysts can be obtained either by transvaginal oocyte aspiration (TVA) or post-mortem ovary harvest (OH). Most peer-reviewed retrospective reports have described the suitability of these techniques for obtaining blastocysts, pregnancies, and live foals, particularly in Warmblood horse populations in Europe. In this study, retrospective data from Quarter Horse client-owned mares subjected to TVA-ICSI (n = 105; 151 cycles) or OH-ICSI (n = 42) at an academic institution in North America between 2023 and 2025 were analyzed. The efficiency of TVA- or OH-ICSI, defined as cumulus-oocyte complex (COC) recovery; in vitro oocyte maturation; embryo cleavage (day 5 post-ICSI); blastocyst production (days 7-10 post-ICSI); number of blastocysts per session; pregnancy on days 14, 28, and 45; and foaling rates, was compared between TVA-ICSI and OH-ICSI. In addition, the effects of mare age, transferring fresh versus vitrified/warmed blastocysts, the day of development after ICSI (i.e., day 7, 8, 9 vs. 10), and the embryo transfer facility on pregnancy and early embryonic death rates were studied. Overall, a higher COC recovery rate was observed with OH (78 ± 16%) than with TVA (60 ± 15%; P < 0.05). In vitro oocyte maturation (65 ± 19% vs. 49 ± 22%), cleavage (61 ± 21 vs. 52 ± 30%), blastocyst per mature oocyte (24 ± 22 vs. 16 ± 22%), blastocyst per cleaved embryo (37 ± 33% vs. 22 ± 29%), and average number of blastocysts per cycle (1.6 ± 1.3 vs. 0.9 ± 1) were higher in TVA-ICSI than in OH-ICSI (P  0.05). Mare age (young [3 - 10-years-old] vs. middle-aged [11 - 17-years-old] vs. old [≥18-years-old]) affected the average number of follicles (14 vs. 16 vs. 15), COCs (9 vs. 11 vs. 9), MII oocytes per cycle (5 vs. 7 vs. 5), and pregnancy rates at day 28 (64% vs. 72% vs. 42%), and 45 (57% vs. 68% vs. 42%; P  0.05). Differences in pregnancy rates at day 14 (82 vs. 76%), 28 (65 vs. 58%), and 45 (60 vs. 54%), as well as embryonic loss rates at day 28 (20 vs. 24%) and 45 (28 vs. 29%) were not observed between fresh versus vitrified/warmed transferred blastocysts (P > 0.05). Pregnancy rates on days 14, 28, and 45 were higher for day 7 (90%, 78%, and 73%) than for day 9 (69%, 47%, and 41%) or day 10 (60%, 35%, and 35%) blastocysts (P  0.05). Based on logistic regression analyses, for the population of mares in this study, the number of injected MII oocytes (>5 MII; OR: 1.98; CI: 1.35 - 4.01) and mare age (≥18-years-old; OR: 0.43; CI: 0.12 - 0.87]) increased the likelihood of producing a blastocyst per ICSI session or negatively affected the likelihood of pregnancy at day-28, respectively.
Publication Date: 2026-07-27 PubMed ID: 42520524DOI: 10.1016/j.theriogenology.2026.118111Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

Overview

  • This study compares the efficiency of two methods for obtaining equine blastocysts in Quarter Horse mares—transvaginal oocyte aspiration (TVA) and post-mortem ovary harvest (OH)—both followed by Intracytoplasmic Sperm Injection (ICSI).
  • Researchers evaluated various parameters including oocyte recovery, embryo development, pregnancy rates, and foaling success, focusing on factors such as mare age, embryo transfer timing, and type of embryo transfer.

Study Background and Purpose

  • Equine ICSI allows conception by injecting a single sperm into an oocyte, useful for valuable or subfertile mares.
  • Two common ways to collect oocytes for ICSI are TVA (collecting oocytes from live mare ovaries via needle aspiration) and OH (harvesting ovaries post-mortem and retrieving oocytes).
  • Previous research mainly focused on Warmblood horses in Europe; this study focuses on North American Quarter Horses to assess method efficiencies and outcomes.

Methodology

  • Retrospective analysis of 105 Quarter Horse mares undergoing 151 TVA-ICSI cycles and 42 mares undergoing OH-ICSI between 2023 and 2025.
  • Measured parameters included:
    • Cumulus-oocyte complex (COC) recovery rates
    • In vitro maturation rates of oocytes
    • Embryo cleavage rates on day 5 after ICSI
    • Blastocyst production on days 7 to 10 post-ICSI
    • Blastocyst counts per session
    • Pregnancy rates at days 14, 28, and 45
    • Foaling outcomes
  • Additional factors examined included:
    • Mare age groups (young: 3-10 years; middle-aged: 11-17 years; old: 18+ years)
    • Embryo transfer type (fresh vs. vitrified/warmed blastocysts)
    • Blastocyst developmental day at transfer (days 7, 8, 9, or 10)
    • Embryo transfer facilities

Key Findings: Oocyte Recovery and Embryo Development

  • OH yielded a higher COC recovery rate (78%) compared to TVA (60%), indicating more oocytes retrieved from post-mortem ovaries.
  • Contrarily, the in vitro maturation rate, cleavage rate, blastocyst production per mature oocyte, blastocyst per cleaved embryo, and blastocysts produced per cycle were significantly higher in TVA-ICSI than OH-ICSI.
  • This suggests while OH recovers more oocytes, TVA produces higher quality oocytes capable of developing better embryos.

Influence of Mare Age

  • Average follicle counts and oocytes obtained were similar across age groups.
  • Pregnancy rates were significantly higher in young (64%-72%) and middle-aged mares (72%) compared to old mares (42%).
  • Older mares (≥18 years) had a reduced chance of pregnancy at day 28.

Embryo Transfer and Pregnancy Outcomes

  • Transfer of fresh vs. vitrified/warmed blastocysts showed similar pregnancy rates and early embryonic loss rates, indicating vitrification does not negatively impact pregnancy success.
  • Blastocyst developmental day influenced pregnancy:
    • Day 7 blastocysts had the highest pregnancy rates (90% at day 14, 78% at day 28, 73% at day 45).
    • Later blastocysts (days 9 and 10) had lower pregnancy rates and higher risk of pregnancy loss.

Statistical Analysis and Predictors

  • Logistic regression showed that producing more than 5 mature (MII) oocytes per ICSI session nearly doubled blastocyst production odds (OR 1.98).
  • Advanced mare age (≥18 years) significantly lowered pregnancy likelihood at day 28 (OR 0.43), confirming age-related fertility decline.

Conclusions and Implications

  • While OH recovers more oocytes, TVA leads to better embryo development outcomes in Quarter Horses, suggesting better oocyte quality or handling in TVA.
  • Age is a critical factor impacting pregnancy success; younger mares have better reproductive outcomes.
  • Embryo transfer of fresh or vitrified blastocysts is equally effective, allowing flexibility in clinical or breeding settings.
  • Transferring blastocysts earlier in development (day 7) maximizes pregnancy rates.
  • Clinicians should aim for higher mature oocyte numbers per cycle and consider mare age as a strong predictor of success in equine assisted reproduction.

Cite This Article

APA
Ramírez-Agámez L, Love CC, Hernández-Avilés C. (2026). Efficiency of transvaginal oocyte aspiration (TVA), post-mortem ovary harvest (OH), and Intracytoplasmic Sperm Injection (ICSI) in a Quarter Horse mare population in North America. Theriogenology, 265, 118111. https://doi.org/10.1016/j.theriogenology.2026.118111

Publication

ISSN: 1879-3231
NlmUniqueID: 0421510
Country: United States
Language: English
Volume: 265
Pages: 118111
PII: S0093-691X(26)00301-8

Researcher Affiliations

Ramírez-Agámez, Luisa
  • Equine Fertility Laboratory, Department of Large Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX, 77843, USA. Electronic address: luisa.ramirez.a@tamu.edu.
Love, Charles C
  • Equine Fertility Laboratory, Department of Large Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX, 77843, USA.
Hernández-Avilés, Camilo
  • Equine Fertility Laboratory, Department of Large Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX, 77843, USA.

Conflict of Interest Statement

Conflicts of interest None to declare.

Citations

This article has been cited 0 times.