Uterine health in horses pertains to the condition and functionality of the uterus, an essential component of the mare's reproductive system. The uterus is responsible for supporting the development of the embryo and fetus during gestation. Various factors, such as infections, inflammation, and anatomical abnormalities, can impact uterine health, potentially affecting fertility and reproductive performance. Common conditions affecting the equine uterus include endometritis, pyometra, and uterine cysts. Assessment of uterine health often involves diagnostic tools like ultrasonography, endometrial biopsies, and cytological evaluations. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, pathology, diagnostic techniques, and treatment options related to uterine health in horses.
Watson ED, Stokes CR, David JS, Bourne FJ, Ricketts SW.Intrauterine infusion of 1 per cent oyster glycogen solution was used to induce acute endometritis in four genitally normal mares. Numbers of viable neutrophils recovered in uterine washings had increased by 1 h after infusion and remained elevated for at least 72 h. There was a significant correlation between numbers of viable neutrophils and total protein concentrations and between prostaglandin (PG)F and PGE2 concentrations in washings. There was also a significant relationship between concentrations of 15-keto-13, 14-dihydro PGF2 alpha in plasma and PGF in washings. Intrauterine concentrat...
Liu IK, Cheung AT, Walsh EM, Ayin S.The functional competence of uterine-derived polymorphonuclear neutrophils (PMNs) from 28 mares was measured for migration responsiveness by use of a chamber (filter) assay. Uterine infection was induced with Streptococcus zooepidemicus in mares considered resistant to chronic uterine infection (Grade I). In sequential analysis of uterine flushings obtained from these mares 5, 12, 15, 20, and 25 h after infection was induced, PMNs showed an initial rise at 12 h (from 5), then a general decline in migration response and in concentration of cells per ml from 12 through 25 h post-inoculation. In ...
Woods GL, Hillman RB, Schlafer DH.To evaluate embryo transfer as a possible method to circumvent infertility in mares, embryos from 14 normal and 14 infertile mares were collected three times and examined. Fewer flushes (p less than 0.05) from normal than infertile mares (1/42 vs 9/42) contained only abnormal embryos whereas more flushes (p less than 0.05) from normal than infertile mares contained one or more normal embryos (28/42 vs 8/42). More flushes (p less than 0.05) from normal than infertile mares contained embryos (29/42 vs 17/42). The embryo diameters (mm) at either day-7 or day-8 post ovulation were greater (p less ...
Rantanen NW.Because the abdomen of the adult horse is too thick to obtain good-quality radiographs, diagnostic ultrasound is a particularly valuable imaging modality in the diagnosis of abdominal disease. The size, shape, position, and texture of the liver, spleen, kidneys, urinary bladder, gravid uterus, and gut wall can be determined by scanning the abdominal surface. The presence or absence of abdominal fluid can be determined efficiently. Gut motility as well as ileus secondary to peritonitis or obstruction can be assessed. Suspected adhesions of the bowel can often be documented, and primary or secon...
Katila T, Lock TF, Ely RW, Smith AR.The study was designed to determine differences between normal mares and mares with endometrial pathology in the inflammatory response after bacterial challenge. Six normal mares (biopsy category I) and 4 mares with pathological endometrial changes (biopsy category II) were given an intrauterine infusion of β-hemolytic streptococci on the second day of estrus. All mares had a similar kind of inflammatory response after the bacterial inoculation as assessed by rectal and vaginal examinations. There were no significant differences in the amount of discharge, uterine tone, uterine size and cervi...
Widders PR, Stokes CR, David JS, Bourne FJ.Antibody in serum, uterine and vaginal secretions was measured following local immunisation and experimental infection with the organism of contagious equine metritis (Taylorella equigenitalis). Intrauterine immunisation with killed T equigenitalis stimulated a systemic IgG titre and a uterine IgA and IgM response. Subsequent challenge with the organism, however, resulted in a characteristic metritis in both control and vaccinated mares. Antibody in serum and secretions was increased following challenge infection, dwarfing the response to immunisation. The local response was restricted to the ...
Brown AE, Hansen PJ, Asbury AC.Uterine flushings collected from mares before and after bacterial-induced inflammation were assayed for ability to opsonize Streptococcus zooepidemicus for phagocytosis by polymorphonuclear leukocytes. Opsonization was measured as the peak phagocytic rate of bacteria preincubated with uterine flushings relative to the peak phagocytic rate of unopsonized bacteria. Flushings from four mares with noninfected uteri were unable to opsonize bacteria regardless of whether uteri were flushed at estrus or on day 10 postovulation. In a second experiment, 7 X 10(9) live S. zooepidemicus were inoculated i...
Ginther OJ, Bergfelt DR, Scraba ST, Pivonka PR, Nuti LC.The effect on reproduction of the plant derivative 6-methoxybenzoxazolinone (6-MBOA), which stimulates reproductive function in voles, was tested in pony mares, laboratory mice and rats, and mink. There was not a significant effect of intravenous injections of 6-MBOA on the ovarian follicles during the transition between the anovulatory and ovulatory seasons in mares. No significant effect of intraperitoneal injections of 6-MBOA on the weight of uterus or ovaries was found in eight-week-old mice, failing to confirm the results of an earlier report. In immature white rats, 6-MBOA treatment resu...
Widders PR, Stokes CR, David JS, Bourne FJ.The effect of cycle stage on immunoglobulin and albumin levels in serum, follicular fluid, oviductal, uterine and vaginal secretions was measured. There was no variation in serum immunoglobulin levels during the oestrous cycle, although IgM levels were elevated in cyclic mares compared to non-cyclic (immature and anoestrous) animals. Similarly, there was no cyclical variation in follicular or oviductal protein concentrations. In the uterus, IgG and IgA levels relative to total protein were higher in oestrogenic than in progestagenic secretions, while the trend in relative IgM concentrations wa...
Sexton PE, Bristol FM.Bacteriology, histology, and scanning electron microscopy were used to evaluate uterine involution in 27 mares treated with daily injections of 150 mg of progesterone and 10 mg of estradiol-17 beta, commencing within 18 hours of parturition. These findings were compared with those for 24 untreated mares at postpartum day 10 or 11. The treatment resulted in significantly (P less than 0.05) greater uterine gland proliferation. Gland density was significantly (P less than 0.05) greater in mares treated for 6 to 10 days than in those treated 2 to 5 days. The proportion of ciliated cells to secreto...
Widders PR, Stokes CR, David JS, Bourne FJ.IgG, IgA, IgM and albumin concentrations were measured in serum, follicular fluid and oviductal, uterine and intestinal secretions of the horse. Follicular protein concentrations were found to be dependent on serum concentration and molecular size. Of the immunoglobulins only IgG was detectable in oviductal secretions, but IgG:albumin ratios did not differ significantly from those in serum. IgG, IgA and IgM were measured in uterine secretions, with IgG predominant. Serum transudation into uterine secretions was minimal. In intestinal secretions, IgA levels were slightly higher than IgG, with a...
Blue MG, Hannwacker MA.Persistent purulent endometritis in a mare was attributed to an unclassified species of Corynebacterium. Following intrauterine infusions of 20% betadine for 5 days the purulent vulval discharge ceased and the mare appeared clinically normal. Based on histological examination of endometrial biopsy samples, the severe acute inflammatory reaction had largely resolved 2 days after therapy. Three maiden mares considered resistant to bacterial endometritis received single intrauterine inoculations of 1.8 X 10(9) colony-forming units of the Corynebacterium species. The uterine response was followed ...
Strzemienski PJ, Do D, Kenney RM.Luminal fluid from the mare uterus was used to investigate its relation to antibacterial defenses. Uterine flushings were collected at Day 3 of estrus, Day 8 postovulation and Day 15 postovulation. Uterine proteins were concentrated by ultrafiltration, dialyzed and examined for chemotactic activity to neutrophils and for antibacterial properties. Serum taken at the time of flushing was dialyzed and studied in a similar manner. Neutrophil migration in response to serum from Day 3 estrus and Day 8 postovulation was increased (P less than 0.05) above controls. Uterine protein from Day 8 postovula...
Blue HB, Blue MG, Kenney RM, Merritt TL.Forty uterine fluid samples were obtained from 4 mares classified as resistant to uterine bacterial infection. The uterus of each mare was flushed with 50 ml of saline solution during estrus and diestrus of successive estrous cycles. Bacteria or fungi were isolated from 4 samples, and 7 additional samples were obtained from a mare with active intrauterine infection. Fluid volumes obtained during estrus (means = 40.3 +/- 11 ml) tended to be greater than those recovered during diestrus (means = 36.8 +/- 7.9 ml), but the difference was not significant. Concentrations and yields of protein in reco...
Brook D.A guarded, sterile swab is used to obtain samples for uterine culture. With the mare in stocks, the tail bandage and the perineum washed, the culture rod is introduced into the vagina with a gloved hand. After the rod is guided through the cervix, the guard cap is dislodged and the swab is rubbed along the endometrium, after which the rod is extracted. Samples for uterine culture should only be obtained during full estrus. Swabs should be directly plated onto agar within 2 hours of collection. Blood agar is appropriate for initial screening, but use of specialized types of agar expedites ident...
Slusher SH, Freeman KP, Roszel JF.In a review of specimens from 80 mares with concurrently collected endometrial biopsy and cytology preparations, eosinophils were found in 33 specimens from 27 mares. In 22 of 27 mares, there were conditions predisposing to pneumovagina, which presumably led to pneumouterus. Thirty-two of the 80 mares also had conditions predisposing to pneumovagina but no eosinophils in the uterine specimens. Experimental introduction of air into the uterus of 3 mares resulted in eosinophils in their uterine specimens.
Ginther OJ, Pierson RA.The morphological and pathological status of the uterus in mares was evaluated using a linear-array ultrasound scanner, and the ultrasonic properties of the uterus were characterized. The uterus was examined each day in 16 mares, beginning at mid-diestrus. The uterus was recorded as having an ultrasonic morphology characteristic of diestrus (endometrial folds not distinguishable), estrus (prominent endometrial folds) or an intermediate stage (folds only moderately distinguishable). The number of mares with an intermediate or estrous image increased gradually between day -7 (2 14 mares; ovulati...
Asbury AC, Gorman NT, Foster GW.The addition of serum to uterine secretions was shown to opsonize Streptococcus zooepidemicus and significantly enhance bacterial phagocytosis by equine neutrophils. Treatment of serum by heat inactivation at 56 degrees C, EDTA treatment, and C3 consumption reduced phagocytosis and therefore demonstrated that the process was complement-dependent. The amount of C3 present in uterine secretions was measured in a series of 14 mares infected with Streptococcus zooepidemicus . Ten of the 14 mares had detectable amounts of C3; however, the C3 had been cleaved and rendered nonfunctional. The importan...
Pipers FS, Zent W, Holder R, Asbury A.Ultrasonographic detection of pregnancy was performed in 952 Thoroughbred mares. Characteristic images were obtained between 12 and 55 days after breeding. Twins in the same uterine horn as well as twins in opposite horns were imaged, and for the first few months of gestation appeared similar to single pregnancies. Growth curves as a function of time were developed, utilizing horizontal diameters of the blastocysts versus breeding dates. Comparisons between horizontal and vertical diameters demonstrated no appreciable differences when observed as a group. Growth curves derived from twins did n...
Ginther OJ.Movement of the conceptus within the uterine lumen of barren mares was studied by daily ultrasound examinations on days 11-20 and by rectal palpation on days 15-48 (Experiment 1) and by ultrasound examinations 3 or 4 times per day at 2-4 hour intervals on days 11-16 (Experiment 2). In addition, broodfarm records were analyzed to compare side of ovulation with side of embryo attachment (Experiment 3). The vesicle was found in opposite uterine horns for 43% of the successive, daily, ultrasound examinations on days 11 and 12, 12 and 13, 13 and 14, and 14 and 15; 24% of the successive examinations...
Zavy MT, Clark WR, Sharp DC, Roberts RM, Bazer FW.In Experiment 1, 40 gilts and 30 pony mares were used to characterize changes in glucose, fructose, ascorbic acid and glucosephosphate isomerase (GPI) enzymatic activity in uterine flushings collected either during the estrous cycle or early pregnancy. Total recoverable glucose was greater (P less than 0.01) in uterine flushings from pregnant gilts, but pregnancy status had no effect on total recoverable glucose in pony mare uterine flushings. Fructose was undetectable in uterine flushings from nonpregnant gilts and pony mares and pregnant gilts and pony mares prior to Day 14, but occurred in ...
Rambags BP, Stout TA.An 18-year-old Friesian mare with a large intrauterine cyst was examined by transrectal ultrasonography. There were several small to moderately sized intraluminal endometrial cysts, one of which connected via the myometrium to a large subserosal cyst, thereby effectively forming a 'transmural' cyst complex. During a videohysteroscopy, the intraluminal part of this transmural cyst was removed by electrocoagulation via a polypectomy snare. It was then possible to drain the large subserosal part of the cyst into the uterine lumen by transrectal massage, thereby confirming the presence of the tran...
Drews B, Milojevic V, Robles M, Wimel L, Dubois C, Rudolf Vegas A, Giller K, Chavatte-Palmer P, Daniel H, Giesbertz P, Bruckmaier RM, Ulbrich SE.Female mammalian reproductive functions are closely linked to body condition and metabolic status. Energy homeostasis is regulated by endocrine hormones such as insulin, IGF-I, leptin, and adiponectin via the hypothalamic-pituitary-adrenal axis. These metabolic hormones and their receptors are also expressed in reproductive tissues and the embryo. We investigated the relationship between circulating leptin and the fatty acid (FA) and amino acid (AA) composition of the equine uterine fluid (UF) and peripheral blood plasma (BP) by using a mass spectrometry-based approach. UF and BP were collecte...
Broome TA, Allen D, Baxter GM, Pugh DG, Mahaffey E.A 2-year-old Arabian filly was referred for evaluation of a serosanguineous vaginal discharge. Palpation per rectum revealed a large, fluid-filled uterus and a uterine mass. The filly developed septic metritis and secondary laminitis as a result of torsion and necrosis of a pedunculated uterine mass. Ovariohysterectomy was performed. The entire cervix was removed with the uterus. Gross examination of the excised uterus revealed 3 intraluminal masses. Histologic evaluation identified the tumors as fibroleiomyoma. The filly recovered completely, and there was no recurrence of the tumor.
Wichtel JJ, Reinertson EL, Clark TL.Nonsurgical correction of uterine torsion was performed in 7 mares, and 6 foals were subsequently born alive. Uterine rupture necessitated euthanasia in 1 mare. Correction was achieved by rolling of the mares after general anesthesia had been induced. Previously, this technique was believed to be associated with a high prevalence of fetal and maternal mortality. Nonsurgical correction may be a satisfactory alternative to abdominal surgery in treating uterine torsion in mares.
Hahn K, Conze TM, Wollanke B, Distl O, Goehring LS, Witte TS.A 5-month-old draft horse filly was presented with incontinence and severe perivulvar dermatitis, which developed during the previous 2 months. Left-sided ectopic ureter entering in the caudal vaginal lumen, signs of cervix hypoplasia, and urine accumulation in the uterus were found during initial vaginal endoscopy. Therefore, a left ureter-nephrectomy was conducted under general anesthesia. Additionally, a cytogenetic examination was performed, which showed a XO monosomy with a 63,X/64,XX mosaic. This is the first case report presenting a chromosome abnormality in a draft horse filly combine...
Campbell ML, England GC.Uterine motility may have significance for the transportation of spermatozoa and the elimination of the ejaculate and inflammatory products after mares have been covered. The effect of some of the component stimuli of coitus on uterine contractions was investigated by using M-mode ultrasound. The number, amplitude and duration of the uterine contractions of each uterine horn and of the uterine body were measured in oestrous mares for four minutes before and four minutes after teasing by a stallion, mechanical stimulation of the vagina and cervix, the intrauterine infusion of 80 ml of sterile s...
Brown AE, Hansen PJ, Asbury AC.Uterine flushings collected from mares before and after bacterial-induced inflammation were assayed for ability to opsonize Streptococcus zooepidemicus for phagocytosis by polymorphonuclear leukocytes. Opsonization was measured as the peak phagocytic rate of bacteria preincubated with uterine flushings relative to the peak phagocytic rate of unopsonized bacteria. Flushings from four mares with noninfected uteri were unable to opsonize bacteria regardless of whether uteri were flushed at estrus or on day 10 postovulation. In a second experiment, 7 X 10(9) live S. zooepidemicus were inoculated i...
Bergman HJ, de Kruif A, van Dessel S.A review is given of treatment for 'problem' mares that do not become pregnant. To determine the best therapy, it is necessary to understand the defence mechanisms of the uterus and the pathogenesis of not getting in foal. A thorough clinical examination is absolutely necessary to come to a correct diagnosis. This examination will be explained in a practical way. In the second article the different therapies for treating problem mares are discussed. The therapeutic possibilities vary widely. They can be classified in: anatomical corrections, anti-infectious therapy, and treatment to enhance th...
Stabenfeldt GH, Hughes JP, Wheat JD, Evans JW, Kennedy PC, Cupps PT.The effect of hysterectomy on ovarian activity was studied
in four mares. The cyclic secretion pattern of plasma progestins normally
observed in the intact mare was interrupted by hysterectomy. Follicular
activity was observed in all four hysterectomized mares, in spite of pro-
longed luteal activity, with a large number of follicles attaining ovulatory
size without the occurrence of ovulation. Some ovulations were observed
at irregular intervals in two out of four hysterectomized mares in spite
of plasma progestin levels which ranged from 2 to 6 ng/ml. While all
ovulations which occur...
Bergman HJ, de Kruif A, van Dessel S.In this article different possible treatments for problem mares are discussed. The therapeutic possibilities vary and can be classified into anatomical correction, anti-infectious therapy, and treatment to enhance the uterine defence mechanisms. Anatomical correction and treatment with antibiotics are valuable therapies and have been used for many years. In recent years, stimulation of the mechanical defence mechanism of the uterus, by flushing it with physiological solution combined with parenteral oxytocin, has been shown to increase the chance of getting problem mares in foal.
Marcos R, Ribeiro T, Santos M, Correia-Gomes C, Macedo S, Guimarães T, Blielbernicht M, Caniatti M, Rocha A.Uterine lavage (UL) is a routine diagnostic procedure for endometritis. In UL the fluid is centrifuged and the sediment smeared. Samples prepared in cytocentrifuges, the so-called "cytospins", are useful for evaluating cells in fluids, but never been used in UL. The aim of this study was to assess the usefulness of cytospins after UL, comparing automatic versus manual cytocentrifuges, and to determine their value for the diagnosis of endometritis. The study was divided in two parts. Firstly, UL was performed in 16 mares and a small part of the retrieved fluid was cytocentrifuged in an automati...
Liu IK, Cheung AT, Walsh EM, Ayin S.The functional competence of uterine-derived polymorphonuclear neutrophils (PMNs) from 28 mares was measured for migration responsiveness by use of a chamber (filter) assay. Uterine infection was induced with Streptococcus zooepidemicus in mares considered resistant to chronic uterine infection (Grade I). In sequential analysis of uterine flushings obtained from these mares 5, 12, 15, 20, and 25 h after infection was induced, PMNs showed an initial rise at 12 h (from 5), then a general decline in migration response and in concentration of cells per ml from 12 through 25 h post-inoculation. In ...
Belz JP, Glatzel PS.Because of the mare's ability to conceive very soon post partum a thoroughly performed control of the puerperal period is of particular importance. Cytological examinations of uterine content and histological examinations of uterine biopsy specimens provide more detailed information than microbiological examinations of uterine swabs. Uterine content and uterus biopsy specimens of 55 mares were examined histologically on days 3, 6 and 9 post partum. We observed a heavy polymorphonuclear reaction of the endometrium following disturbed puerperal processes especially in cases of retained placenta....
Glatzel PS, Belz JP.Because of the mare's ability to conceive very soon post partum a thoroughly performed control of the puerperal period is of particular importance. In addition to cytological and histological examinations of the uterus, rectal palpation and vaginoscopic inspection as well as microbiological examinations of uterine swabs and the evaluation of the mare's hormonal status during the puerperal period provide useful information which can be used either prognostically or to initiate a specific therapy. 55 mares were examined on days 3, 6 and 9 post partum. Rectal palpation, vaginoscopic inspection, m...
Coruzzi G, Poli E, Bertaccini G.The effects of nifedipine, verapamil and diltiazem were investigated in the isolated mare uterus in comparison with salbutamol. All the calcium-channel blockers and salbutamol inhibited the spontaneous, KC1- and electrically induced contractions; nifedipine and salbutamol were the most potent compounds. The calcium agonist Bay K 8644 (10(-8)-10(-6) mol/l) competitively antagonized the inhibitory effect of nifedipine (pA2 value = 8.54 +/- 0.06), whereas it was only slightly or totally ineffective against verapamil, diltiazem and salbutamol. These results indicate that calcium-channel blockers a...
Vanderwall DK, Woods GL, Weber JA, Lichtenwalner AB.Transrectal ultrasonography was used to test the hypothesis that prostaglandin E(2) (PGE(2)) would increase the uterine transport of simulated embryonic vesicles in mares. Uterine transport of PGE(2)-releasing (PGE) vesicles, vehicle-releasing (sham) vesicles, and equine embryos was contrasted on Day 12 or Day 13 post ovulation. In Experiment 1, there was no difference (P>0.10) in transport of PGE vesicles, sham vesicles, Day-12 embryos, and Day-12 embryos after cervical manipulation (n = 3 per group). In Experiments 2 and 3, respectively, transport of PGE and sham vesicles was contrasted with...
Blue MG, Hannwacker MA.Persistent purulent endometritis in a mare was attributed to an unclassified species of Corynebacterium. Following intrauterine infusions of 20% betadine for 5 days the purulent vulval discharge ceased and the mare appeared clinically normal. Based on histological examination of endometrial biopsy samples, the severe acute inflammatory reaction had largely resolved 2 days after therapy. Three maiden mares considered resistant to bacterial endometritis received single intrauterine inoculations of 1.8 X 10(9) colony-forming units of the Corynebacterium species. The uterine response was followed ...
McDowell KJ, Sharp DC, Grubaugh W.Eight ovariectomized pony mares were used to test the effect of various doses of progesterone (0, 50, 150, 450 mg/day, in oil, i.m., for 10 days) on progesterone and LH in the peripheral circulation, and on total protein and uteroferrin in uterine secretions. Progesterone increased uteroferrin, but there were no differences amongst doses of progesterone. Progesterone treatment decreased LH, and tended to increase total protein. Eighteen ovariectomized mares were given vehicle, oestradiol (10 mg/day, in oil, i.m.), progesterone or progesterone + oestradiol for 28 days. Both the last two steroid...
Martin RG, Penhale WJ, Williamson P.The influx of protein and polymorphonuclear leucocytes (PMN) into the uterine lumen was examined at different intervals after intrauterine infusion of fluids. The intrauterine infusion of both phosphate buffered saline (PBS) and a solution of lipopolysaccharide (LPS) derived from Escherichia coli resulted in a biphasic influx of protein in the uterine flushings peaking three and six hours after infusion. LPS infusion caused an additional influx of protein at 24 hours. The initial influx of protein preceded a biphasic influx of PMN which peaked six and 24 hours after both infusions. Uterine flu...
Tunón AM, Rodriguez-Martinez H, Haglund A, Albihn A, Magnusson U, Einarsson S.Cyclical accumulation of uterine fluid occurs during oestrus and is often seen in excessive volumes in mares considered susceptible to endometritis. Since the mechanisms behind the formation of free uterine fluid remain to be clarified, the fine structure of the secretory equine endometrium was studied in biopsies collect during videoendoscopy from 14 endometritis-free, 4-9-year-old mares during oestrus. A distinct oedema of the tunica mucosa was evident. The surface epithelium had both ciliated and nonciliated cells and, particularly at the uterine body, often presented intra-epithelial macro...
