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Cervical adhesion

Equine-Reproduction.com Bulletin Board » Breeding Problem Mares - Volume 2 » Cervical adhesion « Previous Next »


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Tracy Scheinkman
Neonate
Username: Arabs4sprt

Post Number: 1
Registered: 05-2007
Posted on Wednesday, May 16, 2007 - 01:26 pm:   Edit Post Delete Post    Move Post (Moderator/Admin Only)

I have a mare that I have been wanting a baby from for a long time. In 1999 she was bred, confirmed pregnant at 18 days, 31 days, and 63 days by ultrasound and palpation all 3 times. Very late in pregnancy in 2000 she lost the pregnancy, we don't know why as no fetal tissue was found (we have coyotes, buzzards, neighbor dogs and a large turnout). The loss was discovered when she was diagnosed with pseudopregnancy a month or two following the loss when she was overdue, it was diagnosed via transabdominal ultrasound where they saw a basketball sized uterus, no hypoechoic fluid, no baby. Since then she was bred twice but did not conceive.

his year a local repro specialist discovered that she has cervical adhesion(s). He opened the cervical adhesion(s) and got a culture. The next day he suspected a uterine adhesion in one horn where he saw a cyst and fluid in the tip of the horn behind that area, careful exam also showed that horn seems to be narrower than it should be, he said might be stenosis. However the next day the fluid in that horn cleared, which suggests to me that if there is a uterine adhesion there it is not completely occluding that horn. The culture showed she has an infection that is sensitive to doxicycline (I don't know what organism he found, he's a bit taciturn you have to drag info out of him) which he wants to treat systemically (?!). He told me that the usual reason for a mare getting these adhesions are trauma during birth, from a dystocia. The closest she has come to having a live foal was the one she lost late in pregnancy in 2000. She is now 17 years old, but she doesn't look it. She has a lot of qualities that make her a mare that really should reproduce if possible, not the least of which is an indomitable will to live (she has survived things that would have killed a lesser horse, tough as nails).

The big issue for me is that he has written her off. He tells me that I should consider her retired and not bother trying to breed her, he thinks her cervical adhesion may lead to pyometra and said that that may be the way it resolves. I am frankly uncertain whether to accept that prognosis or not. I would like to get a biopsy of the unaffected horn but he is discouraging that feeling that it would be a waste of time and money. I would like to get a second opinion as to whether with careful management she might be able to have a foal.

What do you suggest? Any stories of mares with similar situation that did go on to have foals? Any ideas how I should proceed and with whom to have any further work done? I asked my vet about embryo transfer with her, he said she's a poor candidate. While I would like for her to have her own foal if possible, another thought is oocyte transfer, although that is expensive. I'd also like to know whether this is a case that needs to go to a particular vet or clinic -- like Jos's or CSU or where? I'm in Arizona, maybe Arizona Equine? Your thoughts? Thanks.



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