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The Pros and Cons of 1 or 2 Dose Insemination Protocols

  
  
  

It is a common belief of many veterinarians and breeders that the lifespan of frozen semen within the mare’s reproductive tract is reduced compared to fresh semen. While no experimental fertility trials have been conducted to directly address this question the type of damage that can occur to sperm membranes during the freezing and thawing process theoretically could reduce the longevity of semen. Sperm binding to the lining of the oviduct can extend fertilizing capacity in the mare and there is in vitro evidence that frozen-thawed sperm do not bind as well to the oviductal epithelium. Therefore, it is generally accepted that the optimum time for insemination of frozen semen is in the period from 12 hours prior and up to 6 hours after ovulation. The timing of insemination is a good topic for debate and many mare owners and veterinarians have their preferred method of choice. Generally opinion is split between a one dose post-ovulatory insemination or a two dose timed insemination protocol. Dr. Sandro Barbacini of SBS Italia reviews the pros and cons of both options here.

One Dose Protocol
The most reliable way to use one dose of frozen semen is to inseminate post-ovulation. Post-ovulation inseminations must be made within 6-8 hours of ovulation due to the lifespan of the ovum within the oviduct. Obviously, the closer to ovulation the insemination is made, the better the result, this is true for fresh and frozen semen. The one dose insemination protocol generally involves single daily ultrasound examination until a 35mm pre-ovulatory follicle is detected, then administration of an ovulation agent (hCG or Deslorelin). The mare would then be checked 12 – 24 hrs after administration of the ovulatory agent and every 6 hrs (range 4-8hr) thereafter until ovulation is detected, at which point insemination occurs. Insemination can be performed pre-ovulation, however it is difficult to accurately predict when a follicle will ovulate, therefore it is preferable to wait for ovulation to occur and inseminate within six hours rather than risk losing a dose on a premature pre-ovulatory insemination.

Two Dose Protocol
SBS has developed and tested a simple and effective two dose timed insemination protocol for managing mares with frozen semen. This protocol involves a single daily examination until a 35mm pre-ovulatory follicle is detected, administration of an ovulation agent (hCG or Deslorelin), and insemination with two doses of semen; one each at 24 and 40 hours after administering the ovulation inducing agent. Use of this protocol insures that viable sperm are available for fertilization in the mare’s reproductive tract during the time of 12 hours before to 6 hours after ovulation for mares ovulating 18 to 52 hours after administration of the ovulatory agent.

Is Fertility Equal?
When deciding between the 1 or 2 dose protocol, the first consideration should be whether there is a difference in fertility outcome between the two methods. In a clinical trial conducted in Italy (Reger et al., 2003), 26 out of 34 mares became pregnant (76%) after two timed inseminations versus 15 of 21 (71%) following a single insemination within 6 hours post-ovulation. In the same paper, the authors also reported the outcome of a controlled study carried out in Colorado where they found no difference in embryo recovery rates for mares inseminated once within 6 hours post-ovulation with 1 dose of 800 million total frozen-thawed spermatozoa (60%) versus mares inseminated twice at 24 and 40 hours post-deslorelin with a half dose of 400 million total spermatozoa per insemination (55%). Two data sets collected in the USA during the 2002 and 2003 breeding seasons (Loomis and Squires, 2005) were examined retrospectively and reported similar pregnancy rates for mares inseminated once or multiple times in a given cycle (51.5% versus 51.7% for 2002 and 47.1% versus 46.1% for 2003). Mares inseminated twice on a cycle, once before and once after ovulation, became pregnant at a rate similar to mares inseminated once within 6 hours post-ovulation (48.1% versus 47.3%). Furthermore, additional studies performed in France (Vidament et al., 1997), Germany (Sieme et al., 2003) and Canada (Samper 2001) have reported that pregnancy rates with frozen semen were higher when mares were inseminated more than once per cycle.

This published data shows that comparable pregnancy rates can be achieved with one or two dose insemination protocols, in fact multiple inseminations on a cycle may result in higher pregnancy rates, presumably because of a decrease in the interval between insemination and ovulation.

Cost Comparison
Given comparable fertility the next consideration is usually financial. Obviously the cost of veterinary care across the US and more so around the world varies significantly, so it is difficult for us to make generalizations here. Nonetheless, it is fair to assume that the frequent ultrasound examinations required when inseminating with one dose of frozen semen results in greater costs for veterinary management per cycle than the once daily examination utilized for the two dose timed insemination protocol. For convenience to the veterinarian the one dose protocol may also necessitate the mare being boarded at a breeding farm or clinic so that late night checks can easily be performed to insure that insemination occurs within the critical 6 hour window after ovulation.

The two-dose timed insemination protocol allows the veterinarian the flexibility to examine mares once daily during normal hours without compromising fertility, concurrently reducing management costs for the mare owner.

However….The purchase price of the frozen semen also has a significant influence on the anticipated costs for each breeding cycle. Of course, as horse owners and breeders we place just as much value on the selection of the stallion as we do in the consideration of veterinary expenses for mare management, in some cases perhaps more bias towards stallion selection. By choosing that top international stallion, with limited frozen semen available at a significant cost per dose, we essentially limit our choice in insemination protocol. Semen sold on a per dose basis for hundreds or even thousands of dollars imparts a significant pressure on the mare owner and veterinarian to use only one dose of frozen semen per cycle, since the cost of the extra ultrasound examinations incurred when breeding with one dose is generally less than the cost of purchasing an additional dose of semen.

At SBS we recommend to our stallion owners that they sell frozen semen as a breeding and provide at least two doses per cycle, as opposed to selling frozen semen by the dose. This allows mare owners to choose the timed insemination protocol and benefit from the flexibility in scheduling and reduced costs in veterinary management.

For further discussion on purchasing one or two doses of frozen semen, see our recent blog article, Frozen Semen Sell by the Dose or as a Breeding

Does Breeding With Two Doses Result in More Post Breeding Fluid Accumulation?
The numerous reports on timed-insemination protocols demonstrate that multiple inseminations in normal mares are not harmful. Insemination with frozen-thawed semen twice per cycle does not increase the incidence of fluid accumulation and post-breeding endometritis. All mares experience a natural inflammatory response within the uterus, after the deposition of semen. The post-breeding inflammation initiated by the first insemination is cleared within 12 hours in reproductively healthy mares. Thus, a second insemination can safely be performed 16 hours later without negatively affecting fertility.

However, use of multiple inseminations per cycle may not be appropriate for all breeding situations. For example, mares that are susceptible to post breeding endometritis are less efficient at clearing the uterine lumen of semen and inflammatory products accumulated after breeding. Fertility is reduced in this group of mares and, unless properly addressed, the condition may aggravate with subsequent matings. These mares may require a more intense management scheme and be bred only once per cycle in order to minimize invasion of the susceptible uterus.

For more information on this subject, see the blog article, The Facts About Frozen Semen and Post Breeding Uterine Fluid

Further Considerations
Remember, not all semen is created equally. There is a huge variation in the quality of frozen semen on the market, both in the technique and standard of quality control applied to the semen processing as well as in the semen quality itself. Furthermore there is inherent variability between stallions in the longevity and fertility of their frozen semen. The industry recommended minimum is 200 million progressively motile sperm per frozen semen dose. But to complicate matters further the evaluation of semen quality can vary depending upon the technician and technique used when performing the analysis. Mare owners should gather as much information about the quality and fertility of the frozen semen before purchase.

See the blog article, Questions Mare Owners Should Ask Before Breeding With Frozen Semen and the FAQ Can’t Post-Thaw Motility Vary With the Laboratory Performing The Analysis?

Both the selection of your mare and veterinarian could influence the outcome of your proposed breeding; we plan to review these variables in future blog posts.

In summary, when considering breeding your mare with frozen semen it is important to remember that you have choices and options available, both in how you purchase your frozen semen and in how you manage the insemination of these doses. Talk with your veterinarian to review all the options, work up cost comparisons considering the best and worse case scenarios. Weigh your anticipated costs in breeding against the potential value of the foal and make an informed decision.

Comments

What are the suggested minimum post thaw sperm numbers for being successful with the timed protocol? I personally had good results with timed, but I had big, ample 8-straw doses of high quality semen, which was split four doses per insemination, i.e. 8 straws used for the cycle. On certain super-conception stallions with four straws per dose, for example, I tell clients I think they can split a dose without decreasing their chances of conception. I hope vets, techs and breeders will share their results splitting doses. The information would be valuable to all.
Posted @ Thursday, December 01, 2011 10:25 AM by Carol Austin
Whether or not one can slit the dose depends on how many sperm are in the dose,the fertility of the stallion and the reproductive health of the mare.If you know that the stallion is very fertile with frozen semen then you can probably breed her twice in the cycle with a half of the dose at each breeding.If you don`t know the fertility then you should start with a full dose and establish the fetility.The study at CSU showed the same fertility for mares bred with half doses twice versuses a full dose once.Reproductively healthy mares can be bred more than once in a cycle without a problem
Posted @ Friday, December 02, 2011 12:09 PM by Ed Squires
Thanks for the question Carol and the reply Dr. Squires. I will weigh in with my 2 cents. 
It really is impossible to give you a definitive answer to your question "what are the minimum post-thaw sperm numbers for being successful with the timed protocol?" The reason is that fertility depends upon a number of factors not just how many post thaw motile sperm are inseminated.  
1. It is the number of "functionally competent" sperm per insemination that is important, not just how many motile sperm and unfortunately motility and fertility are not always highly correlated. So the number of straws inseminated doesn't really mean anything because different labs may package semen at different concentrations. For example, the two most common methods for packaging semen involve sperm at a concentration of 200 million per ml and 8 straws per dose (4 ml total volume and 800 million total sperm) or packaging at 400 million sperm per ml and 4 straws per dose (2 ml total volume and 800 million total sperm). In both cases there are the same number of sperm per dose. SBS recommends a minimum of 200 million progressively motile sperm per insemination regardless of whether or not you are using a 2 dose timed protocol or a single insemination. So if you have adequate numbers of motile sperm post-thaw in a dose to split it and breed twice with half a dose then it should not affect fertility. 
2. Having said that, you must remember that these numbers are simply general recommended minimums and may not apply to all stallions. Each stallion has his own inherent level of fertility and some stallions can achieve normal fertility with very low numbers of motile sperm per insemination (50 - 100 million)while other stallions require more than the minimum recommended levels or else fertility is drastically reduced. I would always recommend breeding with at least the minimum recommended number of motile sperm post-thaw until it is established that that particular stallion can achieve high fertility with those minimums before trying to reduce the numbers. 
3. Fertility may also be affected by how the insemination is performed as it has been shown that some stallions can achieve normal fertility with low sperm numbers when mares are inseminated deep in the uterine horn on the papilla of the junction between the uterus and oviduct. However this is not always the case and inseminating deep in the uterine horn may be of little or no benefit to some stallions. 
4. It is also important to realize that not all laboratories evaluate semen the same way and one semen processing lab could be significantly overestimating motility which will lead to packaging too few sperm per dose. 
5. Finally, remember that fertility is an equation that involves both the stallion and mare and the inherent fertility of the mare is also critical. 
Sorry for rambling on but if you are interested further in this topic here is a link to an article from one of our previous newsletters with more details. 
http://selectbreeders.com/system/attachments/189/original/SBS%20Foundations%20Fall%2007.pdf?1302037318 
 
Posted @ Monday, December 05, 2011 2:15 PM by Paul Loomis
What is the percentage of mares that regress follicles or don’t ovulate on schedule with the timed insemination protocol? I’m not sure how common it is, just that it does occasionally happen and can result in a waste of semen or require an additional dose.
Posted @ Tuesday, December 06, 2011 10:22 AM by Melissa Wortman
We do not have available data on how many mares regress follicles, but we can certainly give you some information on how many mares do not ovulate on schedule after they receive an ovulatory agent like hCG. 
A few years ago we collected and published data on more than 600 WB mares inseminated with frozen-thawed semen. 
All the mares received an hGG injection and were then checked by ultrasonography every 6-8 hours to see when ovulation occurred, depending on their reproductive status and age. 
Of the 1.040 cycles that were monitored during the study, 91% displayed an ovulation within 48 hours after the hCG injection. 
When mares were split depending on their reproductive status, we saw that only 6% of the maiden and foaling mares cycles did not ovulate on schedule (more than 48 hours after the injection). On the contrary when we induced ovulation in barren mares, we saw that the percentage of cycles that ovulated after 48 hours raised to 13%. This is probably due to the fact that within the barren mares group there was a high concentration of mares with hormonal disfunctions. 
It was also very interesting to see that the older were the mares the higher was the percentage of cycles that did ovulate after 48 hours from the hCG injection. In fact the percentage of cycles that ovulated after 48 hours from the hCG injection was 5, 9 and 19% for the 3-9, 9-16 or >16 year old mares respectively. 
This is very simply explained by the fact that geriatric mares have their reproductive system not working properly because of their age.  
Based on this data we can say that there is a much higher risk of not having ovulation on schedule when you inseminate barren and/or old mares. 
You should probably decide when to use a timed insemination protocol depending on the mare history, but we can assume that is surely more risky to use it on mares that are older than 16 years of age or barren for many years. 
I hope I answered your question and that my comment could help you.
Posted @ Tuesday, December 06, 2011 2:34 PM by Sandro Barbacini
Great discussion with some excellent points in the ongoing revolution of breeding horses with frozen/thawed semen. As the per dose prices rise, alot of pressure comes to vets and managers to produce pregnancies in as few cycles as possible with as little semen as possible. 
 
Picking a protocol certainly depends on the fertility of the mare, the track record of the stallions semen, cost of semen, and the logistics of getting the mare checked frequently during late estrus. 
 
In short and IMO- if you have plenty of good quality semen at hand and fertile mares, a two dose timed insemination (standard AI in uterine body) will work well. However if you have limited semen, poor quality semen, subfertile mares, and/or very expensive semen(deceased stallions) some of the other protocols may be a better choice. 
 
When "split or partial" doses are used- timed insemination will likely work well with the addition of deep horn insemination techniques. With good quality semen a timed insemination with half doses has been shown to be effective, as mentioned above (standard AI). 
 
When semen of established fertilty is used, it however, is amazing how few straws will work when deep horn insemination is used.I have used quite a bit of SBS semen this way for over a decade(the higher post thaws),and when we have compared fertility results, semen frozen thru SBS always comes out on top. Some of these stallions settle mares routinely with 1/4 doses (2 straws) or even single straws. We only do this after establishing that full doses work and then go down to 1/2 dose or further. 
 
We do tend to follow mares quite closely after ovulation induction and breed with part or all of the chosen amount(partial dose) of semen as close preovulation or shortly post ovulation as possible. Checking q 2-6 hours. I will say that only rarely do I check frozen semen mares after 10p or before 4am.  
 
If the timing is close preovulation and the post thaw check at breeding looks good, I quit breeding. I try to breed the less "fertile" category of mares, in particular, only once and am pretty likley to do a uterine lavage 4-12 hours later along with agressive oxytocin therapy. 
 
My two cents for now.
Posted @ Thursday, December 15, 2011 11:32 AM by Andy Schmidt
I feel it is very important that vets and techs discuss with their clients the protocol and number of straws/doses that will be used per cycle BEFORE they inseminate. I hear from many breeders who have been shocked to discover that the doses they expected were enough for two cycles were used in one.
Posted @ Thursday, December 15, 2011 11:56 AM by Carol Austin
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