Lecture 3: Breeding Soundness Examination & Female Infertility (Kelleman) Flashcards
What is the biggest cause of bitch infertility?**
improper timing of breeding
what things should be included in a GENERAL MEDICAL HISTORY during a breeding soundness exam?
- illnesses, current medications, thyroid issues, skin issues, foods & “supplements,” etc.
- kennel illnesses (i.e. herpesvirus)?
- travel history (for possible transmissible venereal tumor)?
- vaccines, HWP, etc.
- brucella serology?
HWP and pregnancy
some HWP not labeled for pregnancy/breeding and could have deleterious effects (i.e. Spinosad)
OFA =
orthopedic foundation of america. Certs hips, elbows, etc.
how is brucella serology performed?
test run in house or through diagnostic labs. Test every 6-12 mo. depending on how often they are being mated
what things should be included in an ESTROUS CYCLE HISTORY during a breeding soundness exam?
- cycling
- interestrous interval
- # of cycles
- # of days of vulvar d/c
- how long receptive (“stand for dog”)
- vaginal cytologies or hormone testing?
- rx to incude estrus or “improve fertility”?
- bitch family history of infertility?
what things should be included in a BREEDING HISTORY during a breeding soundness exam?
- bitch allowed stud to mount? Observed to “tie”?
- # breedings/cycle?
- choice of breeding days?
- stud sired litters since this bitch?
- “inside tie” vs. “outside tie”?
- bitch transport/travel/tranquilization for breeding?
- method of breeding? AI, sx AI
what is an “outside” tie?
stud ejaculates but is not a normal inside tie. Not a normal mating behavior.
What things should be included in a PREGNANCY HISTORY during a breeding soundness exam?
- litters? # pup survival?
- caesarian sections?
- abortion?
- early embryonic death “resorption”? (At what time? How was it diagnosed? at what gestational age?)
OTHER REPRO HISTORY for a breeding soundness exam?
- previous pyometra?
- vaginitis?
- vulvar dermatitis?
- mismating? (i.e. bred by feral dog; has she been therapeutically aborted because of one?)
- medications to prevent or delay estrus? (i.e. progesterone
- is inter-estrus interval normal?
What things should be included in a REPRODUCTIVE EXAM during a breeding soundness exam?
- vulva: infantile (very small)? dermatitis? recessed? discharge?
- digital vestibule/vaginal exam: a problem could prevent male from tying properly
- mammary glands: check for neoplasia
- abdominal palpation
recessed vulva
vulva has slightly different anatomic orientation; can cause vaginitis or dermatitis, descharge/irritation
is ultrasound very good at detecting ovarian function?
no
potential diagnostics you can run
- CBC, chem, U/A
- manual vaginal exam
- vaginoscopy
- vaginal cytology
- repro culture
- thyroid panel
- progesterone**
- repro ultrasound/rads
- exploratory laparotomy
- karyotype (to detect possible genetic issues)
importance of canine vaginal examination
- invaluable in dx of variety of abnormalities
- most effective and reliable method of diagnosing a vaginal stricture
dangers of strictures/stenosis/tissue bands
can cause mating problems, urinary tract signs, dystocia, or puppies can get caught on them
normal reproductive causes of vulvar discharge
repro cycle
parturition
postpartum
abnormal repro causes of vulvar discharge
- pyometra
- abortion
- metritis
- hemorrhage
- subinvolution of placentalsites
- estrogen stimulation (ie. follicular cysts, ovarian remnant syndrome, iatrogenic)
misc. causes of vulvar discharge
neoplams foreign body urovagina uterine stump pathology UT pathology vaginitis with anatomic defects of vaginal or vestibular vault puppy vaginitis
Which bacteriaare normal on vaginal cytology?
mixed floraof staph, strep, E. coli, pasterurella, mycoplasma, andureaplasma. If there is an abundance of 1 type, may indicate infection and need for abx
canine herpes virus causes:
mummies, abortions, stillborns, premature delivery.
transmission of canine herpes virus
respiratory, oral, venereal
who is most at risk for canine herpes virus?
naive pregnant bitches. Most critical time is 3 wks pre and postpartum. Virus can live in nervous system and outbreak during times of stress, such as parturition.
Is Brucella ALWAYS pathologic? Is it zoonotic?
YES.
reproductive consequences of brucellosis infection
fever abortion conception failure early embryonic death testicular atrophy epididymitis scrotal edema/dermatitis semen abnormalities *adult dogs rarely seriously ill*
non-repro consequences of brucellosis infeciton
- diffuse lymphadenomegaly
- diskospondylitis
- lameness (osteomyelitis, polyarthritis)
- ocular lesions, etc.
serosal cysts are on inside/outside of uterus?
outside
cystic endometrial hyperplasia (CEH)
- caused by repeated estrus and diestrus (estrogen, then progesterone)
- endometrial cyst form.
- inc. susceptibility to infection due to thickening, cysts, progesterone immune suppression. –> PYOMETRA