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Topic:Uterine Health

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.
Uterine vascular degeneration is present throughout the uterine wall of multiparous mares. Colinearity between elastosis, endometrial grade, age and parity.
Theriogenology    July 3, 2012   Volume 78, Issue 5 1078-1084 doi: 10.1016/j.theriogenology.2012.04.014
Esteller-Vico A, Liu IK, Couto S.Vascular degeneration is present in endometrial vessels of multiparous aged mares. The lesions associated with vascular degeneration consist of enlargement, duplication and splitting of the membrana elastica interna and perivascular deposits of elastin. However, there are no similar data available for deep myometrial vessels and the vascular layer. The objectives of the present study were to characterize the status of vasculature in full-thickness uterine necropsy samples and to correlate these findings to endometrial grade, age, and parity. Elastosis was present in myometrial vessels, as well...
Cytological diagnosis of endometritis in the mare: investigations of sampling techniques and relation to bacteriological results.
Animal reproduction science    May 28, 2012   Volume 132, Issue 3-4 178-186 doi: 10.1016/j.anireprosci.2012.05.012
Walter J, Neuberg KP, Failing K, Wehrend A.Aim of this study was to compare uterine smears made using the Knudsen catheter, the cytology brush and a uterine culture swab with regard to diagnostic usefulness and the occurrence of neutrophils. Additionally correlation between culture results and the occurrence of neutrophils in uterine smears was investigated. Samples were collected from 340 mares, 81.5% of which were in estrus. Smears made using the cytology brush yielded more endometrial cells per high-power field than those made using the other two instruments (p<0.0001), and a larger proportion had PMNs compared with smears made u...
Susceptibility to persistent breeding-induced endometritis in the mare: relationship to endometrial biopsy score and age, and variations between seasons.
Theriogenology    April 10, 2012   Volume 78, Issue 3 495-501 doi: 10.1016/j.theriogenology.2012.02.028
Woodward EM, Christoffersen M, Campos J, Squires EL, Troedsson MH.The objectives were to: (1) investigate the associations of age and endometrial biopsy score with uterine fluid retention after insemination; and (2) determine if a strict classification of susceptibility to persistent breeding-induced endometritis (PBIE) based on biopsy score, endometrial cytology, and fluid retention after inseminations, is consistent over subsequent breeding seasons. In Experiment 1, 57 mares were inseminated with 10(9) freeze-killed sperm during estrus and evaluated for uterine fluid retention 48 h and 96 h after insemination. Comparisons were made between fluid retention ...
Conception rate, uterine infection and embryo quality after artificial insemination and natural breeding with a stallion carrier of Pseudomonas aeruginosa: a case report.
Acta veterinaria Scandinavica    March 29, 2012   Volume 54, Issue 1 20 doi: 10.1186/1751-0147-54-20
Tiago G, Júlio C, António R.Pseudomonas aeruginosa may cause venereal disease and infertility in horses. A Pseudomonas aeruginosa - carrier stallion, often unresponsive to artificial vagina collection, was used to naturally breed mares. Semen collected from the same stallion was also used to perform artificial inseminations. Pregnancy rates, embryo quality and incidence of uterine infection were compared between inseminated or naturally-bred mares. Methods: P. aeruginosa was isolated from swabbing of the penis, prepuce and distal urethra of the stallion. Before being bred or inseminated, clitoral/vestibular samples were ...
Effect of corticotherapy on proteomics of endometrial fluid from mares susceptible to persistent postbreeding endometritis.
Theriogenology    January 5, 2012   Volume 77, Issue 7 1351-1359 doi: 10.1016/j.theriogenology.2011.10.042
Wolf CA, Maslchitzky E, Gregory RM, Jobim MI, Mattos RC.The objective was to determine the effects of corticotherapy, in the presence and absence of uterine inflammation, on proteomics of endometrial fluid from mares susceptible to endometritis. In 11 mares, estrus was induced seven times with 5 mg PGF(2α) given at 14-day intervals. The first estrus was a control (no treatment). During the third estrus, mares received glucocorticoid (GC) treatment (20 mg isoflupredone acetate) every 12 h, for three consecutive days. The fifth estrus was the Infected treatment (intrauterine infusion of 1 × 10(9) colony-forming unit/mL Streptococcus equi subspecies...
Doppler sonography of the uterine and ovarian arteries during a superovulatory program in horses.
Theriogenology    December 21, 2011   Volume 77, Issue 7 1406-1414 doi: 10.1016/j.theriogenology.2011.11.005
Witt MC, Bollwein H, Probst J, Baackmann C, Squires EL, Sieme H.The aim of the present study was to investigate the effects of a gonadotropin treatment to induce superovulation on ovarian and uterine blood flow and its relationship with steroid hormone levels and ovarian response in mares, using color Doppler sonography. Each of six mares were examined sonographically in five cycles for 3 d (t1 to t3) during the follicular development phase (FDP) beginning at a follicle size of ≥ 22 mm, and for 4 d (D-4 to D-1; D0 = Ovulation) in the preovulatory phase (POP). After each examination, total estrogens (E(tot)) and progesterone (P(4)) levels were determined ...
[Uterine torsion in the mare – a review of the literature].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    December 15, 2011   Volume 39, Issue 6 403-411 
Kessel-Franke U, Ennen S, Wehrend A.No abstract available
Comparison of three methods of sampling for endometrial cytology in the mare. Preliminary study.
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    December 6, 2011   Volume 39, Issue 3 171-175 
Defontis M, Vaillancourt D, Grand FX.This prospective study aims to compare three different sampling techniques for the collection of endometrial cytological specimens in the mare: the guarded culture swab, the uterine cytobrush and the low volume uterine flush. Methods: The study population consisted of six healthy Standardbred mares in dioestrus. In each mare an acute endometritis was induced by performing a low- volume uterine flush 6days after ovulation using a sterile isotonic solution (lactated Ringer's solution or ViGro™ Complete Flush Solution). Two days after initiating inflammation, samples were collected from each ma...
Persistent breeding-induced endometritis after hysteroscopic insemination in the mare.
Reproduction in domestic animals = Zuchthygiene    November 28, 2011   Volume 47, Issue 5 732-739 doi: 10.1111/j.1439-0531.2011.01951.x
Ferrer MS, Lyle SK, Paccamonti DL, Eilts BE, Hosgood G, Godke RA.Low-dose insemination has been proposed to reduce persistent breeding-induced endometritis (PBIE) in mares with delayed uterine clearance (DUC). Others proposed that hysteroscopic insemination induces an exaggerated inflammatory response and should be avoided in DUC mares. The objectives here were to evaluate presence and severity of PBIE in normal and DUC mares after hysteroscopic insemination with fresh semen, and to determine if hysteroscopy could be used in DUC mares without inducing excessive inflammation. Reproductively normal (n = 4) and DUC (n = 5) mares received four treatments in ran...
Uterine artery blood flow remains unchanged in pregnant mares in response to short-term administration of pentoxifylline.
Theriogenology    September 29, 2011   Volume 77, Issue 2 430-436 doi: 10.1016/j.theriogenology.2011.08.018
Bailey CS, Sper RB, Schewmaker JL, Buchanan CN, Beachler TM, Pozor MA, Whitacre MD.The objective of this study was to use Doppler ultrasound technology to determine whether pentoxifylline administration increased uterine blood flow in normal pregnant pony mares. Thirteen pregnant pony mares between 18 and 190 d of gestation (mean ± SEM, 101 ± 55) were utilized for the study during two trial periods. In each trial, pentoxifylline (17 mg/kg by mouth every 12h, diluted in syrup) was administered to half of the mares for 3 d, while the other mares were treated with syrup only. Doppler measurements were obtained from the right and left uterine arteries from each mare for 2 d pr...
Distribution of mast cells in vaginal, cervical and uterine tissue of non-pregnant mares: investigations on correlations with ovarian steroids.
Reproduction in domestic animals = Zuchthygiene    September 27, 2011   Volume 47, Issue 2 e29-e31 doi: 10.1111/j.1439-0531.2011.01897.x
Walter J, Klein C, Wehrend A.Mast cells constitute part of the cellular immune system of the genital tract. They play a potential role in cervical remodelling during parturition and are subject to the influence of ovarian steroids. In this study, the influence of oestradiol-17β and progesterone on the distribution of mast cells in equine vaginal, cervical and uterine tissue was evaluated. Genital tracts were retrieved from healthy mares at a local slaughterhouse. The cervix was divided along the longitudinal axis into five equivalent regions from cranial to caudal (R1 to R5). Toluidine blue staining was used for the dete...
Isolation and characterization of β-haemolytic-Streptococci from endometritis in mares.
Veterinary microbiology    April 16, 2011   Volume 152, Issue 1-2 126-130 doi: 10.1016/j.vetmic.2011.04.009
Casagrande Proietti P, Bietta A, Coppola G, Felicetti M, Cook RF, Coletti M, Marenzoni ML, Passamonti F.The objective of this manuscript was to validate published PCR-based methods for detection of β-haemolytic Streptococci by comparison with established bacteriological techniques using 85 clinical isolates recovered from uterine swabs of mares with clinical signs of endometritis and to determine the distribution of SeeL/SeeM and SzeL/SzeM superantigens in isolates of Streptococcus equi subsp. equi (S. equi) and S. equi subsp. zooepidemicus (S. zooepidemicus). The conventional bacteriological techniques showed the vast majority of these isolates (78) were S. zooepidemicus with just 5 Streptococ...
Results of bacteriological and cytological examinations of the endometrium of subfertile mares in stud farms in Serbia.
Berliner und Munchener tierarztliche Wochenschrift    November 3, 2010   Volume 123, Issue 9-10 365-368 
Urosevic M, Lako B, Milanov D, Urosevic I, Aurich C.Uterine microbiology, antimicrobial susceptibility and endometrial cytology were investigated in a total of 51 mares with fertility problems from 16 different stud farms in Serbia. Uterine cultures were performed after collection with a double guarded uterine swab, and endometrial cytology was evaluated after collection of endometrial cells with a special device (cytology brush). In 21 of 51 mares, at least one bacterial species was isolated from the uterus; the most frequent were Streptococcus equi subsp. zooepidemicus (13 isolates) and E. coli (four isolates). All isolates of Streptococcus e...
Relationships between uterine blood flow, peripheral sex steroids, expression of endometrial estrogen receptors and nitric oxide synthases during the estrous cycle in mares.
The Journal of reproduction and development    October 12, 2010   Volume 57, Issue 1 43-48 doi: 10.1262/jrd.10-023t
Honnens A, Weisser S, Welter H, Einspanier R, Bollwein H.The objective of this study was to investigate the relationships between uterine perfusion and estrogen, progesterone and the uterine nitric oxide synthase (NOS) system in five trotter mares during the estrous cycle. Color Doppler sonography for measurement of uterine blood flow and collection of blood for determination of plasma estrogen and progesterone concentrations were performed on days 0 (= ovulation), 1, 5, 11 and 15 and daily during estrus (days -1 to -4) of one estrous cycle; endometrial biopsy collection for mRNA expression analysis of NOS and estrogen receptors was performed on day...
Immunolocalization of the hyaluronan receptor CD44 in the reproductive tract of the mare.
Theriogenology    October 6, 2010   Volume 75, Issue 2 276-286 doi: 10.1016/j.theriogenology.2010.08.014
Rodriguez Hurtado I, Stewart AJ, Wolfe DF, Caldwell FJ, Harrie M, Whitley EM.Hyaluronan (HA), a glycosaminoglycan, is a major component of the pericellular matrix which envelopes mammalian cells. Binding of hyaluronan to one of its specific receptors, CD44, modulates transduction of intracellular signals which direct a variety of processes, including embryogenesis, wound healing, inflammation, and neoplasia. Since regulation of these processes is critical to equine reproductive success, localization of constitutive CD44 expression was evaluated by immunohistochemical methods in ovarian, oviductal, and uterine tissues from healthy mares. Ovarian stroma contained thecal ...
Uterine fibrosarcoma in a Warmblood mare.
Reproduction in domestic animals = Zuchthygiene    October 1, 2010   Volume 46, Issue 3 564-566 doi: 10.1111/j.1439-0531.2010.01694.x
Govaere J, Maes S, Saey V, Blancke W, Hoogewijs M, Deschauwer C, Smits K, Roels K, Vercauteren G, de Kruif A.This paper describes a case of uterine fibrosarcoma in an 18-year-old Warmblood mare. The mare had exhibited bloody fluid accumulation inside the uterus and vaginal haemorrhagic discharge since the previous foaling. The mare was euthanized, and on pathological examination, in addition to the uterine neoplasia, multiple metastases were found in the lungs, liver and spleen. The histological and immunohistochemical examination determined that the tumour was a fibrosarcoma. To our knowledge, this is the first paper to describe a uterine fibrosarcoma in a mare.
Ascending placentitis in the mare: an update.
Reproduction in domestic animals = Zuchthygiene    July 16, 2010   Volume 45 Suppl 2 28-34 doi: 10.1111/j.1439-0531.2010.01633.x
LeBlanc MM.Ascending placentitis is a common cause of premature birth, abortion and delivery of compromised, ill foals. Recent experimental models have investigated diagnostic procedures and treatment strategies in an attempt to improve live foal rate. Diagnostics such as transrectal and transabdominal ultrasonography are used to evaluate foetal well-being and placental separation, while measurement of plasma progestins or oestrogen identifies a stressed or hypoxic foetus. Treatment is directed at stopping spread of infection, maintaining uterine quiescence and blocking production of pro-inflammatory cyt...
Comparison of surgical and medical treatment of 49 postpartum mares with presumptive or confirmed uterine tears.
Veterinary surgery : VS    March 10, 2010   Volume 39, Issue 2 254-260 doi: 10.1111/j.1532-950X.2010.00645.x
Javsicas LH, Giguère S, Freeman DE, Rodgerson DH, Slovis NM.To determine outcome after medical or surgical treatment of postpartum mares with confirmed or presumptive uterine tears. Methods: Case series. Methods: Postpartum mares were included if foaling had occurred within 7 days and uterine tear was confirmed surgically or, in medically treated mares, by palpation or presumed based on peritonitis. Information (age, breed; physical examination, laboratory and abdominocentesis findings; treatment, survival rates, length of hospital stay, treatments costs, and breeding performance after discharge) was obtained from the medical records (1990-2007). The i...
Postpartum Massive Hematoma within the Broad Ligament of the Uterus in a Broodmare Possibly Caused by Rupture of the Uterine Artery.
Journal of equine science    October 23, 2009   Volume 20, Issue 3 41-46 doi: 10.1294/jes.20.41
Oikawa MA, Nambo Y, Miyamoto M, Miura H, Kikuchi M, Ohnami Y.A broodmare showed mild signs of abdominal discomfort and anemia after normal delivery. Ultrasonographic examination revealed a massive hematoma within the broad ligament adjacent to the uterine horn. Internal bleeding into the peritoneal cavity (hemoabdomen) was not seen. Following treatment, the clinical signs improved. Hemorrhage caused by rupture of the arteries within the broad ligament of the uterus may be a cause of hematoma. Prepartum and postpartum rupture of the arteries supplying the reproductive organs in the mare, which is not uncommon, can be fatal if severe hemoabdomen occurs. I...
Effect of oxytocin and flunixin meglumine on uterine response to insemination in mares.
Theriogenology    September 26, 2009   Volume 72, Issue 9 1195-1201 doi: 10.1016/j.theriogenology.2009.07.012
Risco AM, Reilas T, Muilu L, Kareskoski M, Katila T.The most probable reason for persistent postbreeding endometritis in mares is weak myometrial contractility. The influence of oxytocin (OT; an ecbolic agent) and flunixin meglumine (FLU; a prostaglandin inhibitor serving as a model for mares with decreased uterine contractility) on uterine response to artificial insemination (AI) was studied in mares with no history of reproductive failure. The mares were treated intravenously with 10 mL saline (Group C, n=10) or 0.01 IU/kg OT (Group OT, n=10) 2, 4, 8, and 25 h after AI. Group FLU (n=11) was treated with 1.1mg/kg FLU 2h after AI and with salin...
The effect of intra-uterine devices on the reproductive physiology and behaviour of pony mares.
Veterinary journal (London, England : 1997)    August 25, 2009   Volume 186, Issue 1 39-46 doi: 10.1016/j.tvjl.2009.07.013
Argo CM, Turnbull EB.Spherical (35 mm diameter) glass intra-uterine devices (IUDs) are commonly understood to modify sexual behaviour in performance mares. The effect of IUDs on the endocrinology (luteinising hormone, oestradiol, progesterone, testosterone), ovarian and uterine function, sexual and social behaviours associated with the ovarian cycle were evaluated during the natural breeding season in nine, nuliparous pony mares (4.6±0.5 years old, 230±12 kg bodyweight). Age and weight-matched groups were allocated to sham-treatment (n=5) or IUD-implantation (n=4) groups. Fifty complete ovarian cycles were evalu...
Clinical and subclinical endometritis in the mare: both threats to fertility.
Reproduction in domestic animals = Zuchthygiene    August 13, 2009   Volume 44 Suppl 3 10-22 doi: 10.1111/j.1439-0531.2009.01485.x
LeBlanc MM, Causey RC.Endometritis, a major cause of mare infertility arising from failure to remove bacteria, spermatozoa and inflammatory exudate post-breeding, is often undiagnosed. Defects in genital anatomy, myometrial contractions, lymphatic drainage, mucociliary clearance, cervical function, plus vascular degeneration and inflamm-ageing underlie susceptibility to endometritis. Diagnosis is made through detecting uterine fluid, vaginitis, vaginal discharge, short inter-oestrous intervals, inflammatory uterine cytology and positive uterine culture. However, these signs may be absent in subclinical cases. Hyper...
A 40-year odyssey into the mysteries of equine luteolysis.
Theriogenology    July 18, 2009   Volume 72, Issue 5 591-598 doi: 10.1016/j.theriogenology.2009.05.016
Ginther OJ.Variation is the principal barrier to progress in unraveling the complexities of biological mechanisms. The resulting slow research progress is well illustrated in the chronology of events in elucidating the mechanism for regression of the corpus luteum (luteolysis) during the equine estrous cycle. Many of the underlying foundations of the female reproductive system in farm animals were developed during the 1930s to 1950s, despite the lack of methods for determining the concentrations of circulating hormones. In the 1960s, a uterine luteolysin was postulated on the basis of several experimenta...
Immunisation of the equine uterus against Streptococcus equi subspecies zooepidemicus using an intranasal attenuated Salmonella vector.
Veterinary journal (London, England : 1997)    May 30, 2009   Volume 184, Issue 2 156-161 doi: 10.1016/j.tvjl.2009.05.001
Causey RC, Artiushin SC, Crowley IF, Weber JA, Homola AD, Kelley A, Stephenson LA, Opitz HM, Guilmain S, Timoney JF.Attenuated Salmonella enterica serovar Typhimurium MGN707, expressing the SzP protective protein of the MB9 serovar of Streptococcus equi subspecies zooepidemicus (SzP-MB9) was tested for its safety and efficacy as a nebulised intranasal vaccine against streptococcal uterine infections in mares. In a preliminary study, vaccinated mares (n=5) displayed serum, nasal and uterine responses (P<0.05) to S. Typhimurium lipopolysaccharide (St-LPS). Subsequently, vaccinated mares (expressor group, n=7), but not mares vaccinated with the vector only (control group, n=7), displayed significant increas...
Relationships between early foal health, future performance and their dams reproductive health.
Reproduction in domestic animals = Zuchthygiene    May 7, 2009   Volume 45, Issue 5 817-820 doi: 10.1111/j.1439-0531.2009.01360.x
Hemberg E, Kindahl H, Lundeheim N, Einarsson S.The objectives of this study were to investigate: (i) relationships between early foal health and their dams' reproductive health at mating/conception as well as after parturition and (ii) health status during early foal life and its association with performance as an adult. The study included 35 foals showing clinical symptoms indicating septicaemia, sometimes in combination with other disturbances, within their first 18 h postpartum (Group I). Eighty-eight foals that were healthy during their first few days of life were used as control (Group II). All foals were born in the same region of Sw...
Uterus bicorpora bicollis as a possible cause of infertility in a mare.
The Veterinary record    January 6, 2009   Volume 164, Issue 1 20-21 doi: 10.1136/vr.164.1.20
Kelly GM, Newcombe JR.No abstract available
Uterine involution and endometrial function in postpartum pony mares.
American journal of veterinary research    November 5, 2008   Volume 69, Issue 11 1525-1534 doi: 10.2460/ajvr.69.11.1525
Jischa S, Walter I, Nowotny N, Palm F, Budik S, Kolodziejek J, Aurich C.To determine endometrial regeneration in postpartum mares by analysis of histologic features, apoptosis and cell proliferation markers, lectin binding, cytokines, and progesterone and estrogen receptors in endometrial biopsy specimens. Methods: 9 postpartum mares. Methods: Mares were examined on postpartum days 1, 9, and 16, and uterine biopsy specimens were obtained for histologic examination. Lectin binding was analyzed histochemically, and expressions of Ki-67 antigen (proliferation marker), lysozyme, and caspase 3 (apoptosis marker) were studied immunohistochemically. Gene expressions for ...
Immunohistochemical and histochemical identification of proteins and carbohydrates in the equine endometrium Expression patterns for mares suffering from endometrosis.
Theriogenology    August 31, 2008   Volume 71, Issue 2 264-274 doi: 10.1016/j.theriogenology.2008.07.008
Hoffmann C, Bazer FW, Klug J, Aupperle H, Ellenberger C, Schoon HA.Although alterations in patterns of protein secretion revealed in uterine flushings from mares suffering from endometrosis have been described, little is known about alterations at the cellular level. Hence, the aim of this study was to characterize deviations in patterns of uterine gland secretion patterns using endometrial biopsies, histochemical and newly established immunohistochemical methods. Forty-eight endometrial biopsies were obtained from mares suffering from various types of endometrosis (active and inactive, destructive and non-destructive) and degree (mild to severe) were analyze...
Surgical treatment of uterine torsion using a ventral midline laparotomy in 19 mares.
Australian veterinary journal    July 12, 2008   Volume 86, Issue 7 272-276 doi: 10.1111/j.1751-0813.2008.00315.x
Jung C, Hospes R, Bostedt H, Litzke LF.To report on the outcome of surgical treatment of uterine torsion in preterm mares. Methods: Retrospective case series of pregnant mares with uterine torsion presented to the Clinic for Obstetrics, Gynaecology and Andrology of Large and Small Animals. Methods: Hospital records of all pregnant mares that underwent ventral midline laparotomy for uterine torsion between 1998 and 2004 were reviewed. The signalment, history, clinical signs, results of diagnostic procedures, direction and degree of the uterine twist, treatment and outcome were retrieved from each case record. Results: This study com...
Use of acupuncture in equine reproduction.
Theriogenology    June 11, 2008   Volume 70, Issue 3 430-434 doi: 10.1016/j.theriogenology.2008.05.001
Schofield WA.The goal of this review is to provide evidence supporting the physiologic basis for the use of acupuncture as a treatment in equine reproduction, and to discuss current uses of acupuncture for the treatment of anestrus, urine pooling, uterine infection and/or fluid, infertility, maintenance of pregnancy, cryptorchidism, musculoskeletal pain, and poor libido in stallions. The benefits achieved through acupuncture treatment are thought to be a result of hormonal regulation, altered smooth muscle motility, and general stress and/or pain relief from musculoskeletal or environmental conditions.
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