Infertility in the dog and cat workshop Flashcards

1
Q

What is the common age of puberty in bitches?

A

6 to 24 months- it is very variable - smaller earlier then larger breeds

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2
Q

What is the normal oestrus cycle length?
(P = Proestrus O = Oestrus, L = Luteal, A = Anoestrus)

A

P10d, O10d, L70d, A150d*

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3
Q

Failure to cycle is often a failure of lack of observation of the owner
List 4 things that could indicate that the cycle has been missed

A

Progesterone will be elevated for 70d
There may be mammary enlargement
There may be lactation
The may be behaviour typical of pseudopregnancy

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4
Q

Based on basic principles what is the most likely to result in a failure of the onset of puberty?

A

there is systemic disease

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5
Q

if you suspect primary anoestrus (delayed puberty) in dog what should you do

A

wait till 24months
consider establishing karotype
at 24 months consider attempting oestrus induction using cabergoline (Galastop)

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6
Q

what should you do if bitch clinically well but >12 months since last oestrus

A

consider oestrus-inducing (e.g. with Cabergoline [Galastop])

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7
Q

when is cat first oestrus expected to be

A

6-10 months
most of the time during first spring time

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8
Q

what can affect cat first oestrus

A

influenced season of birth
body weight/ condition score
puberty frequently occurs during the spring

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9
Q

at what point in cat should you investigate primary anoestrus/ how

A

at 10 months old
same as in bitch

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10
Q

Daisy is a 9 month old springer spaniel that has had vulval swelling and a sero-sangineous discharge for 30 days
How to investigate case

A

vaginal cytology

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11
Q

Hetty is 11 months old. Her last oestrus ended 6 weeks ago and she presents today with a swollen vulva and sero-sangineous vulval discharge.
- The owner is concerned that Hetty might have a pyometra.
- Which diagnostic tests are you going to undertake and in what order to rule out a pyometra and make a logical diagnosis

A

vaginal cytology
uterine ultrasound

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12
Q

If prolonged oestrus keeps occuring in a dog what can you do

A

give hCG or GnRH- during next oestrus to attempt to stimulate ovulation

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13
Q

List 5 causes of signs of persistent oestrus in bitches

A

Failure to ovulate (pubertal animal)
Follicular cysts (rare in the bitch)
Follicular neoplasia (rare in the bitch)
Adrenal neoplasia (rare in the bitch)
exogenous oestrogen exposure

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14
Q

T/F bursal cysts are clinically significant

A

False - don’t produce oestrogen
not significant for cyclicity or fertility

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15
Q

how can you differentiate between persistent oestrus and exogenous oestrogen exposure

A

exogenous oestrogen exposure= male attractiveness but female is not in oestrus

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16
Q

what do luteal cysts produce - what are the signs

A

progesterone
there are signs of acyclicity and occasionally pyometra

17
Q

describe how to treat follicular cysts

A

hCG administration- cause it to oculate and dog goes into luteal phase
or supression with progestogens

18
Q

describe how to treat luteal cycsts

A

Usually only diagnosed when Ovarian hysterectomy because of pyometra. No treatment reported.

19
Q

Holly is a 4 year old Bullmastiff. She went to stud at her last cycle and was not mated because she had pain the time of intromission
At this cycle she will not stand to be mated.
what is the approach

A

Digital examination of the vulval, vestibule, vagina

20
Q

What is the anatomical site of the fusion of the Mullerian Ducts with the Urogenital Sinus?

A

Vagina / vestibule

21
Q

list the clinical signs of vestibulo-vaginal remnants

A

Pain at attempted coitus
Chronic vaginitis in some cases

22
Q

describe how to treat vestibulo-vaginal remnants

A

transection (via episiotomy)

23
Q

List 2 clinical signs of vaginal hyperplasia

A

A mass at the vulval with the bitch in oestrus
Pain at attempted coitus

24
Q

what is vaginal hyperplasia

A

Exaggerated response of the vaginal wall to normal oestrogen concentrations during oestrus:
- ventral vaginal wall thickens
- may prolapse
- occasionally is circumferential

25
List 3 possible treatments of vaginal hyperplasia
Conservative (disappears end of oestrus) Surgical resection Ovariohysterectomy for prevention
26
what is the most common cause of infertility in dogs
bitch mated at the incorrect tiem
27
List 2 things that can induce pyometras
therapeutic administration of oestrogens for treatment of unwanted pregnancy therapeutic administration of progestogens for prevention of oestrus
28
what dogs are pyometras most common in
middle aged to elderly bitches
29
describe cystic endometrial hyperplasia
Hyperplasia occurs during each luteal phase in preparation for supporting the pregnancy
30
Describe when pyometras occur in cats
only seen in mated queens If the queen is not mated she normally does not ovulate and so there is no progesterone to drive the pyometra
31
Describe how we recognise chromosomal abnormalities
needs karyotypin
32
list 3 things seen with phenotypic females
Clitoris enlarges at puberty Odd shaped vulva (often positioned more cranially) Male behaviour
33
List 4 things seen with phenotypic males
Small penis with slit-like prepuce that may be more caudal May have penile bleeding (oestrus) May have other lesions (eg hypospadias) May develop pyometra
34
Describe how to treat intersexuality
Removal of reproductive tract including gonads is necessary: - Female - clitoris may reduce in size after gonadectomy and may then no longer protrude, but later clitoridectomy may be necessary - Male mainly reducing the risk of pyometra is important.
35
Describe how to conduct a breeding soundness exam in a male
Clinical history General clinical exam Observation of libido Examination of the scrotum Examination of the testes Examination of the sheath Examination of the penis Examination of the accessory glands Collection of the ejaculate ?Endocrine testing
36
List 4 things that testicular size correlates with
Total sperm output Onset of puberty Testicular degeneration Advanced testicular pathology
37
Describe what testes normally look like on ultrasound
Normal testes have moderately hypoechoic parenchyma with echogenic stippling
37
what is the most common cause of haemospermia (blood in ejaculate) in dogs
benign prostatic hypoplasia
38
What would be the most useful diagnostic tests in a case with haemospermia
palpation of the prostate per rectum to demonstrate non-painful enlargement ultrasound exam of prostate