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Peer-reviewed veterinary case report

Infertility in an American Quarter Horse mare with cervical duplication.

Journal:
Journal of equine veterinary science
Year:
2026
Authors:
Cortes, D et al.
Affiliation:
Department of Large Animal Medicine · United States
Species:
horse

Plain-English summary

A 13-year-old American Quarter Horse mare was having trouble getting pregnant despite being bred several times. When she was examined for breeding issues, the vet found an unusual shape in her cervix, which is the passage that connects the uterus to the outside of the body. Tests showed that her chromosomes were normal, but the abnormal cervix was likely causing problems with clearing fluid from the uterus, which can affect fertility. This condition, known as cervical duplication, is rare and can lead to infertility in mares. The treatment for this issue is not mentioned, but the mare's infertility was linked to her cervical abnormality.

Abstract

Cervical duplication is a disorder of sexual development (DSD) that may be present in the absence of chromosomal aberrations. It is a rare cause of infertility in mares and is attributed to the failure of the Müllerian ducts to fuse properly, leading to the persistence of the median walls along the whole length of the cervix. This case report involves a 13-year-old American Quarter Horse mare with cervical duplication. Prior to this diagnostic, the mare was bred multiple times, but pregnancy was not achieved. The mare presented for a breeding soundness evaluation. During the examination an aberrant cervical conformation was palpated and further investigated. Cytogenetic analysis and a PCR for the Y-linked SRY gene and the X-linked androgen receptor gene was performed. A normal 64,XX, SRY-negative karyotype was determined. Infertility was associated with cervical abnormality, affecting in some degree uterine clearance causing accumulation of fluid seen on ultrasound.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/41564982/