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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.
Idiopathic prolapse of 1 uterine horn in a yearling filly.
The Canadian veterinary journal = La revue veterinaire canadienne    August 20, 2004   Volume 45, Issue 7 602-604 
Schambourg MA, Spriet M, Piccot-Crézollet C, Vaillancourt D.A yearling filly was presented for protrusion of a mass at the vulvar margins. A diagnosis of prolapse of the right uterine horn was made after vaginoscopy, transrectal palpation, and ultrasonography. It was confirmed later by biopsy of the tissue. Recovery was uneventful after easy replacement of the uterine horn. Une pouliche yearling fut présentée pour la protrusion d’une masse au pourtour de la vulve. Un diagnostic de prolapsus de la corne utérine droite fut établi à la suite de la vaginoscopie, de la palpation transrectale et de l’échographie. Le diagnostic fut confirmé par la...
Uterine microbiology and antimicrobial susceptibility in isolated bacteria from mares with fertility problems.
Acta veterinaria Scandinavica    April 13, 2004   Volume 44, Issue 3-4 121-129 doi: 10.1186/1751-0147-44-121
Albihn A, Båverud V, Magnusson U.Uterine microbiology and antimicrobial susceptibility was investigated in 239 mares with fertility problems in a prospective study in Sweden. Uterine swab samples were collected with double guarded swabs and transported overnight before being cultured. The Minimum Inhibitory Concentrations (MIC) was determined for a panel of antimicrobials. From 152 of the 239 mares at least one bacterial species was isolated, most frequently E. coli (104 isolates), beta-haemolytic streptococci (31) and fungi (16). beta-haemolytic streptococci were more frequently (p < 0.01) associated with clinical endomet...
Alteration in uterine contractility in mares with experimentally induced placentitis.
Reproduction (Cambridge, England)    April 2, 2004   Volume 127, Issue 1 57-66 doi: 10.1530/rep.1.00021
McGlothlin JA, Lester GD, Hansen PJ, Thomas M, Pablo L, Hawkins DL, LeBlanc MM.An experimental model of ascending placentitis was developed in the mare to characterize the uterine myoelectrical pattern in late gestation and determine how ascending placentitis altered this pattern. In experiment 1, myometrial electrical activity was analyzed during the early morning, late morning and evening hours in four mares in the last 15 days of gestation to identify patterns of activity. In experiment 2, nine mares received intra-cervical inoculations of Streptococcus equi subspecies zooepidemicus. Myoelectrical activity in the early morning and evening hours in these mares was comp...
The effect of exogenous estradiol benzoate and altrenogest on uterine and ovarian blood flow during the estrous cycle in mares.
Theriogenology    March 24, 2004   Volume 61, Issue 6 1137-1146 doi: 10.1016/j.theriogenology.2003.07.006
Bollwein H, Kolberg B, Stolla R.In recent years, a positive relationship between genital perfusion and fertility has been established; in species other than horses, uterine and ovarian perfusion was improved by exogenous estrogen but impaired by exogenous progestin. The goal of the present study was to investigate the effect of exogenous estrogen and progestin on uterine and ovarian blood flow in cycling mares. Five Trotter mares were examined daily during three estrous cycles. Mares were given no treatment, altrenogest (0.044 mg/kg BW) orally from Day 0 (ovulation) to Day 14 and estradiol benzoate (5mg i.m.) on Days 0, 5, a...
Total and partial ovariohysterectomy in seven mares.
Equine veterinary journal    February 6, 2004   Volume 36, Issue 1 29-33 doi: 10.2746/0425164044864633
Rötting AK, Freeman DE, Doyle AJ, Lock T, Sauberli D.Ovariohysterectomy appears to have a low mortality rate in mares, but the procedure needs to be reviewed because of the high risk of life-threatening complications. Objective: That ovariohysterectomy can be effective treatment for a variety of uterine diseases in mares and carries a good prognosis. Methods: Diagnosis, clinical data, surgical technique, post operative care, complications and outcome were recorded from medical records of 7 mares that underwent total (6) and partial (1) ovariohysterectomy at the University of Illinois from 1994 to 2001. Results: The indications for ovariohysterec...
Transrectal Doppler sonography of uterine and umbilical blood flow during pregnancy in mares.
Theriogenology    December 10, 2003   Volume 61, Issue 2-3 499-509 doi: 10.1016/s0093-691x(03)00225-5
Bollwein H, Weber F, Woschée I, Stolla R.Transrectal color Doppler sonography was used to investigate uterine and umbilical blood flow during pregnancy (duration, 46-48 weeks) in four mares. The resistance index (RI) and blood flow volume (VOL) of the uterine arteries ipsilateral and contralateral to the conceptus, and the presence of an early diastolic notch in the Doppler wave, were evaluated every 4 week throughout pregnancy. Fetal blood flow was calculated semiquantitatively every 2 week (from 20 to 40 weeks), using the RI of the umbilical arteries. During the entire period of investigation, there were no significant individual v...
The effect of acetylsalicylic acid and captopril on uterine and ovarian blood flow during the estrous cycle in mares.
Theriogenology    December 10, 2003   Volume 61, Issue 2-3 301-309 doi: 10.1016/s0093-691x(03)00214-0
Bollwein H, Weber F, Steffen S, Stolla R.In previous studies, transrectal color Doppler sonography was used to demonstrate an increase in genital blood flow resistance in subfertile mares. The objectives of the present study were to determine the effects of an anticoagulant (acetylsalicylic acid) and a vasodilator (captopril) on uterine and ovarian perfusion and plasma progesterone concentrations in cycling mares. From Day 1 to 11 of an estrous cycle (Day 0=day of ovulation following prostaglandin-induced luteolysis), five Trotter mares were given 2500 mg lactose, 2500 mg ASA, or 50 mg captopril twice daily in their feed (one compoun...
A light microscopic and ultrastructural study on the presence and location of oxytocin in the equine endometrium.
Theriogenology    August 26, 2003   Volume 60, Issue 5 909-921 doi: 10.1016/s0093-691x(02)01362-6
Bae SE, Watson ED.It has been reported that oxytocin is produced not only in the hypothalamus and posterior pituitary but also in outside the classical hypothalamo-neurohypophyseal axis such as the ovary, testis, placenta and in some nonreproductive sites. In the mare, oxytocin-mRNA has been identified in the endometrium, and oxytocin and its neurophysin have been identified in the uterus. In the present study, oxytocin was localised in the endometrium of the mare at the light microscopic and ultrastructural level by immunostaining and immunogold labelling of endometrial biopsy specimens collected during estrus...
The effect of semen extender, seminal plasma and raw semen on uterine and ovarian blood flow in mares.
Theriogenology    July 2, 2003   Volume 60, Issue 4 607-616 doi: 10.1016/s0093-691x(03)00084-0
Bollwein H, Sowade C, Stolla R.Transrectal color Doppler sonography was used to evaluate the effect of intrauterine infusion of skim milk semen extender, seminal plasma and raw semen on the endometrium and blood flow in the uterine and ovarian arteries in mares. Six Trotter mares (mean age: 12 years) were examined during estrus in three cycles. Each mare received an intrauterine infusion of 20 ml of skim milk semen extender, seminal plasma or raw semen during estrus in one of three cycles. Blood flow measurements in both uterine and ovarian arteries and the determination of intrauterine fluid via sonography were performed b...
24-hour secretion patterns of plasma oestradiol 17beta in pony mares in late gestation.
Reproduction in domestic animals = Zuchthygiene    May 20, 2003   Volume 38, Issue 3 233-235 doi: 10.1046/j.1439-0531.2003.00412.x
O'Donnell LJ, Sheerin BR, Hendry JM, Thatcher MJ, Thatcher WW, LeBlanc MM.The mare exhibits nocturnal uterine contractions in the last 6 days of gestation. It is hypothesized that estradiol 17beta (O17beta) may be associated with the nightly increase in uterine contractions. The 24-h secretion pattern of plasma O17beta was measured in 3 pony mares in late gestation to identify changes in release as the mare neared parturition. Blood was collected weekly at 08:00 hours beginning on day 240 and every third day from day 330 until delivery. Serial blood samples were collected from each mare every 30-min for 24-h beginning on gestation day 310 and every sixth day thereaf...
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...
Pregnancy rates in mares following hysteroscopic or transrectally-guided insemination with low sperm numbers at the utero-tubal papilla.
Theriogenology    January 9, 2003   Volume 59, Issue 3-4 1001-1009 doi: 10.1016/s0093-691x(02)01123-8
Brinsko SP, Rigby SL, Lindsey AC, Blanchard TL, Love CC, Varner DD.This study was conducted to evaluate two methods for insemination of a low number of sperm in the tip of the uterine horn, and to determine whether prebreeding intrauterine treatment with prostaglandin E(2) would improve pregnancy rates. Estrus was synchronized in 36 fertile Quarter Horse and Thoroughbred broodmares. When a dominant follicle >or=33 mm diameter was present, mares were treated with 2500 units hCG intravenously and were assigned to one of four treatment groups for insemination with five million total sperm in 200 microl extender the next day as follows: (1) Group PGE-HYS (n=9): 0...
Postnatal cardiovascular function after manipulation of fetal growth by embryo transfer in the horse.
The Journal of physiology    November 15, 2002   Volume 547, Issue Pt 1 67-76 doi: 10.1113/jphysiol.2002.027409
Giussani DA, Forhead AJ, Gardner DS, Fletcher AJ, Allen WR, Fowden AL.This study used between-breed embryo transfer in the horse to investigate the effects of maternal size and uterine capacity on fetal growth and postnatal cardiovascular and neuroendocrine functions. Equine embryos were transferred to establish eight Thoroughbred-in-Thoroughbred (TinT), seven Pony-in-Pony (PinP), five Thoroughbred-in-Pony (TinP) and eight Pony-in-Thoroughbred (PinT), pregnancies. Maternal and foal weights and placental microscopic area were measured at birth. At 6 days of postnatal life, arterial blood pressure and heart rate were monitored and blood samples were taken for horm...
Proteins and enzymes in uterine lavage fluid of postpartum and nonparturient mares.
Reproduction in domestic animals = Zuchthygiene    October 2, 2002   Volume 37, Issue 5 261-268 doi: 10.1046/j.1439-0531.2002.00315.x
Reilas T, Katila T.Uterine lavage fluids from postpartum and nonparturient mares were compared to determine when the normal secretory capacity of the postpartum uterus is restored. Lavage fluids were obtained from cyclic nonparturient mares on the second, fourth or fifth day of oestrus, and 3, 8, or 14 days after ovulation (seven mares/sampling day). Twelve intact postpartum mares were sampled 1 to 28 days postpartum (group A: 1, 6, 12 and 20; group B: 2, 8, 14 and 24; group C: 4, 10, 16 and 28 days postpartum; four mares/group). Three ovariectomized (OVX) postpartum mares were sampled as mares in group C. Sampl...
Aberrations in uterine contractile patterns in mares with delayed uterine clearance after administration of detomidine and oxytocin.
Theriogenology    September 6, 2002   Volume 58, Issue 5 887-898 doi: 10.1016/s0093-691x(02)00847-6
von Reitzenstein M, Callahan MA, Hansen PJ, LeBlanc MM.An experiment was conducted to determine whether the uterotonic effects of oxytocin, a drug used to treat mares that have a delay in uterine clearance were affected by the sedative detomidine (an alpha2-agonist), a drug used to treat fractious mares. An additional objective was to identify propagation patterns of uterine contractions and determine whether these patterns differed between normal mares and mares with delayed uterine clearance (DUC). Intrauterine pressure was measured in five reproductively normal mares and four mares with DUC during estrus using an 8-F Milar catheter with two dis...
Use of lufenuron as a treatment for fungal endometritis in four mares.
Journal of the American Veterinary Medical Association    July 18, 2002   Volume 221, Issue 2 266-240 doi: 10.2460/javma.2002.221.266
Hess MB, Parker NA, Purswell BJ, Dascanio JD.Lufenuron, a benzoylphenyl urea derivative, was evaluated as a treatment for endometrial fungal infections in 4 mares. Intrauterine lavage was performed with lufenuron suspended in sterile saline (0.9% NaCl) solution. Cytologic evaluation and fungal culture of the endometrium, as well as subsequent reproductive performance, were used to monitor efficacy of this treatment. Fungal endometritis in mares is associated with infertility. Treatment is often ineffective and costly, and recurrence following treatment is not uncommon. Intrauterine infusions of lufenuron were effective in eliminating fun...
M-mode ultrasound imaging of the contractions of the equine uterus.
The Veterinary record    May 22, 2002   Volume 150, Issue 18 575-577 doi: 10.1136/vr.150.18.575
Campbell ML, England GC.No abstract available
Isoxsuprine hydrochloride in the horse: a review.
Journal of veterinary pharmacology and therapeutics    May 10, 2002   Volume 25, Issue 2 81-87 doi: 10.1046/j.1365-2885.2002.00386.x
Erkert RS, Macallister CG.Isoxsuprine hydrochloride has been suggested for use in horses for treatment of navicular syndrome and laminitis. The drug has been shown to be a beta-adrenoreceptor antagonist with beta-adrenoreceptor agonistic properties, with both characteristics contributing to vasodilation and uterine relaxation. In addition, the drug is capable of decreasing blood viscosity and platelet aggregation. Studies have shown i.v. isoxsuprine to have a plasma half-life of <3 h with a large apparent volume of distribution. Cardiovascular effects resolve rapidly following i.v. administration, but are absent wit...
Uterine involution, day and variance of first postpartum ovulation in mares treated with progesterone and estradiol-17beta for 1 or 2 days postpartum.
Theriogenology    May 7, 2002   Volume 57, Issue 2 989-995 doi: 10.1016/s0093-691x(01)00703-8
Bruemmer JE, Brady HA, Blanchard TL.The effects of a single or double regimen of exogenous progesterone and estradiol-17beta (P/E, total dose 300 mg P/20 mg E) were investigated in 50 postparturient Quarter Horse mares. In Trial 1, at 1 and 24 h after foaling, mares were injected with progesterone (150 mg) and estradiol-17beta (10 mg) (n = 7) or 0.9% NaCl (control, n = 13). In Trial 2, within 12 h after foaling, mares were injected with progesterone (300 mg) and estradiol-17beta (20 mg) (n = 13) or 0.9% NaCl (control, n = 17). Mares were examined daily by palpation per rectum and transrectal ultrasonography to determine the day ...
Treatment of unobserved oestrus in a dairy cattle herd with low oestrous detection rate up to 60 days post-partum.
Reproduction in domestic animals = Zuchthygiene    March 8, 2002   Volume 37, Issue 1 57-60 doi: 10.1046/j.1439-0531.2002.00330.x
Mateus L, da Costa LL, Cardos JJ, Silva JR.The efficiency of treatments for unobserved oestrus and their effect on the reproductive performance of a dairy cattle herd with low oestrous detection rate till 60 days post-partum (dpp), attributed to the declivous and slippery concrete floor were investigated. The herdsman requested advice in order to improve the mean days open of the herd, but no investments were allowed because a new unit was about to be built. Due to the low oestrus detection rate of the herd, the breeding policy was to inseminate at the first detected post-partum oestrus. Cows were examined at 20-30 dpp to assess uterin...
Clinical signs and treatment of chronic uterine torsion in two mares.
Journal of the American Veterinary Medical Association    February 7, 2002   Volume 220, Issue 3 349-323 doi: 10.2460/javma.2002.220.349
Doyle AJ, Freeman DE, Sauberli DS, Hammock PD, Lock TF, Rötting AK.Two mares were evaluated because of chronic uterine torsions of 2 and 4 weeks' duration; both were pyrectic, anemic, tachycardic, and anorectic, had signs of depression, and had an abnormal uterus and contents on transrectal examination. Both mares underwent cesarean section for lysis of adhesions from the uterus to the peritoneum, correction of the torsion, and ovariohysterectomy Both mares recovered with only minor complications and returned to be used as riding horses. Chronic uterine torsion should be considered in mares in late stages of gestation that have vague clinical signs and transr...
Interaction between equine semen and the endometrium: the inflammatory response to semen.
Animal reproduction science    December 18, 2001   Volume 68, Issue 3-4 273-278 doi: 10.1016/s0378-4320(01)00164-6
Troedsson MH, Loset K, Alghamdi AM, Dahms B, Crabo BG.Insemination of mares with bacteria-free equine spermatozoa results in an influx of polymorphonuclear neutrophils (PMNs) into the uterine lumen. In vitro studies have demonstrated that equine spermatozoa activate complement, resulting in cleavage of factors C5a and C3b. Since uterine secretion is rich in complement, it is likely that an interaction between spermatozoa and uterine secretion results in C5a-mediated chemotaxis and migration of PMNs into the uterine lumen. Once in the uterine lumen, the PMNs phagocytize bacteria and spermatozoa, which is an important part of sperm elimination from...
Sperm-uterine interactions: a review.
Animal reproduction science    December 18, 2001   Volume 68, Issue 3-4 267-272 doi: 10.1016/s0378-4320(01)00162-2
Katila T.The uterus of domestic animals, including the horse, has a dual role in the interaction of the uterus and sperm. On one hand, uterine contractions carry sperm toward the oviduct, and on the other hand the uterus eliminates excessive sperm. The selection of sperm for the small numbers of "good" cells that gain access to the oviduct and for the majority of sperm that will be destroyed takes place in the uterus. The sperm-uterine interaction works both ways; sperm and seminal plasma also have several effects on the uterus. Sperm and seminal plasma probably provoke uterine contractions. Sperm indu...
Management and fertility of mares bred with frozen semen.
Animal reproduction science    December 18, 2001   Volume 68, Issue 3-4 219-228 doi: 10.1016/s0378-4320(01)00158-0
Samper JC.Semen quality, mare status and mare management during estrus will have the greatest impact on pregnancy rates when breeding mares with frozen semen. If semen quality is not optimal, mare selection and reproductive management are crucial in determining the outcome. In addition to mare selection, client communication is a key factor in a frozen semen program. Old maiden mares and problem mares should be monitored for normal cyclicity and all, except young maidens, should have at least a uterine culture and cytology performed. Mares with positive bacterial cultures and cytologies should be treate...
Mares with delayed uterine clearance have an intrinsic defect in myometrial function.
Biology of reproduction    August 22, 2001   Volume 65, Issue 3 740-747 doi: 10.1095/biolreprod65.3.740
Rigby SL, Barhoumi R, Burghardt RC, Colleran P, Thompson JA, Varner DD, Blanchard TL, Brinsko SP, Taylor T, Wilkerson MK, Delp MD.Persistent, postmating endometritis affects approximately 15% of mares and results in reduced fertility and sizable economic losses to the horse-breeding industry. Mares that are susceptible to postmating endometritis have delayed uterine clearance associated with reduced uterine contractility. Unfortunately, the mechanism for reduced uterine contractility remains an enigma. The present study examined the hypothesis that mares with delayed uterine clearance have an intrinsic contractile defect of the myometrium. Myometrial contractility was evaluated in vitro by measuring isometric tension gen...
Effect of insemination time of frozen semen on incidence of uterine fluid in mares.
Theriogenology    July 27, 2001   Volume 56, Issue 1 123-131 doi: 10.1016/s0093-691x(01)00548-9
Watson ED, Barbacini S, Berrocal B, Sheerin O, Marchi V, Zavaglia G, Necchi D.Ninety five mares were inseminated with frozen semen either within 12 h before ovulation or within 8 h after ovulation. The effect of preovulatory versus postovulatory insemination (AI) on the subsequent detection of uterine fluid was studied. The overall pregnancy rate was 43% and this was not significantly influenced by preovulatory or postovulatory insemination. When mares were first examined 12 h after AI, 18 of 52 mares (35%) had accumulated uterine fluid. However, when mares were first examined 18 to 24 h after AI, only 6 of 43 mares (14%) had uterine fluid. Presence of intrauterine flui...
Immunohistochemical study of the distribution of adrenergic and peptidergic innervation in the equine uterus and the cervix.
Reproduction (Cambridge, England)    July 27, 2001   Volume 122, Issue 2 275-282 doi: 10.1530/rep.0.1220275
Bae SE, Corcoran BM, Watson ED.Little is known about neurogenic regulation of uterine contractility in mares. The present study investigated the distribution of adrenergic and peptidergic nerves in the mare uterus. Samples from the uterine horn, body and cervix were collected from 18 cyclic mares for immunohistochemistry. The uterus was well supplied with adrenergic nerves. A large number of tyrosine hydroxylase- and dopamine beta-hydroxylase-immunoreactive nerve bundles and fibres were present in the myometrium and endometrium in all regions of the uterus and cervix. These adrenergic nerve bundles and fibres travelled para...
Role of prostaglandins in intrauterine migration of the equine conceptus.
Reproduction (Cambridge, England)    June 28, 2001   Volume 121, Issue 5 771-775 
Stout TA, Allen WR.Between at least day 9 and day 16 after ovulation the spherical equine conceptus migrates continuously throughout the uterine lumen, propelled by peristaltic myometrial contractions. This unusually long period of intrauterine movement ensures that the conceptus delivers its anti-luteolytic signal to the entire endometrium to achieve luteostasis. The present experiment tested the hypothesis that prostaglandins stimulate the myometrial contractions that result in the migration of the conceptus. Serial ultrasonographic examinations of the uteri of eight mares performed during 2 h periods between ...
Effect of low-dose zearalenone exposure on luteal function, follicular activity and uterine oedema in cycling mares.
Acta veterinaria Hungarica    June 14, 2001   Volume 49, Issue 2 211-222 doi: 10.1556/004.49.2001.2.11
Juhász J, Nagy P, Kulcsár M, Szigeti G, Reiczigel J, Huszenicza G.The effect of 10-day zearalenone administration starting 10 days after ovulation was studied in 6 cycling trotter mares in the summer period. After an entire oestrous cycle (Cycle 1), mares were given 7 mg purified zearalenone per os daily (1 mg/ml in ethyl alcohol) beginning on Day 10 of Cycle 2. Toxin exposure was continued until the subsequent ovulation. Luteal function and follicular activity were monitored daily by rectal palpation, ultrasonography and blood sampling for progesterone. During toxin exposure, all animals were in good physical condition. The toxin had no effect on the length...
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