Ultrasonographic evaluation of ovarian response to treatment
The ultrasonographic monitoring of ovarian cysts made at the beginning and on day of last PG Inj. as well as on day of estrus/FTAI revealed highly significant (p<0.01) variation in the mean diameters and wall thickness of cysts between periods of treatment in all four protocols with resolution of cystic structures after all treatment protocols (Table 1).
In each group of treatment, the responded cows showed regression of cystic conditions as recorded by rectal palpation and ultrasonographic findings of structural dimensions (Table 1, Fig 1) and they also showed induced estrus within 48-96 hrs of last/2
nd PG injection in most of the cases. The reduction in diameter and thickness of cyst wall observed with progress of treatment corroborated with the earlier results of
Lopaz-Gatius and Lopez-Bejar (2002),
Ambrose et al., (2004) and
Enginler et al., (2012). Successful resolution of ovarian cysts with development of new ovulatory follicles following various treatment protocols have also been documented in dairy cows by
Honparkhe et al., (2011), Rudowska et al., (2015) and
Gundling et al., (2015). In the present study, all the protocols were found to be effective in resolving the cystic ovarian problem in crossbred cows, though their efficacy varied as per the type of hormone and protocol used.
Estrus response and conception rates with different protocols
The findings on estrus response and conception rates obtained at induced estrus with FTAI, followed by 2
nd and 3
rd post-treatment cycles and overall of three cycles in cystic crossbred cows treated with different approaches are presented in Table 2 and Fig 2. Out of 10, 10, 16 and 16 cystic cows treated with Ovsynch, Ovsynch + CIDR, modified Ovsynch and Double PG protocols, 90.00, 100.00, 87.50 and 81.25% cows responded with estrus signs within 48 to 96 hrs of last PG injection. The response was relatively poor in cows with luteal cysts treated using Modified Ovsynch and Double PG protocols as compared to those with follicular cysts and treated using Ovsynch and Ovsynch + CIDR protocols. The conception rate at induced estrus with FTAI in cows under Ovsynch protocol was 50.00% and one more cow conceived at second cycle post-treatment giving overall conception rate of 60.00 (6/10)% for 3 cycles. This result corroborated with
Rudowska et al., (2015), who recorded 62.00% conception with GnRH + PGF
2α treatment.
In the Ovsynch + CIDR group, 40.00% cystic cows conceived at FTAI and overall 70.00 (7/10)% conceived within 3 cycles post-treatment. This result closely corroborated with the findings of
Zulu et al., (2003), who reported conception rate of 71.40% in luteal cystic cows, while
Amer and Badr (2006) found 57.1% conception rate in cows with ovarian cysts using same treatment protocol. However,
Brito and Palmer (2004) reported only 18-28% conception rates in cows with cystic ovaries.
The conception rates in cystic cows treated with modified Ovsynch protocol were 50.00, 28.57 and 20.00% at induced, second and third estrus post-treatment, respectively, giving an overall conception rate of 68.75 (11/16)% for 3 cycles (Table 2, Fig 2). This result of 50.00% conception rate at FTAI was higher than 28.10% and 30.65% reported by
Lopez Gatius and Lopez Bezar (2002) and
Šťastná and Šťastný (2012) with Modified Ovsynch protocol. The present conception rates at FTAI and overall of three cycles with this protocol were much higher than previous reports in exotic cows, perhaps due to mixed type of follicular and luteal cysts cases included in this group and the beneficial effect of simultaneous Inj. of GnRH and prostaglandin for resolution of cystic condition leading to development of new ovulatory follicle at timed AI yielding better conception rate.
In the Double PG treatment group, 9 out of 16 luteal cystic animals conceived within 3 cycles’ post-treatment giving 56.25% conception rate. In this group the conception rates at induced/ first, second and third estrus/cycle were 43.75, 12.50 and 16.66%, respectively. The earlier workers reported comparable conception rate of 66.0% (
Brito and Palmer, 2004) and 63.3% (
Lüttgenau et al., 2016). However, the present conception rate of 56.25% achieved was much lower than 87.5 and 91.0% reported by
Leslie and Bosu (1983) and
Tebble et al., (2001), respectively. The present results perhaps could have been further increased with the use of ovulatory drug GnRH/hCG at FTAI, though we did not test it. The preset results with all 4 protocols were quite satisfactory and economically viable when compared with zero result of untreated control group of 6 cystic cows, wherein five cows were cycling but none conceived over next 2 months follow up.
Plasma progesterone profile in different treatment protocols
The mean plasma progesterone concentrations varied highly significantly (p<0.01) between periods of treatment in all four protocols. The values were lower (p<0.01) on day 0 as well as on day of FTAI than on the day of last PG injection and on day 12 post-AI in animals under Ovsynch and Ovsynch + CIDR protocols, while in Modified Ovsynch and Double PG protocols, the plasma progesterone levels on the day of FTAI were significantly (p<0.01) lower than other three periods of sampling which were statistically same. Very similar and statistically significant trends of plasma progesterone over periods were also noticed in conceived and non-conceived subgroups under each protocol (Table 3).
Significantly (p<0.01) higher levels of plasma progesterone on day 0 in animals treated with Modified Ovsynch and Double PG protocols (6.05±0.5 and 6.16 ±0.67 ng/ml) as compared to Ovsynch and Ovsynch + CIDR protocols (1.41±0.35 and 2.70±0.56 ng/ml) were mainly due to inclusion of most cases of luteal cysts and presence of more amount of luteal tissues in the animals of the former two treatment protocols and follicular cysts cases in later two protocols. However, the plasma progesterone profile on day of last PG injection was almost same in all four protocols due to the effect of initial injections of GnRH and/or PGF
2α leading to lutenization of cyst wall and/or ovulation and formation of CL from same or new follicle following lysis of existing cyst/luteal tissues and also as a direct effect of intra-vaginal CIDR implant in the particular group. Further, on the day of induced estrus / FTAI, the plasma levels were statistically similar between groups and significantly lower than either side of sampling days in each protocol due to instant luteolysis of CL / regression of luteal tissues by the last PGF
2α injection and/or withdrawal of CIDR 2 days before in respective groups, with development of new dominant follicle and expression of estrus. Similarly on day 12 post-AI, the group difference was statistically non-significant, however, the concentrations were significantly (p<0.05, p<0.01) higher in conceived than non-conceived cows. These differences could be attributed to ovulatory response and formation of pregnancy CL in conceived animals and anovulatory response or total failure of response to therapy in some of the non-conceived animals in each subgroup (Table 3). The higher levels of plasma progesterone on day 12 post-AI in Ovsynch and Ovsynch + CIDR treatment protocols compared to Modified Ovsynch and Double PG treatment protocols can be attributed to difference in the initial ovarian structure as well as the interval for last PG Inj./blood collection making difference in the receptor sites and their sensitivity to subsequent treatment coupled with other associated ovarian changes.
The present trend of steep and significant rise in plasma progesterone from day 0 to day 7 (day of PG injection) and then again steep drop on the day of FTAI observed on day 10 following PGF
2α injection and PRID removal on day 7 in cows under Ovsynch and Ovsynch + CIDR protocols concurred well with the previous reports of
Ribadu et al., (1994), Amer and Badr (2006) and
Honparkhe et al., (2011). The trend of mean plasma progesterone observed in crossbred cows on day 0 and day 11
, i.e., between two PG Injections 11 days apart and then on day of FTAI and day 12 post-AI in Double PG treatment protocol were also in line with
Amer and Badr (2006) and
Honparakhe et al., (2011). However, the influence of Modified Ovsynch protocol on progesterone profile could not be seen in the literature reviewed.
Ribadu et al., (1994) found elevated progesterone in all cows with ovarian cysts by day 7 after Ovsynch + CIDR treatment mainly due to progesterone containing CIDR insert as well as luteal cysts and luteinized follicles as evidenced by positive correlation of plasma progesterone with thickness of luteal cyst walls (
Douthwaite and Dobson 2000).
Plasma estradiol-17β concentration in different treatment protocols
The mean plasma estradiol-17β concentrations in all four groups were significantly (p<0.05) lower on day of last PG injection and on day 12 post-AI as compared to values on day of FTAI and/or day of start of treatment (day 0) (Table 4). Further, significantly (p<0.05) lower level of estradiol-17β found on day 0 in Double PG treated animals as compared to those in other three protocols may be due to selection of animals with luteal cysts and the presence of more amount of luteal tissues rather than granulosa cells on the ovaries of these animals. However, the trend of estradiol-17β profile on day of last PG injection was reversed than on day 0 among these protocols with significantly lower estradiol-17β in Ovsynch followed by Ovsynch + CIDR and Double PG protocols and higher in Modified Ovsynch treated animals. The higher levels of plasma estradiol-17β in Modified Ovsynch treatment protocol compared to other three protocols may be attributed to difference in interval of last PG Inj./blood collection and the effect of simultaneous injections of GnRH and PGF
2α on day 0. The higher levels of estradiol-17β on day of FTAI were due to regression of cystic structures and development of new dominant follicles with high estrogenic activity concomitant with induced estrus and ovulatory LH surge in most of the animals (
Lopez-Gatis and Lopez-Bezar, 2002).
The mean plasma estradiol-17β (pg/ml) concentrations on day 0,
i.e., on the day of initiation of treatment, on day of last PG injection and on day of FTAI among conceived and non-conceived animals under all four protocols were statistically similar, except on day 0 in Double PG protocol (64.00±4.76 vs 110.33±16.47 pg/ml), on day of last PG injection in Ovsynch + CIDR protocol (87.50±5.87 vs 126.83±13.24 pg/ml) and in Double PG protocol (86.25±8.51 vs 131.67±12.56 pg/ml), where these were significantly (p<0.01) higher in non-conceived than the conceived cows (Table 4). The non-significantly higher mean plasma estradiol-17β concentrations found on day of FTAI in conceived than non-conceived cows in all protocols, except Double PG protocol (p<0.05), could be attributed to presence of dominant follicle of induced estrus phase in the responded cows (
Douthwaite and Dobson (2000).
The mean plasma estradiol-17β (pg/ml) concentrations on day 12 post-AI in conceived cows under Ovsynch + CIDR, Modified Ovsynch and Double PG protocols were significantly (p<0.05) lower than in non-conceived cows, but in Ovsynch protocol the difference was non-significant (Table 4). These findings show that during pregnancy also the follicular and estrogenic activities in the ovaries continue in presence of functional CL to provide balance mount of circulatory progesterone and estrogen for the fetal growth and maintenance of pregnancy.
Meager literature on the influence of different protocols we adopted for treatment of cystic cows on plasma estradiol-17β profile was available.
Douthwaite and Dobson (2000) using CIDR implant reported the mean estradiol levels of 7.9 and 24.2 pg/ml (p=0.002) in cows with follicular cysts but with and without other follicles greater than 5 mm in diameter, respectively.
Amer and Badr (2006) observed decline in plasma estradiol following Ovsynch + CIDR protocol, but it was markedly increased one day after removal of CIDR in cystic dairy cows.
Enginler et al., (2011) reported similar serum estradiol concentration before and after Ovsynch protocol (141.337 vs 131.067 pg/ml) in cows with follicular cyst, although three days after PGF
2α administration, the USG revealed lysis of the luteinized cyst. Plasma estradiol-17β concentrations on days 0, 7 and 9, in cystic cows under Ovsynch and Ovsynch + CIDR treatment groups, which did not differ significantly at any day between the groups of two types of cystic ovary
(Kawate et al., 2011). In cows with follicular cysts, the estradiol-17β concentration decreased (p<0.05) from day 0 to day 7, but did not change (p>0.1) during the same period in cows with luteinized cysts/cystic CLs. Similarly, the estradiol-17β concentrations increased (p<0.005) from day 7 to day 9 in the Ovsynch + CIDR group, but did not change significantly during the same period in the Ovsynch group in both types of cystic ovary
(Kawate et al., 2011). The present findings concurred well with these reports particularly Ovsynch + CIDR protocol. However, it was hard to find any report on plasma estradiol concentrations in cattle with luteal cysts to debate on the present findings in luteal cystic cows treated with Modified Ovsynch and Double PG protocols.