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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.
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.
Equine post-breeding endometritis: A review.
Irish veterinary journal    March 1, 2008   Volume 61, Issue 3 163-168 doi: 10.1186/2046-0481-61-3-163
Maischberger E, Irwin J, Carrington S, Duggan V.The deposition of semen, bacteria and debris in the uterus of the mare after breeding normally induces a self-limiting endometritis. The resultant fluid and inflammatory products are cleared by 48 hours post cover. Mares that are susceptible to persistent post-breeding endometritis (PPBEM) have impaired uterine defence and clearance mechanisms, making them unable to resolve this inflammation within the normal time. This persists beyond 48 hours post-breeding and causes persistent fluid accumulation within the uterus. Mares with PPBEM have an increased rate of embryonic loss and a lower overall...
Uterine blood flow and perfusion in mares with uterine cysts: effect of the size of the cystic area and age.
Reproduction (Cambridge, England)    February 22, 2008   Volume 135, Issue 4 541-550 doi: 10.1530/REP-07-0447
Ferreira JC, Gastal EL, Ginther OJ.Transrectal color and power Doppler ultrasonography was used to study uterine blood flow and perfusion in mares with and without uterine cysts. Vascular perfusion of the uterus and blood flow velocities, vascular perfusion, diameter, circumference, and area of a cross section of the mesometrial attachment were evaluated. To study the effect of internal cysts, two matched groups (cystic and control, n=21 mares/group) were used. Uterine vascular perfusion in mares with cysts was less (P<0.0001) in the cystic than the noncystic region and less (P<0.0009) than that for controls. Mares with c...
Embryo recovery from exercised mares.
Animal reproduction science    January 20, 2008   Volume 110, Issue 3-4 237-244 doi: 10.1016/j.anireprosci.2008.01.015
Mortensen CJ, Choi YH, Hinrichs K, Ing NH, Kraemer DC, Vogelsang SG, Vogelsang MM.The effect of exercise on mare reproductive efficiency was evaluated by comparing rates of embryo recovery from mares assigned to either an exercise regimen or a non-exercise (control) regimen. Exercised mares were worked daily for 30 min under average ambient conditions of >30 degrees C and >50% humidity. Mares were inseminated during estrus and subjected to uterine flush for embryo recovery on d 7 after ovulation for two consecutive cycles. After this, mares were allocated to the opposite group and allowed an estrous cycle without reproductive manipulation; then insemination and uterin...
Uterus unicornis in two mares.
Australian veterinary journal    September 1, 2007   Volume 85, Issue 9 371-374 doi: 10.1111/j.1751-0813.2007.00164.x
Brown JA, Hodder AD, Benak J, Liu IK, Ball BA.Two American Paint Horses, a 3-year-old nulliparous mare and a 7-year-old primiparous mare, presented for recent infertility and a pre-breeding examination, respectively. Examination of the internal reproductive tract of both mares using transrectal palpation and ultrasonography revealed the presence of the cervix, uterine body, left uterine horn and bilateral ovaries. The right uterine horn could neither be palpated nor imaged. The clinical diagnosis of uterus unicornis in one mare was confirmed at necropsy, which revealed combined aplasia of the right uterine horn and oviduct.
Relationships between uterine culture, cytology and pregnancy rates in a Thoroughbred practice.
Theriogenology    June 21, 2007   Volume 68, Issue 3 395-402 doi: 10.1016/j.theriogenology.2007.05.050
Riddle WT, LeBlanc MM, Stromberg AJ.Endometrial cytology and culture specimens (n=2123) were collected concurrently with a guarded uterine culture instrument from 970 mares (738 barren, 1230 foaling and 155 maiden mares) during three breeding seasons (2001-2004). Results were compared to the 28-d pregnancy rate for the cycle from which the samples were taken. Cytological smears were evaluated for inflammation at x100 and graded as: not inflammatory (0-2 neutrophils/field), moderate inflammation (2-5 neutrophils/field), severe inflammation (>5 neutrophils/field), or hypocellular (scant epithelial cells and no neutrophils). Ute...
Use of a low-volume uterine flush for diagnosing endometritis in chronically infertile mares.
Theriogenology    May 31, 2007   Volume 68, Issue 3 403-412 doi: 10.1016/j.theriogenology.2007.04.038
LeBlanc MM, Magsig J, Stromberg AJ.Low-volume uterine flush (n=401) was performed in 308 infertile mares to diagnose endometritis. Mares evaluated were either barren after three or more breedings or had two or more unsuccessful embryo recovery attempts during consecutive cycles. Culture results were compared with cytological and histological findings, efflux clarity and pH to substantiate that the micro-organisms recovered were truly pathogens. Cytological specimens were evaluated for presence of epithelial and inflammatory cells, bacteria, yeast and debris. Endometrial biopsies (n=110) were examined for the presence of neutrop...
Effect on fertility of human chorionic gonadotrophin and uterine lavage with oxytocin performed after mating in Arabian barren mares.
Animal reproduction science    May 18, 2007   Volume 106, Issue 3-4 345-351 doi: 10.1016/j.anireprosci.2007.05.010
Azawi OI.The objective of the present study was to evaluate the beneficial effect of hCG injected immediately after mating in Arabian barren mares treated with uterine lavage and oxytocin. Arabian barren mares (n=36) with PMIE were subjected to detailed clinical examinations including palpation per rectum, vaginoscopy, and cytological examination. After mating the 36 mares were randomly divided into four groups. The mares in group 1 (n=10) were immediately after breeding injected with hCG 3,000 IU IM. Uterine lavage with 1L of N-saline containing 4 million IU of crystalline penicillin and 4 g of strept...
Mucus and the mare: how little we know.
Theriogenology    May 18, 2007   Volume 68, Issue 3 386-394 doi: 10.1016/j.theriogenology.2007.04.011
Causey RC.Uterine infections are a major cause of infertility, but the role of mucus in equine uterine defense is not well understood. Mucociliary currents play an important role in protecting mucous membranes, including the upper and lower respiratory tracts of mammals, and are required for feeding and oxygenation of many aquatic invertebrates. Although phagocytosis has long been considered the first line of uterine defense in the mare, there are concerns about its efficacy in the uterine lumen. Additional local defenses, such as mucociliary currents, have therefore been proposed. The uterine epitheliu...
The effect of oxytocin and PGF2alpha on the uterine involution and pregnancy rates in postpartum Arabian mares.
Animal reproduction science    February 22, 2007   Volume 104, Issue 2-4 257-263 doi: 10.1016/j.anireprosci.2007.02.004
Gündüz MC, Kaşikçi G, Kaya HH.In this study, the effects of oxytocin and an analog of prostaglandin (cloprostenol) on the uterine involution and pregnancy rates were investigated. Mares received 3 ml of 0.9% NaCl in Group C (n=10), 30 IU/mare of oxytocin in Group O (n=10) and 250 microg/mare of cloprostenol in Group P (n=10) within 12h after parturition. The gravid uterine horn's cross-sectional diameter was measured by ultrasonography. The mean uterine diameters did not differ significantly between the treatment (O and P) and the control (C) groups (p>0.05). The difference between the postpartum ovulation periods (Grou...
Effects of coitus and the artificial insemination of different volumes of fresh semen on uterine contractions in mares.
The Veterinary record    December 19, 2006   Volume 159, Issue 25 843-849 
Campbell ML, England GC.Uterine contractions may play an important role in the transportation of spermatozoa towards the site of fertilisation in the oviduct of mares. M-mode ultrasound was used to measure the number, amplitude and duration of uterine contractions in each uterine horn and the uterine body of oestrous mares for four minutes before and four minutes after either coitus, or the artificial insemination of either 80.0 ml of fresh semen or 10.0 ml of fresh semen. The direction of the uterine contractions in each uterine horn and the uterine body was measured before and after coitus. Coitus and the inseminat...
Breeding-induced endometritis in mares.
The Veterinary clinics of North America. Equine practice    November 30, 2006   Volume 22, Issue 3 705-712 doi: 10.1016/j.cveq.2006.07.003
Troedsson MH.Endometritis is a common cause of infertility in broodmares. In the past, the condition was believed to be exclusively the result of bacterial contamination of the uterus. Treatment strategies were focused on preventing bacteria from entering the uterus and on treating mares with signs of endometritis with antibiotics. More recent research on uterine defense mechanisms has increased our understanding of the pathophysiology of equine endometritis. Additional causative agents have been identified, and we have learned to separate uterine infections and a physiologic breeding-induced endometritis ...
Effect of sperm numbers and concentration on sperm transport and uterine inflammatory response in the mare.
Theriogenology    October 10, 2006   Volume 67, Issue 3 556-562 doi: 10.1016/j.theriogenology.2006.09.005
Fiala SM, Pimentel CA, Mattos AL, Gregory RM, Mattos RC.Our objective was to determine whether the concentration of cooled sperm inseminated influenced sperm transport and intensity of the uterine inflammatory reaction 2, 4 and 24h after insemination. Experimental subjects were 189 estrous mares with a dominant follicle > or =35 mm in diameter and no bacterial growth or neutrophils detected in uterine smears. Each mare was randomly assigned to receive one of the following intrauterine treatments (volume, 20 mL): insemination with 5x10(6) mL(-1) or 25x10(6) mL(-1) or 50x10(6) mL(-1) sperm diluted in 3 mL seminal plasma (SP) and 17 mL skim milk; s...
Oxytocin does not contribute to the effects of cervical dilation on progesterone secretion and embryonic development in mares.
Theriogenology    June 14, 2006   Volume 66, Issue 5 1397-1404 doi: 10.1016/j.theriogenology.2006.04.032
Handler J, Hoffmann D, Weber F, Schams D, Aurich C.The aim of the present study was, to investigate the effects of oxytocin administration on Day 7 post-ovulation on progesterone secretion, pregnancy rate and embryonic growth in mares. Endogenous stimulation of oxytocin release was compared to the administration of native oxytocin or the long-acting oxytocin analogue carbetocin. At Day 7 after ovulation, mares had to undergo four treatments in a crossover design: (a) control, (b) oxytocin (10 IU i.v.), (c) carbetocin (280 microg i.m.) and (d) cervical dilation. On Day 13, all mares (8 of 8 mares) were pregnant on groups control, oxytocin and c...
Oxytocin-induced PGF2alpha release in mares with and without post-breeding delayed uterine clearance.
Journal of veterinary medicine. A, Physiology, pathology, clinical medicine    June 2, 2006   Volume 53, Issue 5 259-262 doi: 10.1111/j.1439-0442.2006.00820.x
Veronesi MC, Carluccio A, Kindahl H, Faustini M, Battocchio M, Cairoli F.The aim of the present study was to evaluate within 24 h post-ovulation oxytocin-induced PGF(2alpha) release in mares with and without post-breeding delayed uterine clearance (DUC). Twenty-one of 34 mares with a variable amount of intrauterine fluids accumulation were considered to be affected by delayed uterine clearance (DUC group), while the other 13 mares did not show any uterine fluid accumulation, and were considered as controls (WDUC group). Both DUC and WDUC mares were administered with 20 IU oxytocin i.m. 90 min after the ultrasound examination performed 24 h after breeding. Immediate...
Use of leukocytes as treatment for endometritis in mares experimentally infected with Streptococcus equi subsp. zooepidemicus.
Animal reproduction science    February 20, 2006   Volume 97, Issue 3-4 314-322 doi: 10.1016/j.anireprosci.2006.01.010
Neves AP, Keller A, Trein CR, Möller G, Jobim MI, Castilho LF, Cardoso MR, Leibold W, Zerbe H, Klug E, Gregory RM, Mattos RC.This study compared four treatments for bacterial endometritis in mares experimentally infected with Streptococcus zooepidemicus. Twenty-five mares were used, 20 resistant and five susceptible to endometritis. Mares would be in estrus when infected. Twenty-four hours after inoculation, clinical, bacteriological and cytological examinations were performed and repeated until the first occurrence: negative cytology and no Streptococcus growth or the seventh day post-infection. All mares showed clinical signs of endometritis and were assigned to one of the following treatments: (1) intrauterine in...
Effect of seminal plasma on uterine inflammation, contractility and pregnancy rates in mares.
Equine veterinary journal    November 22, 2005   Volume 37, Issue 6 515-519 doi: 10.2746/042516405775314844
Portus BJ, Reilas T, Katila T.There is conflicting evidence over the role seminal plasma plays in sperm transport and inflammation within the uterus of mares. In in vitro studies, seminal plasma has been shown to reduce polymorphonuclear neutrophil (PMN) function, but the opposite effect on uterine inflammation has been reported in vivo. Objective: To study the effect of seminal plasma on uterine contractility, inflammation and pregnancy rates by inseminating mares with low doses of sperm free from seminal plasma (Group 1) and containing seminal plasma (Group 2). Methods: Synchronised mares were inseminated with 50 x 10(6)...
Influence of repeated artificial insemination (IS) on functional properties of uterine neutrophils of mares.
Animal reproduction science    November 3, 2005   Volume 89, Issue 1-4 258-261 
Görgens A, Leibold W, Klug E, Schuberth HJ, Martinsson , Zerbe H.No abstract available
Influence of cryopreserved sperm or semen extender on uterine contractile activity in mares following conventional or hysteroscopic insemination.
Animal reproduction science    November 2, 2005   Volume 89, Issue 1-4 206-208 
Köllmann MC, Meinecke-Tillmann S, Swagemakers JH, Meinecke B.No abstract available
Making sense of equine uterine infections: the many faces of physical clearance.
Veterinary journal (London, England : 1997)    October 5, 2005   Volume 172, Issue 3 405-421 doi: 10.1016/j.tvjl.2005.08.005
Causey RC.Equine uterine infections inflict major losses on the equine industry. Persistent inflammation of the oviduct and uterus leads to loss of the conceptus and mares susceptible to infection have weakened uterine defences partly due to retention of inflammatory exudate. Bacteria may trigger inflammation, resist phagocytosis, or adhere to the endometrium and types of infection range from genital commensals in susceptible mares to reproductive pathogens in normal mares. Uterine infections are diagnosed by history, detection of uterine inflammation, and isolation of typical organisms and susceptible ...
Effect of the inseminate and the site of insemination on the uterus and pregnancy rates of mares.
Animal reproduction science    August 3, 2005   Volume 89, Issue 1-4 31-38 doi: 10.1016/j.anireprosci.2005.06.023
Katila T.In this review, effects of the composition of the inseminate on uterine response and pregnancy rates in mares are discussed. The inseminate can differ for volume, sperm concentration, total sperm numbers, presence, absence, or proportion of seminal plasma, and extender composition. Semen can be used as fresh, cooled, or frozen. The site of semen deposition also plays a role; semen is deposited either into the uterine body (standard artificial insemination (AI)) or into the tip of the uterine horn ipsilateral to the preovulatory follicle (deep AI) using the hysterocopical or transrectally guide...
2nd FY Khoo Memorial Lecture. Brachytherapy–one man’s meat, a personal journey in radiation oncology.
Annals of the Academy of Medicine, Singapore    July 16, 2005   Volume 34, Issue 5 399-404 
Khor TH.The Lecture covers the author's personal experience in brachytherapy in radiation oncology, beginning with low-dose rate (LDR) treatments using 226Ra "hot" sources, in the 1960s and early 1970s, through manual afterloading for treating gynaecological cancers with the same sources in the 1970s and 1980s, to high-dose rate (HDR) remote afterloading on a microSelectron HDR machine, from 1989 on. This progression in brachytherapy is discussed, and specific applications to various tumour sites are presented, including long-term results of a personal series of 106 patients with cancer of the uterine...
In vitro evaluation of the contractile response to endothelin-1 of the circular and longitudinal myometrial layers of the uterine horn of nongravid mares.
American journal of veterinary research    July 13, 2005   Volume 66, Issue 6 1094-1100 doi: 10.2460/ajvr.2005.66.1094
Walesby HA, Venugopal CS, Hosgood G, Eades SC, Moore RM.To characterize the in vitro response of circular and longitudinal myometrial layers of the uterine horn (CMLH and LMLH, respectively) of horses to endothelin (ET)-1 by use of specific ETA (BQ-123) and ETB (IRL-1038) receptor antagonists. Methods: Uteruses from 10 nongravid mares in anestrus. Methods: Muscle strips from the CMLH and LMLH were suspended in tissue baths and connected to force-displacement transducers interfaced with a polygraph. Strips were incubated for 45-minute intervals with no antagonist (control specimens), and 3 concentrations (10(-9), 10(-7), and 10(-5)M) of BQ-123, IRL-...
The equine immune response to Streptococcus equi subspecies zooepidemicus during uterine infection.
Veterinary journal (London, England : 1997)    June 13, 2005   Volume 172, Issue 2 248-257 doi: 10.1016/j.tvjl.2005.03.014
Causey RC, Weber JA, Emmans EE, Stephenson LA, Homola AD, Knapp KR, Crowley IF, Pelletier DC, Wooley NA.The purpose of this study was to describe strain-specific immune responses to Streptococcus equi subspecies zooepidemicus (S. zooepidemicus) during uterine infection in horses. Five isolates of S. zooepidemicus were differentiated into four strains antigenically by bactericidal testing in blood of 12 horses, and genetically by pulsed-field gel electrophoresis. Eight healthy mares were then divided into two groups, each inoculated with one strain intrauterinely on three successive oestrous cycles followed by a second strain for three successive cycles, first and second strains being reversed fo...
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