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Peer-reviewed veterinary case report

Pregnant mare treated with oral altrenogest after early corpus luteum

By Canisso, I F et al.·Published in Equine veterinary journal·2013·Department of Clinical Sciences, United States·View original on PubMed

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Original publication title: Premature luteal regression in a pregnant mare and subsequent pregnancy maintenance with the use of oral altrenogest.

Species:
horse

Plain-English summary

A mare that was inseminated with cooled semen was found to have a small embryonic vesicle and low progesterone levels, which can lead to pregnancy loss. To help maintain the pregnancy, the veterinarian started her on daily oral altrenogest, a hormone treatment. Over the following weeks, the mare's pregnancy was monitored, and despite low progesterone levels initially, the embryonic vesicle developed normally. Ultimately, the mare gave birth to a healthy filly after a full-term pregnancy.

People also search for: mare pregnancy problems · low progesterone in horses · altrenogest for pregnant mare

Abstract

Premature luteal demise or luteal insufficiency is not well characterised as a cause of pregnancy loss in domestic species, including horses. In this report, a mare inseminated with cooled-transported semen at our facility returned for a routine pregnancy diagnosis at 15 days post ovulation. Ultrasonography per rectum revealed endometrial oedema and the absence of visual indication of a corpus luteum on either ovary. Nonetheless, an embryonic vesicle small for the gestational age was identified. Daily oral altrenogest treatment was implemented immediately. Serum progesterone concentration was 0.67 ng/ml, which is below the threshold considered adequate for pregnancy maintenance in the mare. Examinations were repeated at 17, 25, 30, 39, 49, 72 and 120 days post ovulation. At 25 days post ovulation the embryonic vesicle presented normal development for the gestational age. In addition, sequential blood samples were collected to measure progesterone, equine chorionic gonadotrophin and oestrone sulphate concentrations. Although progesterone concentration did not exceed 2 ng/ml until 72 days post ovulation, all other results were unremarkable and a healthy filly was born uneventfully at 344 days post ovulation.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/22413930/