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Journal of equine veterinary science2023; 121; 104222; doi: 10.1016/j.jevs.2023.104222

Safety and Effects of a Commercial Ozone Foam Preparation on Endometrial Environment and Fertility of Mares.

Abstract: Mares' subfertility represents a complex diagnostic and therapeutic challenge and both clinical and subclinical endometritis are considered major causes of impaired fertility. Thanks to its properties, ozone has a big potential as a treatment for equine endometritis. Therefore, the aim of this study is to describe the safety and the effects on endometrium and reproductive parameters of mares of a commercial ozone foam preparation (Riger Spray®). Twenty-four mares were treated during estrus: ozone group with an intrauterine instillation of ozone foam preparation (OG, n=16) and control group with 20 ml of lactated Ringer's solution (CG, n=8). Samples for endometrial cytology were collected before the ozone treatment (T0), after 24 h (T1), after one week (T2), two weeks (T3), and when the subsequent estrous phase was detected (T4). Furthermore, samples for histological examination and uterine swab for bacteriological examination were collected at T0 and T4. At T1, a statistically significant increase of endometrial inflammation in the OG mares compared to T0 (P<.05) and to CG at same time point (P<.05) was observed, but it was already resolved at T2. No differences in endometrial inflammation in CG, biopsy grade before and after the treatment in the two groups, number of mares pregnant at the end of the season and number of mares pregnant at the first cycle were observed. However, the number of inseminations required for pregnancy tended to be lower (P=.0711) in the OG (1.69±0.06) than in CG mares (2.60±0.89).
Publication Date: 2023-01-06 PubMed ID: 36623580DOI: 10.1016/j.jevs.2023.104222Google Scholar: Lookup
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  • Journal Article

Summary

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This study investigates whether a commercial ozone foam product can safely treat equine endometritis (an inflammation of the uterus in horses) and improve a mare’s fertility. The study found that the treatment temporarily increased endometrial inflammation, but this resolved itself within a week. No adverse effects on mare pregnancys were found following the treatment, and there was a trend towards fewer inseminations neccessary to achieve pregnancy in the treated group.

Objective of the Study

  • The main goal of this research is to assess the safety of a commercial ozone foam preparation known as Riger Spray®. It also aims to observe its effects on the endometrial environment and reproductive parameters in horses.

Methodology

  • A sample of 24 mares were treated during their estrus cycle. Part of the sample, 16 mares, were treated with the ozone foam treatment (OG), and the others, 8 mares, were treated with 20ml of lactated Ringer’s solution (CG) as a control.
  • Endometrial cytology samples were taken at five different times: before the ozone treatment (T0), 24 hours later (T1), after one week (T2), two weeks (T3), and when the subsequent estrous phase was detected (T4).
  • Further samples for histological examination and a uterine swab for bacteriological examination were collected at T0 and T4.

Results and Conclusion

  • The results showed an initial increase in endometrial inflammation in the mares treated with ozone foam. However, the inflammation resolved by itself after one week (T2). This finding suggests that the ozone foam treatment may initially irritate the endometrium, but the effect seems to be temporary.
  • No significant differences were found in terms of inflammation for the control group, biopsy grade before and after treatment in both groups, and the number of pregnancies at the end of the season or first cycle.
  • However, an interesting trend was observed wherein the number of inseminations required to achieve pregnancy tended to be lower in the ozone-treated group in comparison to the control group. This could suggest that the ozone foam treatment might enhance fertility, but further research would be needed to confirm this.

Cite This Article

APA
Donato GG, Appino S, Bertero A, Poletto ML, Nebbia P, Robino P, Varello K, Bozzetta E, Vincenti L, Nervo T. (2023). Safety and Effects of a Commercial Ozone Foam Preparation on Endometrial Environment and Fertility of Mares. J Equine Vet Sci, 121, 104222. https://doi.org/10.1016/j.jevs.2023.104222

Publication

ISSN: 0737-0806
NlmUniqueID: 8216840
Country: United States
Language: English
Volume: 121
Pages: 104222
PII: S0737-0806(23)00013-8

Researcher Affiliations

Donato, Gian Guido
  • Dipartimento di Scienze Veterinarie, Università di Torino, Grugliasco, Italy. Electronic address: gianguido.donato@unito.it.
Appino, Simonetta
  • Dipartimento di Medicina Veterinaria, Università di Sassari, Sassari, Italy.
Bertero, Alessia
  • Dipartimento di Scienze Veterinarie, Università di Torino, Grugliasco, Italy.
Poletto, Mariagrazia Lucia
  • Dipartimento di Scienze Veterinarie, Università di Torino, Grugliasco, Italy.
Nebbia, Patrizia
  • Dipartimento di Scienze Veterinarie, Università di Torino, Grugliasco, Italy.
Robino, Patrizia
  • Dipartimento di Scienze Veterinarie, Università di Torino, Grugliasco, Italy.
Varello, Katia
  • Istituto Zooprofilattico Sperimentale del Piemonte, Liguria e Valle d'Aosta, Torino, Italy.
Bozzetta, Elena
  • Istituto Zooprofilattico Sperimentale del Piemonte, Liguria e Valle d'Aosta, Torino, Italy.
Vincenti, Leila
  • Dipartimento di Scienze Veterinarie, Università di Torino, Grugliasco, Italy.
Nervo, Tiziana
  • Dipartimento di Scienze Veterinarie, Università di Torino, Grugliasco, Italy.

MeSH Terms

  • Pregnancy
  • Horses
  • Animals
  • Female
  • Endometritis / drug therapy
  • Endometritis / veterinary
  • Horse Diseases / chemically induced
  • Horse Diseases / drug therapy
  • Horse Diseases / diagnosis
  • Endometrium
  • Fertility
  • Inflammation / complications
  • Inflammation / pathology
  • Inflammation / veterinary

Citations

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