Vulvar mesotherapy enables targeted drug delivery to the reproductive tract through the "first-pass effect". We administered human long-acting recombinant follicle-stimulating hormone (LArF) via vulvar mesotherapy (LArF-VM) for ovarian stimulation in pre-synchronized Holstein cows. The single-dose LArF-VM protocol was compared with the conventional intramuscular multi-injection short-acting porcine pituitary FSH (SApF-IM) protocol. The objectives were to optimize the LArF-VM dose, validate the optimal dose against the conventional protocol, and evaluate operational efficiency, costs, and welfare benefits. In the dose-optimisation experiment (n = 20), 150 µg LArF-VM gave significantly greater total follicles (18.6 ± 3.84), medium-sized follicles (12.8 ± 2.78), and retrieved oocytes (15.6 ± 2.70) compared to 100 µg or the SApF-IM protocol (P ≤ 0.05). The 150 µg dose outperformed all groups in oocyte recovery and produced a favourable follicle distribution (21.74% small, 69.57% medium, 8.70% large) versus SApF-IM (10.77% small, 49.23% medium, 40% large) (P ≤ 0.05). The LArF-VM protocol significantly reduced the number of handling rounds, injection time, diluent volume, and labour cost per donor cow (P ≤ 0.01). Validation experiment (n = 13) showed that follicular response (22.17 ± 7.9 vs 21.71 ± 9.4) and oocyte yield (15.67 ± 6.02 vs 15.86 ± 7.15) did not differ significantly between the LArF-VM and SApF-IM protocols (P > 0.05). The single-injection LArF-VM protocol offers a simpler, safer, less stressful, logistically superior, and cost-effective alternative for ovum pick-up while maintaining effective follicular stimulation and oocyte recovery in cattle.