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Topic:Endometritis

Endometritis in horses is an inflammatory condition of the endometrium, the inner lining of the uterus, often resulting from bacterial infection. It is a significant reproductive disorder that can affect fertility in mares. The condition can be classified as acute or chronic, depending on the duration and severity of the inflammation. Common causative agents include Streptococcus equi subsp. zooepidemicus, Escherichia coli, and other opportunistic pathogens. Clinical signs may include abnormal uterine discharge, prolonged estrus, and failure to conceive. Diagnosis typically involves uterine cytology, culture, and biopsy. Treatment strategies often include antimicrobial therapy, uterine lavage, and management of underlying predisposing factors. This page compiles peer-reviewed research studies and scholarly articles that explore the etiology, pathophysiology, diagnostic methods, and treatment options for endometritis in equine reproductive health.
Changes in malondialdehyde concentrations and glutathione peroxidase activity in purebred Arabian mares with endometritis.
Veterinary journal (London, England : 1997)    July 5, 2005   Volume 170, Issue 1 135-137 doi: 10.1016/j.tvjl.2004.04.002
Yaralioglu-Gurgoze S, Cetin H, Cen O, Yilmaz S, Atli MO.Endometritis is an important factor in infertility. Free radicals play an important role in endometritis and we have investigated their possible role and scavenging systems in endometritis in purebred Arabian mares. The plasma concentration of malondialdehyde (MDA) and erythrocyte glutathione peroxidase (GPx) activity were compared in healthy mares and in mares with endometritis. The level of MDA was significantly increased while GPx activity was decreased in the mares with endometritis. Our findings support the notion that GPx is consumed by increased lipid peroxidation in purebred Arabian ma...
Nitric oxide levels and nitric oxide synthase expression in uterine samples from mares susceptible and resistant to persistent breeding-induced endometritis.
American journal of reproductive immunology (New York, N.Y. : 1989)    April 19, 2005   Volume 53, Issue 5 230-237 doi: 10.1111/j.1600-0897.2005.00270.x
Alghamdi AS, Foster DN, Carlson CS, Troedsson MH.Breeding-induced endometritis (BIE) in the mare is resolved by 36 hr after insemination in resistant mares. However, 10-15% susceptible broodmares fail to do so because of impaired uterine contractility between 7 and 19 hr after exposure to seminal or bacterial challenge, which reduces their fertility. Methods: Nitric oxide (NO) in uterine secretions, and expression of nitric oxide synthase (NOS) in uterine biopsies were compared between susceptible and resistant groups 13 hr after insemination. Results: Susceptible mares had a higher NO in their uterine secretions and greater inducible NOS (i...
Effect of clenbuterol on the clearance of particles of charcoal (4 to 90 microm) from the uteri of mares.
The Veterinary record    March 16, 2005   Volume 156, Issue 9 279-281 doi: 10.1136/vr.156.9.279
Kolm G, Gemeiner M, Deichsel K, Budik S, Aurich J, Aurich C.The failure of clearance mechanisms in the mare's uterus results in persistent inflammation and is considered a major cause of subfertility. Eighteen mares, of which three were susceptible to endometritis and four had been ovariectomised, underwent charcoal clearance testing to evaluate their clearance mechanisms. This consisted of installing 500 mg of charcoal (particle size 4 to 90 microm) added to 50 ml of phosphate-buffered saline (PBS) into the uterus. Forty-eight hours later the uterus was flushed out with 0.0012 per cent methylene blue in 50 ml of PBS for determination of the diluting f...
Isolation and cryopreservation of functionally competent equine leucocytes.
Journal of veterinary medicine. A, Physiology, pathology, clinical medicine    September 2, 2003   Volume 50, Issue 4 179-184 doi: 10.1046/j.1439-0442.2003.00511.x
Zerbe H, Castilho LF, Engelke F, Mattos RC, Schuberth HJ, Klug E, Leibold W.Sufficient numbers of functionally competent polymorphonuclear neutrophil granulocytes (PMN) seem to be of major importance during the course of equine endometritis. In this study, we wanted to establish a method for cryopreservation of functionally competent neutrophils for an intended local endometritis therapy in mares. The separation of leucocytes by hypotonic lysis of whole blood from clinically healthy mares was superior to the separation by dextrose sedimentation. After suspension of the cells in the cryoprotective solution [equine plasma with 5% (v/v) dimethyl sulphoxide (DMSO)], the l...
Development and comparison of in vivo and in vitro models for endometritis in cows and mares.
Theriogenology    May 17, 2003   Volume 60, Issue 2 209-223 doi: 10.1016/s0093-691x(02)01376-6
Zerbe H, Schuberth HJ, Engelke F, Frank J, Klug E, Leibold W.In order to investigate pathogenic mechanisms of acute endometritis in cows and mares, we established an in vivo model in both species. Based on the results of an in vitro transmigration system, human recombinant interleukin-8 (rhIL-8; 1.25 microg per mare and 5 microg per cow in 50 ml phosphate-buffered saline) was used to attract polymorphonuclear neutrophil granulocytes (PMNs) into the uteri. Peak numbers of uterine neutrophils were attracted after 6h, in both cows and mares. On average, mares responded more sensitively than cows, with 15 times higher numbers of rhIL-8-attracted uterine neu...
Effect on fertility of uterine lavage performed immediately prior to insemination in mares.
Journal of the American Veterinary Medical Association    April 25, 2003   Volume 222, Issue 8 1108-1110 doi: 10.2460/javma.2003.222.1108
Vanderwall DK, Woods GL.To determine the effect on fertility of large-volume uterine lavage with lactated Ringer's solution (LRS) performed immediately prior to insemination in mares. Methods: Prospective randomized controlled study. Methods: 20 mares. Methods: Control mares (n = 10) were inseminated with 1 billion (estimated before cooling) progressively motile spermatozoa that had been cooled in a passive cooling unit for 24 hours. Mares (n = 10) in the treatment group were inseminated with 1 billion progressively motile spermatozoa (cooled as described for control mares) immediately after uterine lavage with 4 L o...
Study of the role of Chlamydia, Mycoplasma, Ureaplasma and other microaerophilic and aerobic bacteria in uterine infections of mares with reproductive disorders.
Acta veterinaria Hungarica    April 12, 2003   Volume 51, Issue 1 45-52 doi: 10.1556/AVet.51.2003.1.4
Szeredi L, Tenk M, Schiller I, Révész T.In six healthy mares and 24 mares showing reproductive disorders swab samples were taken from the fossa clitoridis to isolate Taylorella equigenitalis, and from the uterus to isolate mycoplasmas, ureaplasmas and other aerobic bacteria. Swab samples were also taken from the uterus for Chlamydia antigen ELISA and Chlamydia PCR studies. The uterus of 27 mares was examined cytologically, and biopsy samples were taken from the endometrium for histological examinations and for immunohistochemical examinations aimed at the detection of chlamydiae. T. equigenitalis, mycoplasmas, ureaplasmas and chlamy...
Reproductive considerations: mare and stallion.
The Veterinary clinics of North America. Equine practice    January 9, 2003   Volume 18, Issue 3 591-619 doi: 10.1016/s0749-0739(02)00030-5
Madill S.Functional alterations within the reproductive system and in other supporting systems may limit the reproductive capacity of geriatric patients; however, the age of onset and degree of compromise show wide individual variation. Aging of the hypothalamopituitary-ovarian axis in the mare manifests as delayed entry to the breeding season, prolonged follicular phases, reduced response to ovulation induction, irregular cycles, oocyte defects, increased early embryonic death, and, eventually, persistent anestrus. Aging of the reproductive tract may increase her susceptibility to endometritis, compro...
Uterine contractility is necessary for the clearance of intrauterine fluid but not bacteria after bacterial infusion in the mare.
Theriogenology    March 29, 2000   Volume 52, Issue 3 413-423 doi: 10.1016/S0093-691X(99)00139-9
Nikolakopoulos E, Watson ED.Bacteria were infused into the uteri of 5 estrous mares resistant to persistent mating-induced endometritis, first during a control cycle, and then during treatment with clenbuterol, a beta 2 agonist. Uterine cellular response was evaluated 48 h later by transrectal ultrasonography, followed by uterine lavage. During clenbuterol treatment all mares accumulated intrauterine fluid, whereas in the control cycle none of the mares retained fluid. There was no significant difference between the 2 cycles in the cloudiness of the lavage fluid, number of cells per milliliter, percentage of neutrophils ...
Effect of timing of follicle aspiration on pregnancy rate after oocyte transfer in mares.
Journal of reproduction and fertility. Supplement    January 1, 2000   Issue 56 493-498 
Hinrichs K, Betschart RW, McCue PM, Squires EL.Mares with preovulatory follicles >33 mm in diameter were administered hCG and were randomly assigned for aspiration of the dominant follicle at 24 h or 35 h after hCG administration. Oocytes recovered at 24 h were cultured for 12 h before transfer and oocytes recovered at 35 h were cultured for 1 h. Oocytes were transferred by flank laparotomy to the oviduct of the same mare, or to the oviduct of another oocyte donor. Recipient mares were inseminated before and after transfer. The oocyte recovery rates at 24 h and 35 h after hCG administration were not significantly different (10/15 (66%) and...
Oxytocin and PGF2alpha release in mares resistant and susceptible to persistent mating-induced endometritis.
Journal of reproduction and fertility. Supplement    January 1, 2000   Issue 56 363-372 
Nikolakopoulos E, Kindahl H, Watson ED.Mares resistant (n=7) and susceptible (n=9) to persistent mating-induced endometritis were artificially inseminated (AI) during oestrus with chilled extended semen. Blood samples were collected from 30 min before AI, for 2 h after AI and again between 16 and 18 h after AI. Samples were assayed for oxytocin and the PGF2alpha metabolite 13,14-dihydro-15-keto PGF2alpha (PGFM). AI caused a significant increase in oxytocin concentrations in both the resistant and susceptible mares and there was no significant difference in oxytocin release between the two groups of mares. Mean PGFM concentrations w...
Simultaneous recording of pituitary oxytocin secretion and myometrial activity in oestrous mares exposed to various breeding stimuli.
Journal of reproduction and fertility. Supplement    January 1, 2000   Issue 56 351-361 
Madill S, Troedsson MH, Alexander SL, Shand N, Santschi EM, Irvine CH.The aim of this study was to investigate the effect of different breeding stimuli on uterine contractility and pituitary oxytocin release in five oestrous mares, in order to design better treatments for mares with defective physical uterine clearance mechanisms. Electrodes and strain gauges were implanted surgically on the uterine myometrium and myometrial activity was monitored with a Grass polygraph. A catheter was placed non-surgically in the intercavernous sinus of each oestrous mare to sample pituitary venous blood and a second catheter was placed in the jugular vein. Continuous sampling ...
[The prevention of pneumovagina and the effect of the Caslick operation on fertility: a retrospective study].
Tijdschrift voor diergeneeskunde    May 27, 1999   Volume 124, Issue 9 281-283 
van Ittersum AR, van Buiten A.Mares with a large vulvar orifice have an increased risk of pneumovagina, which is associated with reduced fertility. Treatment is by means of the Caslick operation, by which size of the vulvar orifice is reduced. Factors that influence the occurrence of pneumovagina are the age and fertility status of the mare. In this study the risk factors for pneumovagina and the effect of the Caslick operation on fertility were investigated. In 1994, 1995, and 1996 a total of 967 mares were sent for service at a stud. Of these mares, 116 underwent a Caslick operation. The operated mares were older than th...
Endometritis, salpingitis and fertilisation rates after mating mares with a history of intrauterine lumenal fluid accumulation.
Equine veterinary journal. Supplement    May 21, 1998   Issue 25 109-112 doi: 10.1111/j.2042-3306.1997.tb05113.x
Miragaya MH, Woods GL, Losinno L.The occurrence of uterine and oviductal inflammation, and fertilisation rates, were measured on Day 3 post ovulation in inseminated mares that had either exhibited intrauterine lumenal fluid during a previous dioestrus (Experiment 1) or had acute endometritis induced by intrauterine infusion of 1% glycogen (Experiment 2). Endometritis was assessed by uterine cytology and histology whereas oviductal inflammation was measured histologically. Fertilisation rates were calculated from the percentage of cleaved ova recovered by retrograde flushing of the oviducts. Mares with or without pre-existing ...
[Dimethylsulfoxide (DMSO) in horses: a literature review].
Tijdschrift voor diergeneeskunde    April 16, 1998   Volume 123, Issue 3 74-80 
Douwes RA, van der Kolk JH.The use of dimethyl sulphoxide in equine medicine is discussed with special reference to trauma of the central nervous system, chronic endometritis, trauma of the locomotor apparatus, and ischaemic bowel pathophysiology. The ability of dimethyl sulphoxide to reduce connective tissue formation might be of interest in abdominal surgery. The anti-inflammatory effect of dimethyl sulphoxide is used in the treatment of muscle trauma, tendinitis, laminitis, and arthritis. Dimethyl sulphoxide can potentiate the effects of other drugs. The most common dose is 1 g/kg body weight intravenously up to a 40...
Equine cryptococcal endometritis and placentitis with neonatal cryptococcal pneumonia. Petrites-Murphy MB, Robbins LA, Donahue JM, Smith B.No abstract available
Oxytocin enhances clearance of radiocolloid from the uterine lumen of reproductively normal mares and mares susceptible to endometritis.
Equine veterinary journal    July 1, 1994   Volume 26, Issue 4 279-282 doi: 10.1111/j.2042-3306.1994.tb04387.x
LeBlanc M, Neuwirth L, Mauragis D, Klapstein E, Tran T.The effects of oxytocin on the percentage of technetium 99m albumin colloid (99mTc-microAA), cleared from the uterine lumen was measured in 13 mares. Scintigraphy was performed during 4 consecutive oestrous cycles, on Day 3 of oestrus during Cycles one and 3 and 48 h after ovulation during Cycles 2 and 4. Oxytocin (20 iu) was given i.v. after the initial scintigraphy image during Cycles 3 and 4. Seven multiparous mares (Group 1) were classified as 'susceptible' and 6 mares (2 nulliparous and 4 multiparous; Group 2) were classified as 'resistant' to endometritis. All mares cleared > 90% of 99mT...
Measurement by ELISA of equine alpha-1-proteinase inhibitor in uterine flushings from mares.
Research in veterinary science    July 1, 1994   Volume 57, Issue 1 45-52 doi: 10.1016/0034-5288(94)90080-9
Scudamore CL, Pemberton AD, Miller HR, McDonnell AM, Thomson SR, Dawson A, Watson ED.An enzyme linked immunosorbent assay (ELISA) was developed and used to estimate the concentrations of the serine proteinase inhibitor, alpha-1 proteinase inhibitor (API), in uterine flushings recovered from mares at different stages of the oestrous cycle and before and after the induction of experimental endometritis. There was a significant increase in the concentrations of API and albumin relative to total protein in flushings recovered during oestrus compared with dioestrus but no difference was observed in the concentrations of these proteins relative to total protein before and after the ...
Scintigraphic measurement of uterine clearance in normal mares and mares with recurrent endometritis.
Equine veterinary journal    March 1, 1994   Volume 26, Issue 2 109-113 doi: 10.1111/j.2042-3306.1994.tb04346.x
LeBlanc MM, Neuwirth L, Asbury AC, Tran T, Mauragis D, Klapstein E.The percentage of Technetium 99m-albumin colloid (99mTc-microAA), a radiocolloid, cleared from the uterine lumen within 4 h of intrauterine infusion, was measured in 15 mares during 2 consecutive cycles, on Day 3 of oestrus and 48 h after ovulation. Four nulliparous (Group 1) and 4 multiparous (Group 2) mares were classified as resistant and the remaining 7 multiparous mares were classified as susceptible (Group 3) to endometritis. Mares in Groups 1 and 2 cleared more 99mTc-microAA from their uteri than did mares in Group 3 during oestrus (P < 0.01) and 48 h after ovulation (P 50% of the c...
Proceedings of the John P. Hughes International Workshop on Equine Endometritis. Davis, California, August 1992.
Equine veterinary journal    May 1, 1993   Volume 25, Issue 3 184-193 doi: 10.1111/j.2042-3306.1993.tb02940.x
The paper is a report from a workshop discussing equine endometritis, a condition affecting horse fertility. The event was held in honor of Professor John Hughes and his significant contributions […]
The contribution of complement to opsonic activity in the uterine secretions of mares free of endometritis.
Theriogenology    March 1, 1993   Volume 39, Issue 3 601-609 doi: 10.1016/0093-691x(93)90247-3
Hakansson A, Albihn A, Magnusson U.The aim of the present study was to investigate if complement contributes to opsonic activity in the uterine secretions of mares with normal reproductive functions. Five mares with a mean age of 9 years were used in the study. The mares were considered to be free of endometritis based upon clinical history, palpation per rectum and ultrasonogaraphy of the genital tract, videoendoscopic inspection of the uterus, electronmicroscopy of endometrial biopsies, and bacteriological and cytological examination of swabs from the endometrium. The hormonal status of the mares was also determined. Uterine ...
The effect of transcervical uterine manipulations on establishment of uterine infection in mares under the influence of progesterone.
Theriogenology    November 1, 1992   Volume 38, Issue 5 945-950 doi: 10.1016/0093-691x(92)90168-q
McDonnell AM, Watson ED.Four pony mares were used in a cross-over study to investigate the effect of different treatments on experimentally-induced endometritis. The mares were treated with progesterone to facilitate establishment of uterine infections. They received an intrauterine infusion of Streptococcus zooepidemicus 5 days after the start of progesterone therapy. Five days later, they were treated by intrauterine infusions of 2 g ampicillin in 50 ml sterile water or by sterile water without antibiotic for 3 consecutive days. Prior to infusion of Strep. zooepidemicus, no bacteria were cultured from the uteri of ...
Investigations into the use of exogenous oxytocin for promoting uterine drainage in mares susceptible to endometritis.
The Veterinary record    June 22, 1991   Volume 128, Issue 25 593-594 doi: 10.1136/vr.128.25.593
Allen WE.No abstract available
Identification and opsonic activity of immunoglobulins recognizing Streptococcus zooepidemicus antigens in uterine fluids of mares.
Journal of reproduction and fertility. Supplement    January 1, 1991   Volume 44 289-296 
LeBlanc M, Ward L, Tran T, Widders P.A direct ELISA was used to measure immunoglobulin (Ig) isotypes G, Gt, A, and M recognizing Streptococcus zooepidemicus epitopes in uterine lavage fluids collected during the early post ovulatory period. A S. zooepidemicus isolate, used as the plate antigen in this assay, was inoculated into the uteri of 8 mares (3 resistant and 5 susceptible to endometritis) at oestrus prior to ovulation during Oestrous Cycles 1, 3 and 5. Resistant mares aged 2-5 years were nulliparous, with clinically normal reproductive tracts as determined by physical examination, bacteriological culture of the uterus, and...
Inflammatory components in uterine fluid from mares with experimentally induced bacterial endometritis.
Equine veterinary journal    November 1, 1990   Volume 22, Issue 6 422-425 doi: 10.1111/j.2042-3306.1990.tb04309.x
Pycock JF, Allen WE.Exudate and uterine flushings were collected at either 30, 60, 120 or 240 mins after intrauterine infusions of Streptococcus zooepidemicus in genitally normal mares during oestrus. Uteri were also flushed without prior induction of endometritis. Protein concentrations in exudate and flushings increased with time and exudate pH decreased with time; the pH of flushings did not alter. Lysozyme and lactate dehydrogenase were present in flushings from non-infected uteri, but concentrations increased with time after infection. Immunoreactive prostaglandin E2 was undetectable before infection, but co...
Delayed drainage of neomycin from the uterus of mares susceptible to endometritis.
The Veterinary record    August 11, 1990   Volume 127, Issue 6 132 
Allen WE, Boyd EH.No abstract available
Lysozyme, alkaline phosphatase and neutrophils in uterine secretions of mares with differing resistance to endometritis.
Theriogenology    March 1, 1990   Volume 33, Issue 3 723-732 doi: 10.1016/0093-691x(90)90549-9
Katila T, Lock TF, Hoffmann WE, Smith AR.A study was conducted to 1) determine differences in the inflammatory response following bacterial challenge between normal mares and mares with chronic endometritis and 2) to determine if enzyme activity in uterine fluid can be used to evaluate degree of inflammation in the equine uterus. Six normal mares (Group 1) and four mares with chronic endometritis (Group 2) received an intrauterine infusion of beta-hemolytic streptococci on the second day of estrus. Neutrophil concentration as well as lysozyme and alkaline phosphatase activity were determined in uterine secretions obtained by placing ...
Uterine clearance mechanisms during the early postovulatory period in mares.
American journal of veterinary research    June 1, 1989   Volume 50, Issue 6 864-867 
LeBlanc MM, Asbury AC, Lyle SK.Uterine response to inoculation with Streptococcus zooepidemicus organisms, 51Cr-labeled 15-microns microspheres, and charcoal was evaluated in 9 mares (4 resistant and 5 susceptible to endometritis) to determine mechanical and cellular clearance rates during the early postovulatory period. Mares were inoculated at estrus prior to ovulation during estrous cycles 1, 3, and 5. Uterine swab specimens for aerobic and anaerobic bacteriologic culture and serum for progesterone determination were obtained on postovulation day 3 during estrous cycle 1, on the day of ovulation during estrous cycle 3, a...
Efficacy of intrauterine infusion of plasma for treatment of infertility and endometritis in mares.
Journal of the American Veterinary Medical Association    February 1, 1989   Volume 194, Issue 3 372-378 
Adams GP, Ginther OJ.We evaluated the efficacy of intrauterine plasma infusion in mares as a treatment for infertility caused by endometritis and distinguished the effects of intrauterine infusion of plasma vs saline solution. Forty-three subfertile mares were randomly assigned to 1 of 3 treatment groups: untreated controls (n = 14), those treated by saline infusion (n = 14), and those treated by plasma infusion (n = 15). Reproductive status was assessed daily by transrectal ultrasonography. Uterine aspirates and biopsy specimens were obtained 8 days after ovulation for cytologic and histologic evaluation, and mar...
Uterine defence mechanisms in mares resistant and susceptible to persistent endometritis: a review.
Equine veterinary journal    November 1, 1988   Volume 20, Issue 6 397-400 doi: 10.1111/j.2042-3306.1988.tb01558.x
Watson ED.No abstract available