College of Veterinary Science & Animal Husbandry Mhow
1) Diagnostic techniques for repeat breeding in cattle include record analysis, visual examination of the reproductive tract, recto-genital palpation, vaginoscopy, uterine health tests, hormone assays, imaging techniques, and assessing tubal patency.
2) Transrectal palpation allows evaluation of the uterus, cervix, and ovaries while vaginoscopy examines the vagina for abnormalities. Ultrasonography non-invasively evaluates follicles, corpus luteum, ovulation, and cysts.
3) Hormone assays of progesterone can validate corpus luteum function while tubal patency tests using dyes or contrast agents assess the fallopian tubes.
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College of Veterinary Science & Animal Husbandry Mhow
1) Diagnostic techniques for repeat breeding in cattle include record analysis, visual examination of the reproductive tract, recto-genital palpation, vaginoscopy, uterine health tests, hormone assays, imaging techniques, and assessing tubal patency.
2) Transrectal palpation allows evaluation of the uterus, cervix, and ovaries while vaginoscopy examines the vagina for abnormalities. Ultrasonography non-invasively evaluates follicles, corpus luteum, ovulation, and cysts.
3) Hormone assays of progesterone can validate corpus luteum function while tubal patency tests using dyes or contrast agents assess the fallopian tubes.
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College of Veterinary Science & Animal
Husbandry Mhow
DEPARTMENT OF VETERINARY GYNAECOLOGY AND
OBSTETRICS
TOPIC: Diagnostic techniques for repeat
breeding in cattle and buffalo
SUBMITTED TO : SUBMITTED BY;
Dr Madhu Shivhare Akhand Pratap Singh Assistant professor • Definition - RB cows are defined as the cow that has normal estrous cycle, is free from palpable clinical abnormalities , has no abnormal vaginal discharge and has failed to conceive even after 3 or more consecutive insemination. • Repeat breeding (RB) is one of the biggest reproductive problems in cattle • Aetiology – i. Nutritional Inadequacies ii. Hormonal Dysfunction iii. Infectious Agents iv. Reproductive Tract Abnormalities v. Genetic Problems and Immunoinfertility Diagnostic methods The diagnostic procedures are classified into the following groups – 1. Record analysis 2. Visual 3. Recto-genital palpation 4. Vaginoscopy 5. Tests to evaluate uterine health: o (a) Uterine Ph o (b) Uterine microbiology o (c) Uterine biopsy and cytology 6. Metabolic profiles 7. In vivo imaging techniques 8. Immunological tests 9. Endoscopy 10. Tubal patency testing 11. Hormone assays • Record Analysis – Analysis of records when traced retrospectively can provide the number of actual inseminations and previous periparturient disease that have resulted in suboptimal fertility. VISUAL • Improper oestrus detection or insemination asynchrony • colour, consistency and clarity of the cervico-vaginal mucus, vulvar oedema and vaginal congestion. • A vaginoscopic examination to exclude the possibility of any vaginal growths, scars or adhesions that may impair fertility. • 1) Focus on proper estrus detection
• 2) Color, consistency and clarity of cervico-vaginal mucus is
important
• 3) Vaginal discharge should be stringy and not thin and voluminous
• 4) Ejaculatory thrust of males during natural mating should be visually observed • 5) Urovagina is an uncommon problem but when present require surgical correction. • Palpation of both uterine horns, cervical Transrectal os and the ovaries is the commonest Palpation diagnostic method used for cows and buffaloes. • During palpation following points should be considered- • 1) Uterine tone- poor uterine tone at insemination • 2) Deformed cervices- Such anatomic defects pose difficulty in proper insemination • 3) Ovulation detection- Delayed ovulation or anovulation/ovarian cysts • 4) CL palpation-Improper CL formation • 5) Enlarged fallopian tubes/ Ovarobursal adhesions VAGINOSCOPY Vaginoscopy is a good tool however; • 1) Absence of abnormal discharge does not guarantee absence of uterine inflammation • 2) Single examinations lack accuracy • 3) Discharges are absent when cervix is closed • 4) Metricheck is an alternative device • Test to evaluate uterine health a) Uterine pH • 1) Varies from 7.2-7.6 but uterine sample difficult to collect • 2) Both low (6.9) and high (8.5) are detrimental • 3) Cows on high protein diet have altered pH • 4) pH of uterus difficult to detect clinically • b) Uterine Microbiology • 1) Uterine sample must be appropriately collected • 2) Sub clinical infections are clinically obscure • 3) White side test may give poor results with subclinical endometritis • 4) Campylobacter a common cause of poor conception is difficult to be detected • • c) Uterine biopsy and cytology • Number of PMNs in the sample obtained are evaluated and it is validated that endometritis is existent. • Biopsies must be reserved for growths only. In vivo imaging techniques
• Ultrasonography (USG) is non-invasive and can help in
evaluating the cause of RB. • USG can be used for • 1) Evaluating the follicle, CL, ovulation, ovarian cysts. • 2) Endometrial folding occurs at estrus as seen by USG which can be helpful in estrus detection. • 3) For evaluation of ovulation examination at 12 hours intervals. • Corpus luteum (CL) development can be evaluated by Day 4 to 5. • 4) Detection of embryonic deaths. Follicular ovarian cyst Luteal ovarian cyst Uterine fluid accumulation Mucometra • Hormone assays • Assay of plasma progesterone can be helpful in vadiating the CL • 1) Higher progesterone on the day of estrus (Suprabasal progesterone) that arise from adrenals due to stress leads to poor conception • 2) Progesterone assay on the day of estrus and 7 days later can be useful • Immunological and in vitro tests • 1) Antibodies against sperm can be detected in the serum • 2) Such tests are more useful in humans. • Testing tubal patency • Tubal patency testing is suggested in cows/buffaloes with obscure infertility with no uterine infection or ovarian dysfunction. • 1) For PSP (phenol sulpfopthalein) Dye test fix a foley catheter in one uterine horn and pass PSP dye (10-20ml). Dye color appears in urine with in 30 minute if tube is patent and after 3-4 hours if tube is occluded. • 2) Contrast sonography by infusing Echovest 400 as contrast medium in uterus followed by USG was found useful in one recent study (Kauffold et al 2009) • 3) Laproscopic chromopertubation hysterosalpingography not yet reported for cows • Hysteroscopy • The direct visualization of uterus using a hysteroscope is a good approach to evaluate the uterine health. • A problem with the introduction of hysteroscope in cattle is the anatomic structure of the cervix. Only a few reports depict the use of this method - • 1) Flexible scopes are better • 2) Bovine cervix offer the maximum difficulty • 3) Sacral epidural anesthesia is suggested • 4) Air insufflations/ saline introduction is suggested after reaching the uterus. THERAPEUTIC MEASURES