Impact of Yeast Endometritis on Fertility in the Mare.
Abstract: The breeding prognosis for a mare with fungal (yeast or mold) endometritis is generally considered poor. To our knowledge, however, no reports have been published on the expected pregnancy rate for mares diagnosed with a fungal infection. Insemination records from 3,223 mares inseminated at two stud farms were retrospectively examined. Mares diagnosed with fungal endometritis were all treated with uterine lavage using physiological saline, intrauterine deposition of 100 mg Clotrimazole vagitorial tablets and oxytocin (10 i.e., i.m.) for three consecutive days. From mares with signs of endometritis microbiological culture and cytological assessment were performed on endometrial biopsies. The per season pregnancy results were compared between affected and unaffected mares. A total of 686 mares out of 3,223 mares were considered to have endometritis. Based on the endometrial biopsies obtained, 377 (55%) had no growth, 50 (7.2%) had growth of yeast, 2 (0.3%) had growth of mold and 257 (37.4%) had growth of bacteria recorded. Positive cytology was found in 78.0% of samples diagnosed with yeast endometritis whereas that was the case in 65.6% of samples showing growth of mold or bacteria (P = 0.12). The per-season pregnancy rate was 48% in mares diagnosed with yeast endometritis. The overall per season pregnancy rate in the two stud farms was 76.4% (P < 0.0001, Odds ratio = 3.59, confidence interval 95% = 2.04-6.29). Yeast can make up a considerable cause of endometritis. The breeding prognosis of a mare with yeast endometritis must be considered worse than that of a normal mare. Following management of the condition approximately 50% of the mares previously diagnosed with an endometrial yeast infection got in foal rendering the breeding prognosis better than initially anticipated.
Copyright © 2021. Published by Elsevier Inc.
Publication Date: 2021-02-11 PubMed ID: 33781433DOI: 10.1016/j.jevs.2021.103409Google Scholar: Lookup
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Summary
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This research aims to evaluate the influence of yeast endometritis on the fertility rate in mares. The study found that approximately 50% of mares with yeast endometritis were able to conceive after treatment, which is better than the generally assumed prognosis.
Objective of the Research
- The primary objective of this research was to study and evaluate the effects of fungal (yeast or mold) endometritis on the fertility of the mare. The researchers sought to document the expected pregnancy rate for mares diagnosed with fungal infection, which hasn’t been done previously.
Methodology
- The study retrospectively examined insemination records from 3,223 mares at two stud farms, which involved mares that were diagnosed with fungal endometritis.
- These infected mares were all treated with uterine lavage using physiological saline, intrauterine deposition of Clotrimazole vagitorial tablets, and oxytocin for three consecutive days.
- The researchers conducted microbiological culture and cytological assessment on endometrial biopsies from mares with signs of endometritis.
- Finally, they compared the per-season pregnancy results between the mares affected by yeast endometritis and those not affected.
Findings and Conclusion
- Researchers found that 686 of the 3,223 mares were considered to have endometritis. Among these, the majority (55%) showed no growth, 7.2% produced yeast, 0.3% produced mold, and 37.4% had bacterial growth based on endometrial biopsies.
- In mares diagnosed with yeast endometritis, 78% showed positive cytology compared to 65.6% of samples showing growth of mold or bacteria. This suggests that yeast is a considerable cause of endometritis.
- The per-season pregnancy rate was 48% in mares diagnosed with yeast endometritis, which is significantly lower than the average rate of 76.4% in the two stud farms. However, this is a more promising result than previously assumed, showing that the breeding prognosis for a mare with yeast endometritis isn’t as poor as once thought.
- In conclusion, the study showed that the breeding prognosis of a mare with yeast endometritis needs to be reconsidered. A prediction of poor fertility may not always be applicable, as management of the condition could lead to a 50% conception rate, a figure that contradicts the previously assumed prognosis.
Cite This Article
APA
Nielsen JM, Fog P, Bojesen AM.
(2021).
Impact of Yeast Endometritis on Fertility in the Mare.
J Equine Vet Sci, 99, 103409.
https://doi.org/10.1016/j.jevs.2021.103409 Publication
Researcher Affiliations
- Ansager Hestehospital, Vetgruppen, Denmark. Electronic address: jazz.miller@newmail.dk.
- Ansager Hestehospital, Vetgruppen, Denmark.
- University of Copenhagen, Department of Veterinary and Animal Science, Frederiksberg C, Denmark.
MeSH Terms
- Animals
- Endometritis / diagnosis
- Endometritis / veterinary
- Female
- Fertility
- Horse Diseases / diagnosis
- Horses
- Pregnancy
- Retrospective Studies
- Saccharomyces cerevisiae
Conflict of Interest Statement
Declaration of Competing Interest None.
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