Mismating Management, Contraception, and Ovarian Remnant Syndrome Flashcards

(55 cards)

1
Q

What are questions to ask during the initial consult?

A

Is she in heat?
Was a “tie” observed?
If not, how long was the bitch missing?
Are puppies wanted in the future and why?
Is this bitch a valuable breeding animal?
Will you let me spay her?

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2
Q

What should be performed on all mismated bitches?

A

Vaginal cytology

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3
Q

What should you look for on cytology?

A

Sperm heads

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4
Q

What are the options for pregnancy termination?

A
OHE
Prostaglandins
Estrogens
Prolcatin inhibitors
Corticosteroids
Progesterone antagonists
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5
Q

What is the mode of action of prostaglandins?

A
Direct luteolytic action with multiple doses
Removes source of P4
Causes myometrial contractions
Dilates the cervix
Pregnancy is expelled
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6
Q

What are the side effects of prostaglandins?

A
Panting
Excessive salivation
Vomiting
Diarrhea
Begine within 5 minutes and can last 20-30 minutes
Bitch may return to estrus sooner
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7
Q

What happens with repeated use of prostaglandins?

A

Side effects subside

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8
Q

How can you minimize the side effects of prostaglandins?

A
Give on empty stomach
Start with lower doses and increase
Dilute with saline
Walk immediately after injections
Atropine 0.1 mg/kg SQ
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9
Q

What is the dosing of prostaglandins?

A

Lutalyse: 50 μg/kg SQ TID for 2 days, then increase to 200 μg/kg SQ TID until abortion is complete
Cloprostenol: 2.505 μg/kg SQ every 24-48 hours for at least 2 doses

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10
Q

What is the problem with cloprostenol if used at the dose rate of lutalyse?

A

It could be fatal

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11
Q

When can estrogens be used?

A

Only during estrus

This is the only product that can be used at the time of mating

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12
Q

Can estrogens be used in the valuable breeding bitch?

A

No

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13
Q

What is the mode of action of estrogens?

A

Tightens the utero-tubular junction
“Kink” formed in the oviducts
Delays tubular transport of embryos
Alters estrogen:progesterone ratio leading to implantation failure
Direct embryotoxic effect
Collectively this leads to failure of pregnancy maintenance

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14
Q

What are the side effects of estrogens?

A

Pyometra
Bone marrow suppression
Prolonged estrus
Infertility at subsequent cycles

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15
Q

What are the estrogens that can be used?

A

Estradiol cypionate: 44 μg/kg IM once during estrus
Estradiol benzoate: 10 μg/kg IM twice at 48 hour intervals 2-3 days after mating
Diethylbesterol is not an effective mismating agent

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16
Q

What is the mode of action of corticosteroids?

A

High cortisol levels cause fetal production of prostaglandins leading to abortion
May have direct luteolytic actions

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17
Q

What are the side effect of corticosteroids?

A

Anorexia

PU/PD

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18
Q

When do you start corticosteroids?

A

Start after day 30 of gestation

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19
Q

What is the mode of action of prolactin inhibitors?

A

Increases dopamine release
Dopamine inhibits prolactin release
Prolactin is the primary luteotropin in the bitch

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20
Q

What do low prolacitn levels lead to?

A

Low P4 levels which causes abortion/pregnancy loss

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21
Q

What are the side effects of PRL inhibitors?

A

Nausea, vomiting
Anorexia
Diarrhea

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22
Q

What PRL inhibitor are side effects more common with?

A

Bromocriptine

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23
Q

When should you start using PRL inhibitors?

A

After day 30 of gestation

24
Q

What drugs require you to confirm pregnancy loss at the end of treatment?

A

Corticosteroids

PRL inhibitors

25
What are examples of progesterone antagonists?
Mifeprostone Agleprostone Both are unavailable in the US
26
What assures luteolysis has occurred?
Progesterone levels of <1 ng/ml at completion
27
What are contraception options?
Intratesticular injection of sclerosing agents GnRH vaccines GnRH agonists GnRH antagonists
28
What are examples of intratesticular injection of sclerosing agents ?
Neutersol/esterilsol
29
What are examples of GnRH vaccines?
Gonacon
30
What are examples of GnRH agonists?
Gonazon | Suprelorin
31
What are examples of GnRH antagonists?
Acyline
32
What does Neutersol/Zeuterin/Esterilsol result in?
Sterility due to destruction of sperm production
33
What is an ovariectomy?
Uterus is left but ovaries are removed
34
What is an ovarian sparing spay?
Ovaries remain
35
Why must the cervix be removed in an ovarian sparing spay?
Pyometra is possible
36
What are the cons to ovarian-sparing spay?
Still show signs of estrus, mammary tumors
37
What are pros to ovarian-sparing spay?
Decreased spay incontinence | Bone development and orthopedic problems
38
What is a vesectomy?
Only renders male sterile but still will have testosterone present
39
What are alternatives to vasectomies?
Castrate and prosthesis
40
What is a flank spay in cats often used in cases of?
Mammary hyperplasia
41
What is ovarian remnant syndrome a complication of?
OHE
42
Is ORS more common in cats or dogs?
Cats
43
When does ORS occur?
When a piece of retained ovary becomes functional
44
What is the biggest indication of ORS?
Spayed female exhibiting signs of proestrus or estrus Vulvar swelling Mucoid to serosanguinous discharge
45
What can be seen following "heat" in an animal with ORS?
Pseudocyesis
46
What are DDx in animals with ORS?
Conditions that cause bloody vaginal discharge in spayed females: vaginitis, vaginal neoplasia, stump pyometra, trauma, foreign body, exogenous estrogen exposure
47
What is the average interval from OHE to estrus?
Over 15 months
48
What is used to diagnose ORS?
Vaginal cytology Vaginoscopy Raciographs/US are usually not helpful
49
What are will you see on vaginal cytology from an animal with ORS?
Consistent with proestrus or estrus in the absence of exogenous estrogen exposure Predominant cornified/superficial cells
50
What are will you see on vaginoscopy from an animal with ORS?
Vaginal edema typical of proestrus/estrus
51
What is the exception for using US with ORS?
May be helpful on large breed dogs with large follicles or cysts present
52
What is the hormone profile of ORS females?
Elevated anti-mullarian hormone levels Confirm rising P4 2 weeks later High E2 LH concentration low on 2 separate tests
53
How do you treat ORS?
Remove offending tissue surgically | Lifelong medical management if unable to remove surgically
54
What is used for medical management of ORS?
GnRH analogue/GnRH antagonist Megesterol acetate (Ovaban) Mibolerone (Cheque)
55
Why is medical management not recommended for ORS?
``` Side effects: Mammary gland tumors Acromegaly Clitoral enlargement Adrenocortical suppression ```