Intrauterine Pressure Research
Will Benefit Problems with Mare Infertility
Dale Paccamonti, DVM, MS
Diplomate, American College of Theriogenologists
Associate Professor of Theriogenology
Over the years, many factors have been
investigated in the search for the cause and effective treatment of infertility in mares.
Recently it has become apparent that many cases of infertility can be attributed to a
failure of the mare's natural ability to remove contaminants from her uterus after
breeding. During natural breeding, a stallion may deposit 50 milliliters or more of semen
into the mare's uterus. Along with sperm and other compo-nents of semen, bacteria are also
deposited into the uterus. The sperm necessary for conception are carried into the oviduct
shortly after insemination and reside there until the time for fertilization arrives. The
remain-der of the ejaculate, including bacteria and excess sperm, are removed from the
uterus by mechanical clearance mechanisms with the bulk of the fluid passing through the
cervix and being expelled through the vagina. Uterine contractions are a principle
component of these mechanisms, clearing excess fluid and debris from the uterus within
hours of breeding. If a mare is unable to clear the fluid from her uterus, the bacteria
associated with breeding begin to multiply rapidly. In addition, the mare will transfer
white blood cells and other components of the immune system into the uterus, further
adding to the fluid present in the lumen. Studies have shown that infertile mares often
have fluid remaining in their uterus at 24 or 48 hours after breeding while fertile mares
do not. In fact, fertile mares have essentially cleared any excess fluid within 6 or 8
hours after breeding. Attention in the last few years has focused on methods to aid in
removal of fluid from the uterus of infertile mares.
Administration of oxytocin has proven beneficial in subfertile mares by
stimulating uterine contractions, thus expelling the fluid and increasing pregnancy rates.
The effect of oxytocin on uterine contractions can be assessed by measuring intrauterine
pressure. Prior studies investigating intrauterine pressure have used various types of
catheters to record pressure changes but all previous systems have been plagued by various
problems. We have been using a system, developed by coworkers in Germany, that avoids many
of these problems. Our system reduces the problem of mare intolerance to the intrauterine
device by using a small transducer placed in the uterus, which is connected to a small
transmitter that can be secured to the mare. The data is then transferred directly to a
computer by telemetry. The mare is free to move about in a stall or small area and is much
more tolerant of a prolonged procedure than when she is confined in stocks and connected
to a measuring device by wires. Moreover, by sending the data directly to the computer by
telemetry, the problem associated with subjective evaluation of tracings on paper is
similarly avoided. We have recently completed work examining changes in uterine pressure
in normal mares after treatment with oxytocin before, on the day of, and after ovulation.
Preliminary analyses have shown that the response to oxytocin varies depending on the day
of the cycle on which the mare is treated. A greater response is observed when oxytocin is
given before ovulation than after ovulation.
We plan to investigate differences between normal and infertile mares
in their response to oxytocin, as well as changes in uterine pressure in response to
factors such as teasing. Our interest in the effect of teasing on uterine pressure stems
from reports that mares release endogenous (their own) oxytocin in response to teasing
during estrus. With the increased use of transported and frozen semen, many mares go
through an estrus cycle and are bred without even seeing or hearing a stallion, much less
being teased. It is possible that the presence of a stallion, whether visual or auditory,
may affect uterine motility. Therefore, by examining the effects of teasing on uterine
pressure, we hope to learn if teasing may provide some benefit other than estrus detection
in a breeding program. It is hoped that these studies will increase our understanding of
mechanical clearance mechanisms in the mare's uterus and enable us to improve our
management of subfertile mares.