OUR ACHILLES HEEL

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The Achilles heel of the embryo transfer industry is the unpredictability of the final results even when optimum techniques have been utilized by experienced persons. I have often thought we should regularly obtain at least a 90% pregnancy rate when considering number one quality embryos were correctly transferred, by an experienced technician into a prepared recipient with a recognized corpus luteum (CL) and no detectable infections. I would even say 100% but one has to allow 10% for human error!

A recent publication (Sirard et al) reported the occurrence of transcriptional modifications (changes in the DNA) of eggs leading to lower quality eggs and subsequent lower quality embryos with resulting disappointing pregnancy rates. It is surmised that these modifications occur due to large doses of Follicle Stimulating Hormone (FSH) injected into selected donors the process known as superovulation. The injected FSH is much larger than the surges of FSH released by the animal herself. So use conservative doses of the hormone. Take careful records of FSH doses and record subsequent responses e.g. size of ovaries at flush time, number of eggs, transferable quality and degenerate embryos.

We can improve egg (oocyte) maturation by practicing recommended nutritional requirements so that the donor is not too fat or even too thin. Too fat is often a problem as owners wish to keep their best cows in show condition. There are rare examples of donors repeatedly producing embryos over 40 times and the owners emphasize their animals are kept in working condition i.e. a number 5 or 6 body score. Success can also be improved by testing the donor for anti-mullerian hormone achieved by taking a blood sample. (see previous newsletter for details). After dystocia (difficult calving) or after a retained fetal membrane 50% of these cows will contract endometritis which often remains undetected until flushing time as there is no exudate.

Too few embryos collected in comparison to detected CLs can be a problem when too few flushes are performed or insufficient media are used. Embryos reside in the uterus which has deep folds in the wall making it difficult in some cases for the embryo to be removed into the flushing medium. A recent published study verified the fact that more embryos were recovered when additional flushing was performed and we have experienced similar results. In the early days of embryo transfer we collected embryos (by surgery) by merely flushing the fallopian tubes, a very short distance, compared to the length of the uterus, but we had to repeat the flush at least 3 times to catch all of the embryos. When flushing non-surgically the embryos have to travel from the tip of the uterus all of the way to the cervix so there are many traps on the journey. In addition, uterii vary in size and ability to expand when the media is infused. We fill and empty the uterus at least 5 times in order to achieve maximum chances of recovering most of the embryos.

Unfortunately, there will always be some disappointing results so I often say to my students you must be emotionally strong to accept the inevitable failures especially when preparing one donor at a time-but there will be also be many successful flushes if you persist and learn from failures.

Dr. Peter Elsden
Owner / Instructor
The International Embryo Transfer School
For more information, visit: http://www.ETSchool.com
 
ETschool":it9pho86 said:
The Achilles heel of the embryo transfer industry is the unpredictability of the final results even when optimum techniques have been utilized by experienced persons. I have often thought we should regularly obtain at least a 90% pregnancy rate when considering number one quality embryos were correctly transferred, by an experienced technician into a prepared recipient with a recognized corpus luteum (CL) and no detectable infections. I would even say 100% but one has to allow 10% for human error!

A recent publication (Sirard et al) reported the occurrence of transcriptional modifications (changes in the DNA) of eggs leading to lower quality eggs and subsequent lower quality embryos with resulting disappointing pregnancy rates. It is surmised that these modifications occur due to large doses of Follicle Stimulating Hormone (FSH) injected into selected donors the process known as superovulation. The injected FSH is much larger than the surges of FSH released by the animal herself. So use conservative doses of the hormone. Take careful records of FSH doses and record subsequent responses e.g. size of ovaries at flush time, number of eggs, transferable quality and degenerate embryos.

We can improve egg (oocyte) maturation by practicing recommended nutritional requirements so that the donor is not too fat or even too thin. Too fat is often a problem as owners wish to keep their best cows in show condition. There are rare examples of donors repeatedly producing embryos over 40 times and the owners emphasize their animals are kept in working condition i.e. a number 5 or 6 body score. Success can also be improved by testing the donor for anti-mullerian hormone achieved by taking a blood sample. (see previous newsletter for details). After dystocia (difficult calving) or after a retained fetal membrane 50% of these cows will contract endometritis which often remains undetected until flushing time as there is no exudate.

Too few embryos collected in comparison to detected CLs can be a problem when too few flushes are performed or insufficient media are used. Embryos reside in the uterus which has deep folds in the wall making it difficult in some cases for the embryo to be removed into the flushing medium. A recent published study verified the fact that more embryos were recovered when additional flushing was performed and we have experienced similar results. In the early days of embryo transfer we collected embryos (by surgery) by merely flushing the fallopian tubes, a very short distance, compared to the length of the uterus, but we had to repeat the flush at least 3 times to catch all of the embryos. When flushing non-surgically the embryos have to travel from the tip of the uterus all of the way to the cervix so there are many traps on the journey. In addition, uterii vary in size and ability to expand when the media is infused. We fill and empty the uterus at least 5 times in order to achieve maximum chances of recovering most of the embryos.

Unfortunately, there will always be some disappointing results so I often say to my students you must be emotionally strong to accept the inevitable failures especially when preparing one donor at a time-but there will be also be many successful flushes if you persist and learn from failures.

Dr. Peter Elsden
Owner / Instructor
The International Embryo Transfer School
For more information, visit: http://www.ETSchool.com

I studied under Dr. James Spears at Morehead State University in the early 1970s. We performed zygote recovery on mice. Since mice are more expendable than cows, we sacrificed the donor mice by cervical separation. The entire uterus and tubes were removed and the system was flushed under a dissecting microscope into a watch glass. The zygotes were immediately picked up in a pipette and the fresh zygotes were inserted into the recipient mice whose uterus had been prepared for implantation.

Your comments target some of the questions I have had about flushing cows. I am planning my first ET in my herd this fall and early winter.

Queztion: how do you evaluate embryo quality? What should I know about the embryos I might purchase to assure they are of optimum quality?
 
Got a comment about doing ET on mice. It is not difficult. I have never had the opportunity to flush a cow but my guess is that mice are easier due to the size. The uterus of a mouse is flushed with a special graduated micro pipette syringe. The uterus is placed in a solution. The pipette is inserted and the content of the syringe flushes out the zygotes.

Mouse ET instrument:
zj7b01.jpg
 
Inyati13, it's really easy to tell the difference in embryos when looking through a microscope. I'm very fortunate to know an embryologist and a SS distributor. I wish my son would take an interest in the embryo transfer business, because anyone can do it. Your judged on our results and not how much formal education you have.
 
True Grit Farms":1mnhn0lv said:
Inyati13, it's really easy to tell the difference in embryos when looking through a microscope. I'm very fortunate to know an embryologist and a SS distributor. I wish my son would take an interest in the embryo transfer business, because anyone can do it. Your judged on our results and not how much formal education you have.

I have considered taking a class.

Mice do not have a horned uterus. So you do not have to concern yourself with determining which ovary has a CL.

Edited: Grit my concern on quality is with regard to PREPARATION. I am looking at embryos that are approximately $300 each. I would like to know the embryos are properly prepared.
 
Margonme":1pcfba5w said:
True Grit Farms":1pcfba5w said:
Inyati13, it's really easy to tell the difference in embryos when looking through a microscope. I'm very fortunate to know an embryologist and a SS distributor. I wish my son would take an interest in the embryo transfer business, because anyone can do it. Your judged on our results and not how much formal education you have.

I have considered taking a class.

Mice do not have a horned uterus. So you do not have to concern yourself with determining which ovary has a CL.

Edited: Grit my concern on quality is with regard to PREPARATION. I am looking at embryos that are approximately $300 each. I would like to know the embryos are properly prepared.

I could set you up a guy in Madison Georgia that's a real talker but knows his stuff. He pulls embryos on Mondays. He's mostly a SimAngus breeder, and flushes Angus cows. I'm just to dense to grasp and retain all the technical aspects, but I sure do enjoy helping out. We'll be taking some ET and AI bulls to the UGA test center in a few weeks to start their evaluations. I'm still waiting for EDR to bring a few of those top Simi bulls he brags about to the test. I want to be showed what his bulls can do instead of being told what they can do.
 
True Grit Farms":jv7e0ipx said:
Margonme":jv7e0ipx said:
True Grit Farms":jv7e0ipx said:
Inyati13, it's really easy to tell the difference in embryos when looking through a microscope. I'm very fortunate to know an embryologist and a SS distributor. I wish my son would take an interest in the embryo transfer business, because anyone can do it. Your judged on our results and not how much formal education you have.

I have considered taking a class.

Mice do not have a horned uterus. So you do not have to concern yourself with determining which ovary has a CL.

Edited: Grit my concern on quality is with regard to PREPARATION. I am looking at embryos that are approximately $300 each. I would like to know the embryos are properly prepared.

I could set you up a guy in Madison Georgia that's a real talker but knows his stuff. He pulls embryos on Mondays. He's mostly a SimAngus breeder, and flushes Angus cows. I'm just to dense to grasp and retain all the technical aspects, but I sure do enjoy helping out. We'll be taking some ET and AI bulls to the UGA test center in a few weeks to start their evaluations. I'm still waiting for EDR to bring a few of those top Simi bulls he brags about to the test. I want to be showed what his bulls can do instead of being told what they can do.

Thank you. I may want to do that but not right now.
 

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