Study Guide Questions Flashcards
What is the length of the estrous cycle in mares?
21 days
What is the length of estrus in mares?
7 days (range 3-12 days)
How long is diestrus in the mare?
Approximately 2 weeks (14-15 days)
What type of breeders are mares?
What is the significance of this?
- Long day breeders (April-Oct)
- Photoperiod manipulation to try to change when they are being bred
How does the uterus of the mare feel during estrus?
- Edematous due to influence of estrogen
How does the uterus of the mare feel during diestrus?
- Maximal tone due to influence of progesterone
- Cannot palpate the corpus luteum
How many hours of daylight are needed for photoperiod manipulation in mares?
- 16 hours of daylight are needed
More info: can also do combo light and progesterone +/- GnRH or dopamine antagonist like supiride or domperidone
How long should you apply artificial light to a mare to change the breeding season?
- For the 60 days prior to breeding season
When is the best timing of insemination with chilled semen in relationship to ovulation?
24 hours post induction (24 hours prior to ovulation)
When is the best timing of insemination with frozen semen in relationship to ovulation (2 doses)?
- 24 hours and 40 hours post induction (pre and post-ovulation
- 12 hours before to 6 hours after ovulation
- Induction of ovulation followed by monitoring every 6 hours or double insemination at 24 and 40 hours post-induction
When is the best timing of insemination with frozen semen in relationship to ovulation (1 dose)?
- Monitor for ovulation every 6-8 hours, then AI after ovulation
How is ovulation induced, and what is required for induction?
- Use GnRH, Deslorelin (>30 mm follicle)
- Use hCG (>35 mm follicle)
- Presence of uterine edema (i.e. the mare is in estrus)
Criteria for induction of ovulation
- Follicle >35 mm
- Uterine edema
- AKA the mare is in estrus
Approximately how long after induction do mares ovulate?
- 36-48 hours after approximately
How long will ovulation take to occur after hCG injected?
- 24-48 hours
- MAY cause anaphylactic reactions
How long will ovulation take to occur after GnRH (deslorelin) injected?
- 42 hours +/- 10 hours
When should you check the mare after insemination?
- 24 hours to check and make sure ovulation has occurred
- Check for accumulation of fluid and corpus hemorrhagicum
- CH indicates that ovulation has occurred; fluid indicates PMIE)
When should you do the first pregnancy diagnosis in the mare and why?
- 14 days post-ovulation
- Checking for double ovulation and twins as well as quality of CL
- Can place high risk mares on progesterone therapy
What are the recommended vaccines for the pregnant mare?
- Core and others
- Core (4-6 weeks before due date): Equine influenza, tetanus, EEV/WEV, Rabies, WNV)
- EHV 1 (5, 7, and 9 months; killed)
- Botulism (8th, 9th, and 10th months, 30 days before due date)
- Rotavirus
- Strep equi (Strangles)
Etiology for contagious equine metritis?
- Taylorella equigenitalis
Clinical signs of Contagious Equine Metritis (Taylorella equigenitalis) in the stallion?
- None
Clinical signs of contagious equine metritis in the mare?
- Catarrhal metritis that can last for a cycle
- Severe cervicitis that can persist for up to 6 weeks
- Endometritis
- Salpingitis
- Infertility
- Pregnancy loss
Tests for contagious equine metritis
- Culture
- PCR (gold standard)
- Test breeding with stallions (not recommended)
Sample from the mare for dx contagious equine metritis
- Vaginal discharge swab
- Swab of the clitoral fossa or sinus
Samples from a stallion for dx contagious equine metritis
- Urethral swab
- Urethral fossa
- Semen
- Pre-ejaculatory fluid
Treatment in the stallion of contagious equine metritis
- Chlorhexidine gluconate, rinse, and pack with nitrofurazone
- Parenteral antibiotics
Treatment in the mare of contagious equine metritis
- Intrauterine penicillin/ampicillin and clean with chlorhexidine gluconate and pack with nitrofurazone or silver sulfadiazine
Etiology of Dourine
- Trypanosoma equiperdum
Clinical signs of dourine
- slow to develop
- 3 stages
- Stage 1: genital edema, vaginal or urethral discharge, weight loss
- Stage 2: fever, edema, and ulceration of external genitalia, cutaneous plaques, ventral edema
- Stage 3: anemia, neurologic disorders, paresis, death
Diagnosis of dourine
CF test, PCR
Treatment of dourine
None, euthanasia usually recommended
Major venereal diseases in horses
- Equine coital exanthema
- Contagious equine metritis
- Dourine
- Equine viral arteritis
- Klebsiella pneumoniae and Pseudomonas aeruginosa
Signs of Klebsiella pneumonia and Pseudomonas aeruginosa in stallions vs mares
Stallions: urethritis
Mares: severe endometritis and infertility
Etiology of equine coital exanthema
- EHV3
Presentation of equine coital exanthema
- Small papules progressing to pustules and ulceration; erosions with scabs on the penis
- Decreased libido in stallions
Diagnosis of equine coital exanthema
- PCR, viral inclusion, serology
Treatment of equine coital exanthema
None, but don’t breed until the lesions heal
Common hormonal treatment protocols for elimination of estrus behavior
- Progesterones (altrenogest or progesterone)
- Oxytocin (long-acting injections that are 70% effective and can last for 45-50 days)
List non-surgical contraception options in mares
- Responsible ownership
- Immunization against GnRH (good option but not approved for use in the US yet)
Surgical contraception option in mares
- Ovariectomy
What is the most common cause of stallion-like behavior in the mare?
- Granulosa theca cell tumors
Clinical signs with granulosa theca cell tumors
- Affected ovary is large, and unaffected ovary is small and inactive
- Complaints are stallion-like, aggressive behavior, anestrus, and nymphomania
Diagnosis of GTCT
- Transrectal palpation or ultrasound
- Can do endocrinology (progesterone, testosterone, inhibin, anti-mullerian hormone)
Treatment of GTCT
- Ovariectomy
Primary differentials for an ovarian enlargement
- Hematoma (doesn’t impact estrous cycle and regresses over a few weeks)
- May require surgery
Most common physiologic causes of anestrus in the mare?
- seasonality, pregnancy, puberty
Most common pathologic causes of anestrus in the mare
- Persistent CL
- persistent endometrial cups
- ovarian tumors
- Pyometra
- other abnormalities
Source of uterine cysts?
- Vascular changes
- Lymphatic cysts
Uterine cyst effect on fertility (major effects)
- Reduced embryonic motility
- Abnormal placentation
(also compromised cervical tone, but this is less important)
Treatment of uterine cysts
- Aspiration or cauterization, laser ablation
When do endometrial cups form?
- When there is embryonic death post-35 days
Diagnosis of persistent endometrial cups
- Normal genital tract
- Can measure eCG (commercial kits)
- Biopsy, hysteroscopy*
- Check for reasons of embryonic loss as well (fibrosis, metritis, iatrogenic, etc.)
How long can it take for a mare to get rid of endometrial cups?
3-4 months
Which ovarian tumors can potentially lead to anestrus (most commonly)
- Granulosa theca cell tumors
- Luteoma
Pyometra and its relationship with acyclicity
- More often a cause of acyclicity than something that causes acyclicity
- CL not always present
- Often older mares with adhesions
What should you look for with a mare you suspect has pyometra?
- Look for adhesions
What should you not give a mare with pyometra?
- PGF2-alpha
Possible treatments of a mare with pyometra
- Laser ablation
- They will not breed again
Do mares get ovarian follicular cysts?
- NO
Gold standard diagnosis of endometritis
- Endometrial biopsy
Other methods to diagnose endometritis
- Endometrial cytology and culture
- Transrectal palpation and ultrasonography show large uterus, thick edematous uterus, overt uterine edema, intrauterine fluid accumulation)
- Vaginal exam (cervicitis; fluid in the vagina or vaginal discharge)
What are the major isolates associated with infectious nedometritis in the mare?
- Streptococcus equi***
- E. coli
- Klebsiella pneumoniae
- Pseudomonas aeruginosa
What are the hormonal tests for the diagnosis of GTCT?
- Inhibin* (>0.8 ng/mL)
- Testosterone* (>100 pg/mL)
- Anti-Mullerian hormone* (>8 diagnostic)
- Also progesterone
Which antimicrobials need to be buffered before use in utero?
- Aminoglycosides (amikacin, gentamicin)
Name an antibiotic that is contraindicated for in utero use?
- Enrofloxacin (very harmful!)
What additional therapies can be used in mares with endometritis due to biofilm producing bacteria?
- Mucolytic agent such as n-acetylcysteine, Tris-EDTA, DMSO
What are the critical steps in management of mares with Persistent Mating-Induced Endometritis?
- Oxytocin to induce contraction or Cloprostenol to induce a more sustained contraction
- Treatment with topical PGE1 (misoprostol or Buscopan) to relax the cervix
Which agents can you use to induce luteolysis with a peristennt CL?
- Cloprostenol (PGF2-alpha analog)
- Dinoprost tromethamine
What’s the primary difference between cloprostenol and dinoprost tromethamine as a luteolytic agent in mares?
- Cloprostenol is a PGF2-alpha analog and has fewer side effects than dinoprost promethamine
Definition of persistent mating induced endometritis
- Inability of the uterus to clear inflammatory products and semen by 12 hours post-mating or artificial insemination
When does mastitis usually occur in the mare?
- Post-weaning
Causes of galactorrhea
- Milk production in non-pregnant or foaling mares due to elevated prolactin
- PPID
Treatment for galactorrhea
- Treat PPID with pergolide or cyproheptadine
- Can decrease feed or add bromocriptine or pergolide in other cases
- DO NOT MILK OUT
Describe the steps to pregnancy in the mare
- Only fertilized embryos reach the uterine cavity
- Embryo reaches the uterus at the blastocyst stage about 6 days after fertilization
- Blastocyst expands and forms the vesicle
- Transuterine mgiration provides signals preventing luteolysis
- Migration of the embryo stops at 16-17 days
- Endometrial cups form at 35 days and produce equine chorionic gonadotropin
- Placenta at 45 days
- Type of placentation in the amre
- Epitheliochorial microcotyledonary diffuse at 45 days
What does transuterine embryo migration mean and what is it is function in pregnancy?
- It means the embryo moves around the uterus from day 10-16 and signals to prevent PGF-2alpha release
- Maintenance of the pregnancy
When does transuterine embryo migration stop?
- Day 16 or 17, where it will fixate at the base of one of the uterine horns
When do endometrial cups form, and what is their function?
- They form at 35 days, and they produce equine chorionic gonadotropin to help maintain the pregnancy (35 to 120 days)
When does the primary CL occur?
- Day 35 to 120 days
When does accessory CL occur
- 35 to 120 days
When is progesterone highest?
35-120 days, then will go down as the accessory and primary CLs lyse
What maintains the pregnancy from 120 days to foaling?
- Fetal gonads
When is eCG highest?
- 35-120 days
When is estrogen highest?
- 120 days to foaling
What produces estrogen to maintain pregnancy?
- Fetal gonads
What is the expected range pregnancy loss between day 14-50 of pregnancy
3-23.5% depending on where you are, how old the mare is, the study, etc.
What are the major mare factors that contribute to early pregnancy loss?
- General health
- Genetic factors
- Age (perineal conformation and oocyte quality)
- Uterine disease
- Luteal insufficiency
- Nutritional factors
- Fescue toxicity (may also affect cyclicity)
- Mare Reproductive Loss Syndrome
What is the main effect on the cycle if mares experience pregnancy loss after day 35?
- They will be in anestrus because they still think that they are pregnant for 3-4 months up to a year
What are the main ultrasonographic parameters used for the evaluation of fetal well-being?
- Fetal heart rate (not below 50 bpm or above 130 bpm)
- Decreases from 120 bpm in the first 3 months to 60 bpm in the last couple of weeks
What are the main fetal biometric parameters used for staging of pregnancy and evaluation of fetal growth?
- Aorta systolic diameter
- Biparietal diameter
- Eye volume
- Kidney cross-sectional area
What is the main ultrasonographic parameter for the evaluation of ascendent placentitis?***
- Combined uterine-placental thickness
- 3-5 cm cranial to the cervix between middle branch of the uterine artery and allantoic fluid
Normal CTUP
- <7mm (151-270 days)
- <8mm (271-300 days)
- <10mm (301-330 days)
- <12mm (>331 days)
How does the fetal heart rate respond to stress?
- Initial tachycardia followed by bradycardia
What are features of fetal stress in general?
- Large areas of placental detachment
- Persistent fetal tachycardia or bradycardia
- Rapid drop in progestins