Anestrus
Claudia Klein
Anestrus is the absence of estrous behavior and can be a physiologic state during pregnancy, lactation, or seasonal anestrus, or it may be a pathologic condition (Boxes 12.6 and 12.7).
Anestrus can occur either in the face of or the absence of ovarian activity; in the case of the latter, acyclicity is present. Causes underlying anestrus can be subdivided into physiologic and pathologic. The lack of estrous behavior due to ovarian inactivity is physiologic in seasonal species and is mediated via melatonin levels, which vary with day length. The mare is a long-day breeder, whereas the ewe and doe are short-day■ BOX 12.6
Causes of Anestrus in Mares
Common Causes
Season (fall, winter)
Poor heat detection
Corpus luteum persistence
Diestrus ovulation
Pregnancy
Early embryonic death after recognition of pregnancy
Fetal death after endometrial cup formation Psychological impediments
Maternal behavior
Less Common Causes
Ovarian tumors
Pituitary tumors
Pyometra
Weight loss
Chronic disease
Lactation
Old age
Uncommon Causes
Gonadal dysgenesis
Intersex conditions
Progesterone therapy
Nonsteroidal antiinflammatory drugs (NSAIDs)
Phosphorus deficiency
Ovarian hypoplasia
Anabolic steroids
Zearalenone toxicity
Chromosomal abnormalities
Persistent endometrial cups
GnRH immunization
Deslorelin implants
■ BOX 12.7
Causes of Anestrus in Ruminants
Common Cause
Season (C, O)
Pregnancy Poor heat detection Luteal cysts (B, C) Pyometra Poor nutrition, energy Heat stress Foot and leg problems Poor footing (B) Nursing beef cows and ewes (B, O) Lactation (O)
Freemartinism (B, C)
Intersex conditions (C)
Postpartum period
Heavy lactation
Primiparity
Periparturient disease
Less Common Causes
Mucometra
Hydrometra Macerated fetus
Mummified fetus
Trichomoniasis pyometra
Anaplasmosis Johne's disease
Caprine arthritis-encephalitis (C) Pseudopregnancy (C)
Insufficient number of cycling herdmates
Uncommon Causes
Ovarian tumor
Segmental aplasia
Uterine foreign body
Ovarian hypoplasia
Zearalenone toxicity
Phytoestrogenism
Phosphorus deficiency
Copper deficiency
Cobalt deficiency
Manganese deficiency
Molybdenum toxicity
Progesterone implants Schistosomiasis (exotic) Lumpy skin disease (exotic)
B, Bovine; C, caprine; O, ovine.
breeders, although breed variations occur in small ruminants.37 Certain breeds of sheep are less affected by the season and can have longer breeding seasons or practically cycle year- round. Some sheep and goats near the equator have cycles throughout the year presumably because of the consistency of the photoperiod. Prepubertal animals naturally do not show signs of estrus, as do some dams during lactation. The most common physiologic cause for the lack of estrous behavior is pregnancy; mares, however, are an exception because some of them may display signs of heat despite being pregnant. In intensively managed cattle herds bred by artificial insemination, failure in heat detection is a major contributor to perceived cases of anestrus.38 A plethora of pathologic conditions can lead to anestrus, and a thorough examination of the history and evaluation of the reproductive tract is required for a definite identification of the underlying cause. Congenital conditions such as ovarian aplasia, chromosomal abnormalities, or freemartinism in cattle; intersex conditions that occur in polled goats; and gonadal dysgenesis in the mare are accompanied by the lack of estrous behavior. These animals frequently have rudimentary or hypoplastic ovaries.39 Uterus unicornis will lead to persistence of the ipsilateral CL and subsequently interfere with regular estrous behavior.40 Nutritional anestrus due to a negative energy balance during times of high milk production can lead to anestrus in cattle.41 In mares, anestrus due to nutritional deficiencies is less commonly observed than in cattle. In beef cattle nursing their offspring, a delayed resumption in ovarian activity is frequently observed.42 This is related to both the physical act of the calf nursing and olfactory and auditory cues received by the dam from the calf. Anestrus related to lactation is not observed in mares. Mares foaling during the short day-length period that have not been kept under lights for 2 months preceding parturition may show a first ovulation within the first 2 weeks postpartum (i.e., foal heat) but then revert to an anestrous state with cyclic activity not resuming until increasing day length.
Persistent endometrial cups, a rare condition in mares, may also lead to the failure of presenting regular estrous activity in the period postfoaling.43 Both conditions may easily be misinterpreted as cases of lactational anestrus. In mares, psychogenic factors have to be considered in the differential diagnosis for anestrus. A mare being overly protective of her foal or of nervous constitution may not show signs of heat. Teasing with a stallion may be necessary to elicit estrous behavior in these animals.A variety of conditions can lead to hypothalamic or pituitary suppression, preventing the release of GnRH from the hypothalamus, in turn resulting in a lack of FSH and luteinizing hormone (LH) released by the pituitary. Consequent ovarian inactivity results in the absence of behavioral estrus. Most common underlying conditions are poor nutrition, heavy lactation, periparturient disease, weight loss, or idiopathic condition.
Any condition discussed in the Cyclic Irregularity section that results in prolonged luteal function will result in absence of overt estrous signs. Differential diagnoses further include the presence of cystic ovarian disease in cattle and anovulatory follicles in mares. Uterine abnormalities such as mucometra, hydrometra, and pyometra prevent the release of PGF2α in ruminants.44 Thus the CL persists and perceived anestrus results. Pyometra in the mare may result in anestrus if the endometrial damage is severe enough to prevent production of PGF2α. The presence of a mummified or macerated fetus in the ruminant uterus prevents release of PGF2α and results in a persistent CL and perceived anestrus.45 Ovarian atrophy leading to persistent anestrus can be seen in high-producing dairy cattle as a sequel to nutritional problems or can be occasionally encountered as an idiopathic condition in mares.41 If no overt reason for ovarian atrophy can be identified, dysfunction at the hypothalamic-pituitary-ovarian axis has to be considered as a potential underlying cause.
Iatrogenic causes of anestrus in mares, such as previous immunizations with GnRH or the application of a deslorelin implant, have to be considered, especially if the reproductive history of the mare is unknown.46 Mares exposed to a deslorelin implant used to hasten ovulation can display pituitary downregulation induced by constant high GnRH input. Older mares undergo reproductive senescence, which is accompanied by atrophying ovaries and lack of cyclicity. Anecdotally, some mares coming off the race track show anestrous behavior and small ovaries on examination. No studies have been undertaken to determine the cause for this, but stress and possible medications during the racing career have been suspected.Knowledge of the reproductive physiology of the species involved is essential to understanding the cause of anestrus. Determining the cause of anestrus relies on an in-depth general and reproductive history, a thorough physical examination, and evaluation of estrus detection programs involved. Pregnancy must be ruled out when dealing with any case of anestrus.