Page 531 - Equine Clinical Medicine, Surgery and Reproduction, 2nd Edition
P. 531

506                                        CHAPTER 2



  VetBooks.ir  2.117                                      2.118


















                                                          Figs. 2.117, 2.118  The external genitalia (2.117)
                                                          and removed gonads (2.118) of a true hermaphrodite.
                                                          Note the enlarged clitoris and small vulval opening
                                                          and removed ovotestes from the abdomen. (Photos
                                                          courtesy Tracey Chenier)


           Management                                     prostaglandin injections, and the mare will return to
           Surgical removal of any gonadal tissue (usually intra-  a normal oestrous cycle with usually a good progno-
           abdominal) may be necessary if the animals are to   sis for a return to fertility.
           be used for athletic purposes, as the hormone pro-
           duction may affect their usefulness for competition.  Aetiology/pathophysiology
           Laparoscopy may be useful in detecting and remov-  Prolonged or persistent dioestrus is associated with
           ing the gonadal tissue.                        any abnormality that prolongs the lifespan of a CL
                                                          outwith pregnancy. In an individual mare the cause
           Prognosis                                      is not always clear, but proposed causes include: inad-
           The prognosis is guarded to poor for athletic use   equate release of prostaglandins to induce  luteolysis;
           unless surgical removal of the gonadal tissue is car-  dioestrus ovulation leading to an immature CL non-
           ried out. These animals are infertile.         responsive to luteolysis; maternal recognition of early
                                                          pregnancy with prolongation of primary CL, followed
           OESTROUS CYCLE ANOMALIES                       by embryonic death before day 37 (pseudopregnancy
           AND ABNORMALITIES                              type I); chronic endometrial infection; and/or dam-
                                                          age leading to decreased prostaglandin release. The
           PROLONGED OR PERSISTENT                        retained CL can persist for up to 3 months.
           DIOESTRUS
                                                          Clinical presentation
           Definition/overview                            Mares fail to demonstrate normal oestrous cycles
           This common cyclic abnormality is the result of   and oestrous behaviour in the breeding season. This
           the  retention of a CL beyond its normal lifespan.   may occur at any time of the season and can last for
           The mare may remain in dioestrus for several   2–3 months.
           months  and  this  condition  must  be  differentiated
           from early pregnancy. A full reproductive examina-  Diagnosis
           tion is useful in the differential diagnosis. The con-  It is important to differentiate this condition from
           dition is treated very effectively by intramuscular   early pregnancy or causes of anoestrus. Rectal
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