Genital Pathology Non-Pregnant Female Flashcards
5 main objectives
- ascending generally in both


- Haemotogenous is much more important in pregnant animals!
- From ovary and transneural are quite rare

Defense Mechanisms
(Innate and Adaptive Immunity)
- uterus needs to be clean and sterile for foetal growth
- but also needs to allow sperm and other foreign things in
- needs immunity that keeps it alive but also allows the foreign body foetus to survive (dampened immunity)
- normal cleansing process that is influenced to go downwards with gravity

Influence of Hormones on Immunity
- refers only to immunity of the genital tract
- better disease resistance under theinfluence of oestrogen
- uterus more susceptible … –> (in bitch most of all)
- If there isnt PGF2a to rid of the CL then you will have continued production of progesterone and mre susceptibility to infection

Outline of Main Disorders of the Female Genital Tract

Levels at which sex can be defined
(4)
- a lot of things can go wrong during sexual development


B. Male Pseudohermaphrodite
- there are testis and a uterus/vagina with it
- based on the gonadal sex
- if there is testis present—> male
- goats and american cocker spaniels
- look up pseudohermaphrodite

C. True Hermaphrodite
- there is an ovary on the left
- unclear what is on the rght
- histo shows mixed tissue (ovotestis)–> makes this a true hermaphrodite

- very common in twin pregnancies of twin calves
- male animal supressing the female development

B. Right
- acquired cysts on the right
- developmental on the left
Ovary
(non-infectious disease of the ovary)
- paraovarian: not in the ovary, but in the tissue surrounding the ovary
- intraovarian: within the ovary
- developmental: does not affect the hormonal aspects in the ovary, only cause problems if they get too large and impair structures (see in gilts and pigs and such)
- acquired: luteal cysts, follicular, etc. –> usually affecting the hormonal function of the ovary and may end up in sterility
- usually affect hormonal function of the ovary which become clinically significant and affect fertility


- if LH surge isnt there you wont get ovulation
- -cysts develop
Follicular cysts/Cystic Ovarian Follicles
- common in cows, and sows as such
- If it is there for more than 10 days can be considered a follicular cyst
- lack of ovulation usually due to something in the hypothalamus not producing the peak or ovarian causes
- echo
- will usually show no signs of ovulation or more rare (nymphomania) - constant oestrus

Anovulatory luteinised cyst
(Luteal Cyst)
- 60 % in cattle will be follicular, and other 30% will generally be luteal
- may be a bit of progesterone production with it
- clinically significant

Cystic CL
- when ovulation has taken place!
- don’t confuse with luteal cysts
- these are completely incidental, do not affect fertility

Oophoritis
- usually associated with infection of uterus or systemic disease

Ovarian Neoplasms
- think about what type of cells are there and which can become neoplastic

Germ Cell Neoplasms
(2)
- difference between them is one is form primitive germ cells while the other from totipotent
- these are theones with hairs in it, etc. (echo)

Sex cord-stromal tumours
- These can produce steroids, androgens, estrogens
- echo for arrow
- tend to affect older animal but can affect the young ones too!


C. Metastasis by contact of surface
Epithelial Neoplasms
- Transcoelmic spread can seed itself by touch into the peritoneal cavity for example
- carcinomas generally
- should be considered as a differential for ascites in an older bitch!
- why does it end up in fluid accumlation? - due to blocking the lymphatics, cant drain, just start draining into it


- gets blocked
- usually a congenital factor including an ascending infection
- gilts?
- echo
Non-infectious disease
(uterus)
- almost all of them are medical emergencies!
- there is a cut off of blood supply
- animal will die without repair


D) Cystic Endometrial Hyperplasia
-quite a few cysts indicating something cystic is happening
echo

- mainly affects bitches and queens to a lesser degree
- long progesterone phase making the uterus more prone to infections as immunity is worse (like in pregnancy)
- get secretions in there and mucometria
- gets worse as they get older, secondary infection–> they would love the warm, moist enviroment
- env’t more forthcoming for the bacteria
Pyometra
(Bitch)
- pus is how we identify the pyometra
- has to be during that progesterone phase for infection ot take place
- very common in older nulliparous bitches
- is the cervix closed or partially open? - open is less severe, but closed is a huge emergency (pus has nowhere to escape, toxemia)


echo
Pyometra
(in cow)
- CL persists and therefore high progesterone levels persist
- our treatments should aim to get the cow cycling again
- If you do a rectal, it can sometimes feel like a pregnancy

Pyometra
(in Mare)
- don’t fully understand sometimes why they develop it
- they continue cycling unlike the cow so hormones are less of a concern
- but the formation of their perineal can be an issue where you could constantly have remnants in there causing chronic infection
- tends to be more common in older mares

Inflammatory Diseases of the Uterus
(3)


A. and D.
-not E. –> it is actually a prequel
Endometritis
- if it is 3 weeks after calving, they will speak of endometritis regardless of what is affected (just be aware)
- most of them will have it post-partum and it will clean it, but some can become chronic and fibrous
- won’t rid of CL and then you get chronic endometritis
- they are very frustrating to treat in cows and mares!

Metritis
- can affect seros and get into the blood stream leading to septicemia, toxaemias
- friable uterus
- hemorrhages

Leiomyoma
(smooth muscle)
- most commonly in the bitch
- not only affects uterus, but cervix and vagina
- multiple nodules, not just one usually
- need to do an ovariohystorectomy and then usually smaller ones will vanish by themselves
- most of them are benign

Neoplasia
(Carcinoma and Lymphosarcoma)
- carcinoma is the most common spontaneous one in rabbits
- neoplasm in an adult cow is always notifiable- as it could be EBL and needs to be investigated further (it is quite widespread in the US, but free of it in the UK)
- Uterus is one of the target organs for EBL

Non-Inflammatory Diseases
(vulva & vagina)
- sweilling for vulva/vaginal region
- microtoxin that is frequently observed in the (endogenous/exogenous estrogen)
- echo

Inflammatory Diseases
(Vulva & Vagina)
- Dourine- more widespread in S. America


- echo
- usually self-limiting and will vansih over time
- can cause infertility in heifers
- IBR - respiratory disease (usually where is comes from, animals breathing onto the vagina)
Neoplasms
(Vulva & Vagina)

Transmissible Venereal Tumour
- neoplastic cells are being transfered to the other animal and can be established as neoplastic there
- much more in southern europe and african countries


- problem really is the size
- pic: this would cause issues with urination
- it will generally vanish as long as it doesnt cause issues with renal and other systems
Squamous Cell Carcinoma
- tail docked animals- -> if their vaginas are exposed to too much UV sunlight

4 Key messages to take home
