9 CONTACT Ramanathan Kasimanickam ramkasi@wsu.edu © 2025 The Author(s). This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http:// creativecommons.org/licenses/by-nc/4.0/), permitting all noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Citation: Clinical Theriogenology 2025, 17, 11650, http://dx.doi.org/10.58292/CT.v17.11650 Review Report Estrus and ovulation synchronization strategies in beef cattle Ramanathan Kasimanickam,a Quinlan Harting,a Rachel Hanson,b Randa Bolera aVeterinary Clinical Sciences, Washington State University, Pullman, WA, USA bAnimal Health Clinic, Blackfoot, ID, USA Abstract Various technologies in bioveterinary medicine offer beef producers unique opportunities to improve overall herd genetics. Research and technology have greatly enhanced our understanding of cattle reproductive physiology, facilitating induction and synchronization of estrus and/or ovulation in replacement heifers and postpartum cows. These improvements assist beef produc- ers to increase the use of artificial insemination (AI) and facilitate mass breeding at predetermined times. In addition to improving genetics, this helps to increase uniformity (genetics and body weight) at weaning. Pregnancy rates following implementation of these approaches are acceptable and generally comparable to breeding after detecting estrus. This review explains dynamics of synchronization, treatment regimens for various protocols, and factors that need to be considered while implementing protocols to achieve greater success. Keywords: Beef cattle, estrus, ovulation, synchronization, artificial insemination Introduction Sustainable beef production targets long-term health of the environment, maintains economic viability of the beef enter- prise, and addresses consumer concerns. The economic advan- tage of a cow-calf operation is realized by a sensible and achievable production goal, 1 calf/cow/year, with a mean calv- ing interval of 365 days. Approximately 285 days of pregnancy allows only 80 days for the cow to become pregnant again. During this interval, the cow must recover from calving, resume cyclicity, and have 2 or 3 opportunities to become pregnant. Synchronization of estrus and/or ovulation is a reproductive management tool to increase efficiency and profitability in beef production. Although it is to shorten breeding and calv- ing intervals, other benefits include optimizing labor and time and facilitating AI. In the USA, > 66% of dairy cows are AI bred; however, only 7.9% beef operations use estrus synchronization and 7.6% of operations use AI.1,2 Time and labor are the primary reasons producers indicate as barriers to using AI in commercial beef cows and heifers.1,2 There are many options with various treatment regimens for  synchronization of estrus and/or ovulation in beef cattle.  Before selecting an approach for mass breeding, it is imperative to assess key elements, including status of cattle intended for synchronization. Consideration of key traits such as body weight/condition, pubertal status, pelvic size, and temperament of heifers; and in cows, body condition, days postpartum and temperament, will help improve success. Evaluation of resources, including facilities, availability of labor, prior experience, and budget will help to select an appropriate synchronization protocol. In addition, duration of the protocol, number of animal handlings, ability to suc- cessfully provide treatments, and proper AI techniques (com- pliance) are other determining factors for a successful outcome. These key elements are discussed. Calf crop and estrus synchronization Percentage annual calf crop = × # of calves weaned # of females exposed 100 . Although 90-95% of calf crop is achievable in a year, economic benefits are determined by pregnancy rate and pregnancy early in the breeding season which translates to calving rate and calving early in the calving season.1-3 This goal may be attained more easily with estrus synchronization and AI pro- grams. Realistically, > 50% of eligible beef females become pregnant to 1 AI after implementation of effective estrus/ ovulation synchronization and AI programs.3-5 Estrus synchronization optimizes labor and time and facilitates AI;3 the latter allows access to superior genetics, hastens genetic http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/ http://dx.doi.org/10.58292/CT.v17.11650 10 Citation: Clinical Theriogenology 2025, 17, 11650, http://dx.doi.org/10.58292/CT.v17.11650 improvement within a herd, and is frequently cheaper than natural service (NS).3-5 Synchronized females: 1. express estrus at a controlled time; 2. intensify calf uniformity; 3. calve earlier in the season; and 4. wean calves that are older and heavier, all of which can increase economic return. Economic return is calculated as: weight of calves at sale (lbs) × calf crop = lbs of beef produced/cow exposed. The following AI and NS combinations (Table 1) were used in a trial (n = 1,249) involving 12 cow-calf operations and clearly indicated benefits of using AI in beef operations. There was an increase in pregnancy rate by 5-9% across the 12 locations, fewer assisted births (1.3 versus 2.9%), lower death loss (3.5 versus 5.5%) and overall, 10% more calves when dams and daughters were bred by AI/AI combination com- pared to NS/NS combination (personal communication, William Whittier, December 23, 2024). Increased age at wean- ing, improved pregnancy rates, and potential for increased growth due to improved genetics resulted in reported weaning weight increases (20-40 lbs) for the entire calf crop.6 Estrous cycle Estrous cycle consists of follicular and luteal phases. The follic- ular phase includes the interval from corpus luteum (CL) regression to ovulation, including proestrus and estrus stages of the cycle. During the follicular phase, the dominant ovarian structure is a mature and estrogenic follicle that releases estro- gen, the predominant hormone. Physiological events duing the follicular phase include sexual receptivity, preparation of the dominant follicle for ovulation, gonadotropin release from the anterior pituitary, and ovulation. The luteal phase includes the interval from ovulation (CL formation) to CL regression, including metestrus and diestrus. During the luteal phase, the dominant ovarian structure is a CL that produces progesterone, the dominant hormone. Physiological events during the luteal phase include formation of a CL, progesterone production by the CL, uterine quiscence, release of prostaglandin F2α (PGF2α) from the endometrium, and lysis of the CL. Control of follicular and lutal phases To synchronize estrus and/or ovulation in all eligible cows, the follicular phase is controlled by initiating emergence of a new follicular wave, whereas the luteal phase is controlled by initi- ating and/or prolonging the lifespan of the CL by gonadotro- pin releasing hormone (GnRH) treatment to induce ovulation and CL formation, or by supplementing exogenous progester- one (with or without a CL). Liming factors, principles and options to control follicular and luteal phases in beef females with varying physiological status are illustrated in Table 2. Drugs and dosages Prostaglandin F2α Intramuscular dinoprost tromethamine : 25 mg Intramuscular cloprostenol : 500 µg Intramuscular GnRH : 100 µg Progesterone Controlled Internal Drug Release (CIDR) inravaginal insert : 1.38/1.55/1.9 gram for 5-14 days Oral melengestrol acetate (MGA) : 0.5 mg/head/day mixed in feed Oral supplementation of MGA is approved for estrus suppres- sion in heifers only (Federal Register, 1997). Use of MGA as part of any estrus synchronization protocol in beef cows con- stitutes an extra-label use of medicated feed that is prohibited by the animal medicinal drug use and clarification act and Regulation 21 CFR 530.11(b). Food and Drug Administration (FDA) approved pharmacuticals used for synchronization in cattle are given in Table 3. Estrus synchronization treatment regimens Synchronization of estrus in beef females for mass breeding involves: 1. shortening the luteal phase by inducing premature luteolysis or 2. prolonging the luteal phase by maintaining Table 1. AI and NS combinations in beef cattle Dam bred by Daughter bred by AI AI AI NS NS AI NS NS Table 2. Principles, liming factors and options to control follicular and luteal phases Criteria Follicular phase Luteal phase How could you control? Initiating a new follicular wave Shortening (or) prolonging CL lifespan What is the limiting factor? Presence of a dominant follicle Shortening - presence of CL and CYCLICITY are needed Prolonging - presence of CL and CYCLICITY do not matter How do you do this? Removing dominant follicle Shortening - lyse CL Prolonging - supplement progesterone What methods could be employed? Giving GnRH/LH/hCG), estradiol (varies with country) Remove follicle with ultrasound- guided aspiration Shortening – give PGF2α – need a responsive/active CL Prolonging – induce CL and/or give intravaginal or oral progesterone http://dx.doi.org/10.58292/CT.v17.11650 Citation: Clinical Theriogenology 2025, 17, 11650, http://dx.doi.org/10.58292/CT.v17.11650 11 circulating progesterone concentrations via supplementation (daily oral, slow-release injectable (ear implant), or vaginal inserts). The injectable method is uncommon in cattle in North America. Shortening luteal phase Luteolytic dose of PGF2α or its analog given to eligible beef females (with a mature active CL) results in luteolysis, and estrus7,8 occurs within 2-6 days (Figure 1),9 depending on fol- licle diameter and phase of the follicular wave. When PGF2α is given during growing and static phases, estrus occurs soon (Figure 1A), whereas estrus occurs later if PGF2α is given during the regressing phase (Figure 1B) as it takes time for a new dominant follicle to emerge and reach preovulatory size. PGF2α causes luteolysis, with subsequent surges in estrogen and LH, with ovulation occuring ~ 24 hours after the LH surge. PGF2α programs PGF2α is generally inexpensive; single, double, or biweekly programs are effective only in cycling females when a CL is Table 3. Available FDA-Approved drugs to control and synchronize estrous cycles in cattle (refer animal drugs @ FDA for specific information about each drug) Regimen Drug name (active ingredient) Application number and manufacturer Sequential use with another drug Gonadorelin- prostaglandin Factrel® Injection (gonadorelin injection) NADA 139-237 Zoetis Inc. Lutalyse® or Lutalyse® HighCon (Dinoprost tromethamine) Fertagyl® (gonadorelin) ANADA 200-134 Intervet, Inc. Estrumate® (Cloprostenol sodium) GONAbreed® (gonadorelin acetate) ANADA 200-541 Parnell Technologies Pty. Ltd. Cloprostenol sodium CYSTORELIN® (gonadorelin) NADA 098-379 Boehringer Ingelheim Animal Health, Inc. Cloprostenol sodium Progestin only EAZI-BREED™ CIDR® (progesterone intravaginal insert) NADA 141-200 Zoetis Inc. - Progestin- prostaglandin EAZI-BREED™ CIDR® (progesterone intravaginal insert) NADA 141-200 Zoetis Inc. Lutalyse® or Lutalyse® HighCon Prostaglandin only Lutalyse® or Lutalyse® HighCon Injection NADA 108-901 & NADA 141-442 Zoetis Inc. - Estrumate® NADA 113-645 Intervet, Inc. - ProstaMate™ (dinoprost tromethamine) ANADA 200-253 Bimeda Animal Health Ltd. - estroPLAN® (cloprostenol sodium) ANADA 200-310 Parnell Technologies Pty. Ltd. - Synchsure (cloprostenol sodium) ANADA 200-310 Boehringer Ingelheim Animal Health - NADA: new animal drug applications; ANADA: abbreviated new animal drug applications Figure 1. Schematic presentation of interval from PGF2α treatment and estrus expression based on follicle size and phase of the follicular wave in cattle PGF Figure A Figure B 2α PGF2α PGF2α http://dx.doi.org/10.58292/CT.v17.11650 12 Citation: Clinical Theriogenology 2025, 17, 11650, http://dx.doi.org/10.58292/CT.v17.11650 mature/responsive.10 CL becomes responsive to PGF2α ~ 7 days after ovulation. There are several PGF2α protocols, according to management needs (Figures 2-4). However, implementation of a successful estrus detection program is essential to achieve good results with PGF2α programs. The AI is performed follow- ing the AM-PM rule (i.e. a cow should have AI 12 hours after first being observed in estrus).11,12 If a cow is noticed in stand- ing estrus in the AM, AI is performed that PM, whereas cows observed in standing estrus in the PM should AI is performed the following AM. The AM-PM rule requires twice daily AI. However, recent studies recommended that AI should be per- formed 6-18 hours after first observation of standing estrus.13 Conception rate to AI following implementation of PGF2α program is generally similar to AI following spontaneous estrus. Weekly Monday morning program On Monday morning, all eligible cows receive an injection of PGF2α, followed by estrus detection for the remainder of the week and cows detected in estrus have AI following the AM-PM rule (Figure 2). Approximately 65% of cows are expected to exhibit estrus. Cows not detected in estrus receive PGF2α the following Monday morning along with new group of eligible cows and the same procedure is followed every week. Cows given weekly doses of prostaglandin had a 30% higher preg- nancy rate than those receiving prostaglandin based on tran- srectal palpation of a CL.14 Biweekly Monday morning or double PGF2α program On Monday morning, all eligible cows receive an injection of PGF2α, with6 or without AI for cows exhibiting estrus after PGF2α treatment. Two weeks later (Monday), cows that did not have AI15 or all cows, receive another dose of PGF2α, followed by detection of estrus for the remainder of the week, with AI based on the AM-PM rule (Figure 3). Approximately 85-90% of cows should exhibit estrus. This program requires weekly or biweekly estrus detection. There are several PGF2α programs, including PGF2α treatment for nonpregnant cows with an active CL at pregnancy diagno- sis or repeated biweekly PGF2α treatment as a postpartum reproductive management tool16 at 25-32, 39-46, and 53-60 days, with first insemination following the last injection. Cows not inseminated after PGF2α injection between 53-60 days are given PGF2α 14 days later. PGF2α programs are popular in dairy operations. However, some beef operations implement PGF2α program before/ after exposing cows to bulls (Figure 4). This apporach generally resulted in more pregnancies and more calves compared to no PGF2α program before or after bull introduction. Inducing or prolonging luteal phase Luteal phase can be achieved by induction of ovulation with GnRH and subsequent CL formation and/or by withdrawal of progesterone following supplementation for 5 or 7 days and a concommitant luteolytic dose of PGF2α will result in a decline in progesterone concentration to basal values and estrus. Select Synch programs Several Select Synch protocols are available for use in AI or NS breeding programs, including GnRH + PGF2α, CIDR + PGF2α, and MGA + PGF2α. 17-19 GnRH and PGF2α GnRH treatment on day 0 (random stages of the estrous cycle) is to control follicular wave emergence and/or to induce CL formation; PGF2α is given on days 6 or 7, observe for estrus days 2-6 after PGF2α, and AI cows that express estrus (AM-PM rule) (Figure 5). Conception rate is similar to AI following spontaneous estrus and PGF2α-induced estrus. These programs are ideal for smaller beef operations. Figure 2. Schematic presentation of weekly monday morning program in cattle Monday PGF2α to all eligible cows Estrus detection & AI Day 2 Day 6Day 0 Figure 3. Schematic presentation of biweekly Monday morning program: in cattle 61yaD41yaD0yaD Monday PGF2α to all eligible cows Estrus detection & AI Monday, 2 wks. later PGF2α to all cows Day 22 Figure 4. PGF2α program before/after exposing beef females to bulls http://dx.doi.org/10.58292/CT.v17.11650 Citation: Clinical Theriogenology 2025, 17, 11650, http://dx.doi.org/10.58292/CT.v17.11650 13 CIDR + PGF2α or Select Synch + CIDR Cows receive a CIDR (1.3 g progesterone) insert for 7 days and an injection of PGF2α the day before (day 6) (Figure 6A) or at CIDR removal (day 7) (Figure 6B), with improved estrus syn- chrony and conception rates. When GnRH was given 6 or 7 days prior to PGF2α, 70-83% of cows were in estrus within 4 days.20 It is advantageous to include the CIDR when more cows are anestrus and/or when estrus detection before PGF2α treatment is not feasible. With Select Synch, 5-20% of cattle may exhibit estrus 2 days before PGF2α treatment. The best strategy is to apply both protocols to the same group of cows, placing CIDRs in young, thin, and/or late-calving cows. In heifers, progesterone supplentation (oral or intravaginal) promotes cyclicity. MGA MGA is an orally active progestin; fed at 0.5 mg/day per ani- mal, estrus is suppressed and ovulation is prevented.18,21 Feeding MGA is specifically approved for estrus suppression only in heifers. Level of feeding and consumption of MGA are critical to success. In this program, beef heifers are fed MGA for 14 days, followed by a PGF2α injection 19 days later on day 33.18,21 This will have heifers in the late luteal stage of the estrous cycle at PGF2α injection, and will maximize conception rate (Figure 7A). Alternately, if there is a concern about consis- tent delivery of MGA, producers/clinicians can use a CIDR insert in place of MGA (Figure 7B). Both MGA and CIDR con- trol the estrous cycle.22-24 Furthermore, a 7-11 modified MGA synchroinzation protocol reduces the protocol from 37 to 26 days (Figure 8). The 7-11 program25,26 utilizes a 7-day proges- tin supplementation (MGA; fed from days 0 to 7) with PGF2α given at the conclusion of the MGA feeding (day 7). GnRH is Figure 5. Schematic presentation of Select Synch estrus syn- chronization program Figure 6A. Schematic presentation of Select-Synch + CIDR estrus synchronization protocol with PGF2α treatment the day before CIDR removal Figure 6B. Schematic presentation of Select-Synch + CIDR estrus synchronization protocol Figure 7A. Schematic presentation of 14 d MGA + PGF2α estrous synchronization protocol in beef heifers Figure 7B. Schematic presentation of 14 d CIDR + PGF2α estrous synchronization protocol in beef heifers Figure 8. Schematic presentation of 7-11 Synch program http://dx.doi.org/10.58292/CT.v17.11650 14 Citation: Clinical Theriogenology 2025, 17, 11650, http://dx.doi.org/10.58292/CT.v17.11650 given on day 11, PGF2α on day 18, estrus detected from days 20-24, with AI using AM-PM rule. MGA programs are used for NS and AI. Field trials involving heifers where MGA was used in conjunction with NS, or with PGF2α prior to AI at oberved estrus.27 The pregnancy rate for syn- chronized estrus was 9 percentage points greater for NS over AI, substantiating the flexibility in implementing precise synchro- nization protocols with this particular management system.27 Further, the MGA + Select protocol involves an injection of GnRH on day 26 in a 14-day MGA + PGF2α program.28,29 Although pregnancy rate to synchronized estrus in 2-4 year old cows were similar to both MGA-Select and MGA + PGF2α proto- cols (62 versus 69%, respectively), the MGA + Select program is advantageous, as more cows < 5 years of age became pregnant compared to an MGA +PGF2α program (71 versus 46%).28,29 Substituting CIDR inserts for MGA in the MGA + Select proto- col in beef heifers were evluated. Although pregnancy per AI was greater in CIDR versus MGA-treated heifers (63 versus 47%; p < 0.01), final pregnancy rate did not differ (p > 0.10) between treatments.25 Pregnancy rates to AI were similar following implementation of 14-day MGA + PGF2α and 7-11 synch proto- cols.30 AI success with various protocols is illustreated (Table 4). Ovulation synchronization Ovulation synchronization is aimed at synchronizing ovula- tion and allowing TAI rather than relying on estrus detection to determine when to breed. Ovulation synchronization is based on forcing ‘turnover’ of a dominant follicle as it is the main limiting factor to synchronize emergence of a new follic- ular wave in all eligible beef females at random stages of the estrous cycle at protocol initiation. In addition, the ovulation synchronization program promotes oocyte viability. As illus- trated (Figure 9), 3 principles are involved and should be achieved in a timely manner to promote success of ovulation synchronization programs. Intiation of a new follicular wave and synchronized follcular wave growth can be achieved by GnRH, estrogen (licensed use varies with country), or follicle ablation. GnRH GnRH induces ovulation/luteinization of follicles > 10 mm in 85% of cows and 55% of heifers when injected at random times of the estrous cycle. Further, treatment of GnRH at ran- dom stages of the estrous cycle inititates new follicular wave emergence in ~ 3-4 days.20,41 Estrogen Estrogen causes regression of FSH-dependant follicles and luteinization/ovulation of LH dependent/estrogenic follicles via both negative and positive feedback. New follicular wave emergence occurs ~ 4 days later, depending on the type of estradiol used. Follicular wave emergence occurs 3.6, 4.1, and 4.4 days after estadiol 17β, estradiol benzoate (EB), and estra- diol cypionate, respectively.42-44 It should be noted that when Table 4. Conception per AI following implementation of estrous synchronization protocols in beef heifers and cows Protocol CR/AI% (Total female) Age group Select Synch + CIDR* 53.8 (323/600) Cows31 Select Synch + CIDR* (SS) 65.0 (160/246) Cows32 Select Synch + CIDR* (CS) 66.7 (164/267) Select Synch + NS 56.9 (249/438) Heifers33 Select Synch + CIDR* 46.9 (160/341) Cows34 14-day CIDR + PGF2α 61.7 (267/433) Heifers35 5-day Select Synch + CIDR 64.8 (287/443) Select Synch + CIDR* 55.5 (394/710) Cows36 2 PGF2α (14 days) 52.3 (376/723) Heifers37 Select Synch 60.2 (100/166) CIDR + PGF2α 59.1 (528/894) 5 day Select Synch + CIDR 72 (33/46) Cows38 7 day Select Synch + CIDR 72 (36/50) CIDR+ PGF2α 61 (197/325) Cows39 Select Synch 70 (217/309) Select Synch + CIDR 67 (230/345) MGA/Select Synch 46.0 (185/402) Heifers30 MGA/ PGF2α 47.0 (185/394) Select Synch 47.0 (21/45) Cows25 7-11 Synch 68.0 (30/44) Select Synch 65.7 (115/175) Cows40 Select Synch + P4 59.1 (123/208) 2 PGF2α (14 days) 60.6 (86/142) http://dx.doi.org/10.58292/CT.v17.11650 Citation: Clinical Theriogenology 2025, 17, 11650, http://dx.doi.org/10.58292/CT.v17.11650 15 using estrogen for follicular suppression, treatment of estro- gen and progesterone is advisable (addition of progesterone is to suppress estrogen induced LH surge), whereas estrogen alone is sufficient in combination with a CIDR. Limitations of synchronizing follicular waves The simplistic explanation is the average length of estrous cycle is 21 days, with a range from 16 to 24 days. A typical bovine estrous cycle has 2 or 3 waves of follicle development, and the dominant follicle of the last wave ovulates. The follicular wave consists of 3 phases (growing, static, and regres- sion) with 3 points (recruitment, selection, and dominance). It should be noted that an 18-21 day range is associated in a 2 wave cycle and a 21-24 day range is associated with a 3 wave cycle.45 Two-wave cycles are common in cattle and cycles with 1 or 4 waves cycle occur incidentally. Wave length in prepubertal heifers are 8 days. The interovulatory intervals of 3 wave cycles differed from 2 wave cycle in: 1. earlier emer- gence of the dominant follicles; 2. longer duration; and 3. shorter interval from emergence to ovulation. The reason for 2 or 3 wave cycles is unclear. Poor nutrition and stress (3 wave), lifespan of CL (shorter in 3 wave) and slowly grow- ing dominant follicles (2 wave) are associated with the difference.45 Differences in number of follicular waves and range of estrous cycle and follicular wave lengths are illustrated (Table 5). It depicts variations in follicular dynamics when implementing estrus or ovulation synchronization protocols in a group of eligible beef females at random stages of the estrous cycle. Follicular wave length could vary 6-12 days. While implementing synchronization, not only these varia- tions, but prepubertal and peripubertal status in heifers and postpartum anestrus in cows and ovarian disorders such as cystic ovarian degenration and uterine disorders such as clini- cal and subclinical endometritis should also be taken in to account. Ovulation synchronization treatment regimens with combinations of GnRH and PGF2α Figure 10 shows the basic ovulation synchronization proto- cols that utilize the combination of GnRH and PGF2α. Both Ovsynch and Presynch-Ovsynch are commonly used in dairy operations. Ovsynch includes a first dose of GnRH given on a random day of the estrous cycle (day 0). Seven days later, PGF2α (day 7) is given and 48 hours later, a second dose of GnRH is given, with TAI 16 hours later,46 requiring 4 han- dlings. Presynchronization, the initial portion of the protocol that precedes the Ovsynch portion, is achieved with 2 PGF2α treatments, with a 2 week interval between the first and sec- ond PGF2α treatment, in the weeks leading up to the initiation of Ovsynch. However, interval between the second PGF2α Figure 9. Illustration of 3 principles that are involved in the success of ovulation synchronization programs Table 5. Differences in range of estrous cycle, number and length of follicular waves Estrous cycle length 2 wave cycle 3 wave cycle Short range – 18 day cycle 9 days per wave 6 days per wave Long range – 24 day cycle 12 days per wave 8 days per wave Average – 21 day cycle 10.5 days per wave 7 days per wave The underline highlights the difference in the wave’s length between a long- and short-range cycle and between a two- and three-wave cycle. Figure 10. Ovulation synchronization protocols with the combination of GnRH and PGF2α http://dx.doi.org/10.58292/CT.v17.11650 16 Citation: Clinical Theriogenology 2025, 17, 11650, http://dx.doi.org/10.58292/CT.v17.11650 treatment and first GnRH of Ovsynch protocol is more vari- able. Usually, the selected interval is 10-14 days. The general objective of presynchronization is to increase the percentage of cows that are on days 5-8 of their estrous cycle, with inter- mediate circulating progesterone concentrations and a healthy, dominant follicle that can ovulate in response to first GnRH of Ovsynch protocol treatment. CO-Synch The CO-Synch protocol is one of the most commonly used protocols across the industry for TAI of beef females. The CO-Synch protocol, is similar to an Ovsynch protocol, except the second GnRH is given at TAI, with only 3 handlings. The CO-Synch protocol is implemented with or without CIDR. The CO-Synch + CIDR protocol was reasonably effective among pre/peri pubertal heifers and anestrous cows and it is a good option when a minimal number of animal handlings is desired. CO-Synch without CIDR Heifers are injected with GnRH on day 0 and PGF2α is given on day 7. Heifers are inseminated 60 ± 4 hours after PGF2α injection and a second dose of GnRH is given at TAI (Figure 11A). Cows are injected with GnRH on day 0, an injection of PGF2α is given on day 7, with TAI (and a concommittant injection of GnRH) between 66 and 72 hours after PGF2α injection. CO-Synch + CIDR The CO-Synch + CIDR program is similar to CO-Synch; in addi- tion, a CIDR insert is placed and removed after 7 days (from GnRH to PGF2α treatment). Heifers are inseminated at 60 ± 4 hours after PGF2α injection and a second GnRH is given at TAI (Figure 12A). In cows, insemination is done between 66 and 72 hours after PGF2α, with a second GnRH at TAI (Figure 12B). Pregnany per AI following utilization of various CO-Synch protocols, with or without CIDR, in cows and heifers that received insemination at a various fixed times following CIDR removal is given in Table 6. 5 day CO-Synch + CIDR This protocol was developed based on the premise that reducing the length of CIDR treatment 7-5 days in the CO-Synch + CIDR protocol would increase secretion of estradiol by the preovula- tory follicle, decrease incidence of induced ovulation of follicles with reduced estrogenic activity, and potentially improve TAI pregnancy rates, based on the assumption that day-4 dominant follicles have higher intrafollicular estradiol-17β.49-51 This protocol is similar to the 7 day CO-Synch + CIDR but involves a shorter interval (5 days) of CIDR treatment.49,52 However, it requires giving 2 doses of PGF2α approximately 6 to 8 hours apart (additional handling of cows and cost of sec- ond PGF2α). A larger field trial (n = 1817) had a small improve- ment in pregnancy rates to AI following a 5 day CO-Synch + CIDR protocol compared to the 7 day CO-Synch + CIDR Figure 11A. Schematic presentation of CO-Synch ovulation synchroniazation protocol in heifers Figure 11B. Schematic presentation of CO-Synch ovulation synchroniazation protocol in cows Figure 12. Schematic presentation of CO-Synch + CIDR ovulation synchroniazation protocol Table 6. Pregnancy per AI (P/AI) following implementation of estrous synchronization protocols, with or without proges- terone supplementation in beef heifers and cows Protocol P/AI (total females) Age group CO-Synch + CIDR (72 hours) 65.0% (5470) Heifers47 CO-Synch (72 hours) 55.3% (5099) CO-Synch + CIDR (60-66 hours) 54% (2868) Cows48 CO-Synch (60-66 hours) 52% (871) http://dx.doi.org/10.58292/CT.v17.11650 Citation: Clinical Theriogenology 2025, 17, 11650, http://dx.doi.org/10.58292/CT.v17.11650 17 protocol (58.1 versus 55.1%; p = 0.04) in cows,53 whereas in heifers (n = 289), a 5 day CO-Synch + CIDR protocol tended to be greater (63.8 versus 53%; p = 0.07).54 Split-time AI Pregnancy rates/AI can be optimized with a split-timed AI (STAI) approach. The rationale is that pregnancy percentages are greater in beef females that express estrus before insemi- nation. The STAI involves not conducting AI in females that have not expressed estrus at the time of TAI. However, with heifers that have not expressed estrus at the time of TAI, there is an additional interval for behavioral estrus expression to occur before AI, with all heifers that have not expressed estrus by TAI being inseminated at the second TAI, with GnRH treatment either at first or at second TAI to heifers not detected in estrus. In a large field trial in beef heifers (n = 3166), P/AI per- centages were 58.9,63.4, 56.5, and 56.5% for 14 days/ STAI, 5 days/STAI, 14 days/TAI and 5 days/TAI, respec- tively. The study concluded the 5 day CIDR regimen with 64 + 84 hours split-time AI combination acheived > P/ AI.35 In beef cows (n = 1062), P/AI for cows in the 65 + 85 hours treatment combination was > at 36 days than for cows in the 55 + 75 hours treatment combination (61.0 versus 51.4%), respectively.55 Another trial in beef cows (n = 695) was conducted to compare pregnancy percentages per embryo transfer (P/ ET) following twice daily compared to split-time (64/84- hours) estrus detection in a CIDR + Select treatment regi- men.34 Percentage P/ET for cows in the split-time and twice daily estrus detection groups did not differ (49.2 [174/354] verus 46.9 [160/341]; p > 0.1). Further, percent- age conception/ET for cows in the split-time and twice daily estrus detection groups were 60.0% (174/290) and 56.3% (160/284), respectively (p > 0.1), whereas concep- tion rates for ET at 64 and 84 hours were 61.5% (150/244) and 52.2% (24/46). Presynchronization in beef heifers Exogenous progesterone hastened cyclicity in pre and peri- pubertal beef heifers and also increased pregnancy per AI. Progesterone (cyclic) status or progesterone supplementa- tion at onset of synchronization protocols are critical for favorable pregnancy outcomes. Presynchronization is synchronization of the estrus cycle prior to synchronization for TAI. There are various presyn- chronization methods, including 1 dose of PGF2α (10 days before initiation of protocol) or 2 doses of PGF2α, 10-14 days apart, with the second dose 10-14 days before protocol initiation,56 GnRH alone57 or combined with PGF2α, 57,58 or a CIDR for 5, 7, 9, 14 or 18 days53,59,60 before protocol initia- tion. Beef herds with a high percentage of prepubertal or peripubertal heifers at the start of the breeding season may benefit from presynchronization. Treatments such as CIDR and/or GnRH before initiating a TAI program may hasten puberty.38,47,61-63 Dominant follicles are present in prepubertal and peripubertal heifers and may be induced to ovulate with exogenous GnRH, depending on fol- licle size and maturity. However, smaller follicles (< 11 mm) induced to ovulate were less likely to result in pregnancy than ovulation of larger follicles (11-16 mm).19,64-66 Using a CIDR promotes ovulation in prepubertal and peripubertal heifers47 and anestrus postpartum cows. Further, ovarian responses in Angus-cross beef heifers presynchronized with CIDR-GnRH before a CO-Synch protocol had more heifers with a CL at PGF2α and increased preovulatory follicle diameter at AI com- pared to a CIDR only before a CO-Synch protocol.67 Recently, 7 & 7 Synch protocol (CIDR insert and PGF2α on day 0; GnRH on day 7, CIDR insert removal and PGF2α on day 14 and GnRH + TAI, 66 hours after CIDR removal) was compared to 7 days CO-Synch + CIDR protocol in beef cows.68,69 Improved pregnancy was observed following implementation of 7 & 7 Synch protocol compared to 7-days CO-Synch + CIDR proto- col. In beef cattle, 5 days CO-Synch + CIDR protocol resulted in 10% greater pregnancy compared to 7 days CO-Synch + CIDR protocol in cows49 and similar pregnancy rate compared to 14 days CIDR protocol in heifers.24 Since 5 days CO-Synch + CIDR protocol resulted in greater pregnancy in beef heifers, it would be interesting to compare pregnancy rates following 7 & 5 and 5 & 5 treatment regimens in heifers. Preliminary and unpub- lished results from our trials in beef heifers had greater preg- nancy for 7 & 5 protocol when PGF2α (60.1%) was replaced with GnRH (52.8%) at CIDR insertion. Utilization of sexed semen in a synchronization programs AI with sexed semen should be used only on any cow or heifer that are observed in estrus70-72 following synchronization with any protocol. To improve pregnancy success, it is recom- mended to use sexed semen on beef females that have exhib- ited estrus before insemination and use conventional semen on females that have not exhibited estrus, with concurrent GnRH treatment. For best results with sexed semen, AI is per- formed 16-28 hours after detecting estrus.73,74 Variations among bulls exist in pregnancy success following AI with sexed semen due to variation in sperm DNA longev- ity.75 Field studies and reports could be used to identify bulls with sufficient number of inseminations and to identify bulls with true differences in fertility. Once identified, these bulls could be used in research to assess fertility in sex-sorted semen. Sperm DNA integrity is an important component of fertility not routinely evaluated by a standard semen analy- sis. Further, extent of sperm DNA fragmentation (SDF) cor- related with siring capacity.76 Reduced cleavage rate and developmental arrest for sexed sperm-derived embryos com- pared to conventional embryos has also been reported.75 Increased amount of SDF in sex-sorted sperm was detected when samples were incubated for 48 hours.75-78 Duration of DNA integrity in vitro of sexed sperm varied among bulls. Bulls with higher fertility following sexed semen AI had sperm DNA integrity for longer duration (up to 72 hours), whereas DNA longevity was shorter, ≤ 24 hours, for bulls with low fertility.78 However, AI with sexed semen that occurred close to ovulation (28 hours after first standing estrus) eliminated variations in bull fertility. Utilization of natural service sire in a synchronization programs NS programs are dependent on bulls for success, and synchro- nization will result in a larger proportion of females in estrus http://dx.doi.org/10.58292/CT.v17.11650 18 Citation: Clinical Theriogenology 2025, 17, 11650, http://dx.doi.org/10.58292/CT.v17.11650 for a shorter interval. Any bull used for breeding should have a bull breeding soundness examination done by a veterinarian prior to turnout. As well as evaluating semen quality and scro- tal circumference, the veterinarian will also assess the bull’s overall condition and physical structure. Individual bulls vary widely in their ability to cover cows. If using synchronization, it is advisable to be on the conservative side with respect to the bull-to-cow ratio. Most recommendations are to stock mature bulls at a rate of 1 bull to no more than 25 cows. Use of young, inexperienced sires after synchronization is discouraged due to the concentrated breeding window, and bull-to-cow ratios should be reduced if young bulls are used (e.g. 12 cows for a yearling bull and 18 cows for an 18-month-old bull). Single- sire breeding pastures also inherently involve more risk. Periodic observation of breeding groups is recommended to ensure mating occurs and females do not continue to return to estrus throughout the breeding season. A trial33 was conducted in beef heifers (n = 1,744) to com- pare estrous response and first service and breeding season pregnancy rates in Angus-cross beef heifers that received progesterone-based estrus-synchronization treatment regi- mens for timed artificial insemination (TAI), with or with- out short-term NS. Progesterone-based CO-Synch TAI with a short-term NS treatment regimen resulted in proportion- ately more pregnancies (60.3%) than without a short-term (54.2%) treatment regimen. In addition, 64/84 hour split- timed AI ([STI] 59.3%) or NS following Select-Synch (57.3%) treatment regimen could  be  implemented as an alternative, as these treatment regimens resulted in similar pregnancy rate as progesterone-based CO-Synch TAI with short-term NS (60.3%) treatment regimen. Synchronization strategies in Bos indicus cattle Physiological differences between Bos indicus and Bos taurus include a reduced capacity for LH secretion, greater sensitivity to exogenous gonadotrophins, an earlier LH surge and ovula- tion with shorter and less overt estrus expression (mainly at night), smaller CL, and lower blood progesterone concentra- tions in Bos indicus cattle.79 This makes it difficult to imple- ment AI programs using estrus syncronization protocols. In Bos indicus cattle, estrus response following PGF2α program was ~ 30% less than percentages reported for Bos taurus cattle under the same conditions.80,81 The combination of low and variable estrus response and the high incidence of anestrus in animals grazing tropical grasses result in wide variability in estrus response and pregnancy rates. Pregnancy rates follow- ing implementation of GnRH + PGF2α based Ovysnch and CO-Synch protocols have often been lower than rates reported in Bos taurus, with low conception rates in anestrus cows.82 The most useful alternative to increase the number of females that are inseminated are protocols that enable AI without the need for estrus detection, usually called TAI; TAI protocols using progestin devices, estradiol and equine chorionic gonad- otrophin (eCG) have resulted in consistent pregnancy rates in Bos indicus and Bos indicus crossbred cows. In additon, preg- nancy in successive cycles and breeding season pregnancy rates are improved with progestin devices used at the begin- ning of the breeding season. Exogenous control of luteal and follicular development has facilitated application of assisted reproductive technologies in Bos indicus-influenced cattle, without necessity of estrus detection and should provide opportunities to improve reproductive performance of beef cattle in tropical climates. Estradiol and progestin treatments have been increasingly used over the past several years in estrus synchronization pro- grams in cattle. For example, giving 2 mg of intramuscular EB at insertion of the CIDR (day 0); on days 7 or 8 the device is removed and intramuscular PGF2α is given, and 24 hours later, 1 mg of intramuscular EB is given,81 with TAI between 52 and 56 hours after device removal. Results from 13,510 insem- inations in Bos taurus and Bos indicus crossbred cattle, resulted in an average pregnancy rate of 52.7% (27.8-75.0%).81 Factors that influenced pregnancy success were body condition score and cyclicity. Treatment of 200-400 IU eCG before ovulation in Bos indicus cattle improved ovarian follicular development before ovula- tion and increased progesterone concentrations during early pregnancy.83 This glycoprotein eCG has FSH and LH like activ- ity in ruminants, with both hormones required for periovula- tory follicle maturation. In addition, eCG half-life was estimated to be 45 hours in the bloodstream of cows,84 provid- ing sustained gonadotropin support before ovulation. This effect of eCG is especially important in postpartum anestrus cows where LH pulses are frequently deficient.85 Addition of eCG to a progesterone and estradiol-based treatment for TAI improves ovulation rate and luteal function in anestrous cows. Consequently, eCG has been previously used in conventional progesterone-based treatments.85,86 Cyclicity at the initiation of protocol did not affect the pregnancy between cows treated (56.3%) or not treated with eCG (56.5%); however, addition of eCG yielded pregnancy rates close to 50% in cows with a BCS of 2.81 There were greater (p < 0.05) percentages of insem- ination and pregnancy in a 4 day breeding season in cows treated with CIDR + PGF + TW (temporary weaning) + eCG (50.9 and 29.4%) than in cows treated only with CIDR + PGF + TW (39.4 and 23.7%).87 Clearly, progestin-releasing devices, estradiol and eCG advance resumption of cyclicity in anestrus cows and facilitate TAI in suckled Bos indicus cows. Factors influncing success of synchronization Compliance Farm personnel should be working closely with veterinarians when they consider which synchronization protocol best fits their goals. Additionally, it is crucial to ensure protocols are fol- lowed. Implementation of a synchronization protocol includes: finding the right cow, using the correct reproductive hormone at the correct dose and route, giving each injection at the correct time on the correct day, and adhering to each step, from the first injection to AI. Clear and accurate animal identification, employee training, safe and efficient animal handling, main- taining a record-keeping system and updating it regularly, maintaining product labels, and providing staff with needles, syringes, gloves, etc, are all important in achieving protocol compliance. Tracking submission for AI and pregnancy rates are necessary to determine if compliance is being met. It should be noted that missing 5% of cows (or injections) results in 86% compliance across a 3 handling protocol. Transportation of beef females after AI Transporting cows/heifers after AI should be avoided. Embryos are vulnerable to stress-associated changes in circu- lating hormones and uterine environment during blastocyst formation, hatching, maternal recognition of pregnancy, and attachment to the uterus. It is essential to try to minimize stress and/or major changes after insemination to maximize http://dx.doi.org/10.58292/CT.v17.11650 Citation: Clinical Theriogenology 2025, 17, 11650, http://dx.doi.org/10.58292/CT.v17.11650 19 pregnancy success. Transportation is recommended 1-4 days after AI or later (day 42) after AI.88-90 Although reports sug- gest that transporting cows 5-42 days after AI can cause 10% decrease in pregnancy rates, in a small trial91 ACTH treatment increased serum cortisol concentrations but did not increase serum concentrations of prostaglandin F metabolites or cause pregnancy loss during early pregnancy in cows. Reproductive tract score in heifers The Reproductive tract score (RTS) is a 5 point scoring system (1 anestrus/underdeveloped or infantile genitalia; 5 – cycling, mature) based on the size (development) of tubular reproduc- tive tract and ovarian structures are given below (Table 7).92 The RTS should be used before breeding as a replacement heifer selection criterion. This can be categorized as: prepuber- tal – score 1; peripubertal – scores 2 and 3; and pubertal – scores 4 & 5. The RTS of 1 corresponds to the point in time at which the pat- tern of LH release is characterized by low-frequency pulses, as the hypothalamic-pituitary axis is highly responsive to estrogen negative feedback. Reproductive tract scores of 2 and 3 are asso- ciated with the peripubertal phase, at which responsiveness to estradiol negative feedback decreases, causing increases in LH pulse frequency, follicle growth, and estradiol secretion. The decline in estradiol negative feedback and increase in LH secre- tion promote ovarian follicular growth, and elevated concentra- tions of estradiol sufficient to induce estrus and the preovulatory LH surge. Reproductive tract scores of 4 and 5 are assigned to heifers that have reached puberty, but differ in stage of the estrous cycle at the prebreeding exam (follicular phase = 4; luteal phase = 5). Heifers with higher RTS achieve higher AI and breeding season pregnancy rates and become pregnant earlier in the breeding season compared to heifers with lower RTS.93 Temperament score in cows and heifers Temperament is a reaction characteristic of cattle to human handling. Cattle that remain calm perform better than those that are excitable during handling. In general, excitable temper- ament has detrimental effects on growth, carcass quality and health of beef cattle. The hypothalamic-pituitary-adrenal axis is exquisitely sensitive to physiological and psychological insults. Secretion of glucocorticoids is the classic endocrine response to stress. However, broad endocrine changes occur in response to stress. Within seconds to minutes after the onset of stress were increases in catecholamines, cortisol releasing hormones and ACTH and decreases in GnRH, gonadotropins, prolactin and glucogan secretion.94-96 In addition over hours to days, gonadal steroid hormones decline; these changes inhibit reproductive physiology and behavior, and decrease feeding and appetite. Various scoring systems (1-5 or 6 point, or 2 point) have been developed to measure temperament.97-99 Current techniques include chute score, flight speed and exit score. Calm cows100 and heifers99 had higher AI and breeding season pregnancy rates and become pregnant earlier in the breeding season com- pared to cattle with excitable temperament. Cattle facility design influenced temperament and thus affected reproductive performance.99 Cattle handling facility design by temperament group interactions significantly influenced progesterone, corti- sol, prolactin and substance-P concentrations.99 Inter and intra- rater agreements for 2 point temperament scoring were moderate and good. The predictive value for calm and pregnant to AI was 0.87, and excited and nonpregnant to AI was 0.76.99 Body condition score in beef cows and heifers The body condition score (BCS) is a 1-9 point (1 – emaciate and 9 – obese) scoring system101 based on visual observation of muscle and fat cover in the area of ribs/thorax, transverse processes, back and gluteal regions and tail head and perineal regions. The BCS is an indirect measure of nutitional status of cows. The BCS can be categorized as thin < 5, moderate – 5, good – 6 and 7, and obese > 7. It is preferrable to feed cattle to have a BCS of 5 at calving and maintained at BCS 5 until breeding.102 It should be noted that BCS has better correlation in beef cows than beef heifers. Cows with thin BCS took lon- ger to resume cyclicity after calving due to lower concentra- tions of IGF, estrogen and LH.103,104 Adiponectin and leptin are also lower in thin cows.105 Thin and obese cows had lesser estrus expression, and lower AI and breeding season preg- nancy rates compared to cows with moderate to good BCS.106 Cows that maintained or gained body condition after breed- ing, during first 2 months of pregnancy, had increased preg- nancy rates compared to cows that lost body condition.107 Conclusion Estrus/ovulation synchronization and an AI program are excel- lent tools that should be planned in collaboration with a veter- inarian well-experienced in reproductive management and implemented by experienced personnel who can adhere to the protocol and breeders who can breed many cattle concurrently. The investment of time in selecting AI and NS bulls and care- fully following protocols should reduce the calving interval and produce more uniform calves with genetic advantages, making them more marketable and improving profitability. However, sycnhronization will not solve all breeding or management problems. So, the key for success is consideration of all factors and options and making evidence-based decisions. Acknowledgments Authors acknowledge College of Veterinary Medicine, Washington State University, Pullman, WA, USA for the sup- port and thank Dr. John Kastelic (University of Calgary) for reviewing the manuscript. Conflict of interest Authors declare that they have no conflict of interest. Table 7. Reproductive tract scoring system based on the size of uterus and ovarian structures Tract score Uterine horns Ovarian structures 1 Immature, < 20 mm diameter, no tone No palpable structures 2 20-25 mm diameter, no tone 8 mm follicles 3 20-25 mm diameter, slight tone 8-10 mm follicles 4 30 mm diameter, good tone > 10 mm follicles, possibly CL 5 > 30 mm diameter CL http://dx.doi.org/10.58292/CT.v17.11650 20 Citation: Clinical Theriogenology 2025, 17, 11650, http://dx.doi.org/10.58292/CT.v17.11650 References 1. NAHMS. Part III: reference of 1997 Beef Cow-Calf Production Management and Disease Control. 1998. p. 9-11. Available from: https://www.aphis.usda.gov/animal_health/nahms/beef- cowcalf/downloads/beef97/Beef97_dr_PartIII.pdf [cited 22 September 2023]. 2. NAHMS. Part II: Reference of Beef Cow-Calf Management Practices in the United States, 2007–08. 2008. p. 5-31. 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