Infertility in Dogs and Cats
Primary/Most Common Cause (Husbandry Problems):
• Timing: Breeding must occur at the optimal time for the female.
• Male Selection: Must involve a proven fertile male.
Less Frequent Causes (Infectious, Anatomical, Metabolic, and Functional)
Infections may lead to abortion, neonatal death, fetal resorption, and apparent infertility.
• Canine Brucellosis (Highly Contagious, Zoonotic Disease)
◦ Effects in Bitches: Abortion.
◦ Effects in Males: Infertility associated with orchitis and epididymitis.
◦ Effects in Neutered Dogs: Diskospondylitis, osteomyelitis, uveitis, and lymphadenitis.
◦ Therapy: Effective therapy does not exist.
• Other Infectious Causes in Bitches
◦ Opportunistic bacterial infections: Escherichia coli and Salmonella.
• Infectious Causes in Queens (Cats)
◦ Feline infectious peritonitis
◦ Feline immunodeficiency virus
◦ Opportunistic bacterial infections: Campylobacter, Salmonella, E coli, Streptococcus spp.
• Bacterial Issues in Males (Genitourinary Tract)
◦ Epididymitis and Orchitis: Should always prompt evaluation for brucellosis. Often secondary to other bacteria, most commonly E coli. Semen quality is usually markedly impacted.
◦ Bacterial Prostatitis: Can be subclinical and contribute to subfertility/infertility, primarily by impacting semen quality.
• Acquired and Congenital Problems.
• Fibrosis of oviducts or uterine horns: Likely resulting from inflammation following infection or trauma.
• Bilateral obstruction of the sperm ducts: Can cause azoospermia (absence of sperm) and infertility.
3. Environmental/Physical Causes
• High environmental temperature.
• Excessive conditioning resulting in increased body temperature.
◦ Note: Both high temperature and excessive conditioning can induce either temporary or permanent azoospermia. Kennel or cattery management must allow breeding males to remain cool during the summer.
4. Metabolic Causes (Rare, except in severely ill individuals)
• Hypothyroidism in Males: Has no effect on libido or semen quality.
• Hypothyroidism in Female Dogs: May cause prolonged interestrous intervals.
5. Functional Problems (Hormone/Ovarian Issues in Bitches)
◦ Causes: Estrogen-producing ovarian cysts, functional ovarian tumors, or exogenous estrogens (including human transdermal hormone replacement therapy).
◦ Management: Exogenous hormones should be discontinued. Laparotomy with histological examination is usually indicated. Medical attempts to induce ovulation (using human chorionic gonadotropin, follicle-stimulating hormone, GnRH) are usually unrewarding.
◦ Causes: Luteal cysts or a progesterone-producing ovarian tumor.
◦ Management: Ovariectomy with histological examination is indicated. Medical manipulation with prostaglandins is usually unrewarding.
6. Prostatic and Testicular Neoplasia (Males)
• Benign Prostatic Hyperplasia (BPH): Does not affect fertility. Commonly results in hemospermia, which interferes with membrane stability during semen cryopreservation, making it unsuccessful.
◦ Treatment: Successfully treated with finasteride (1–5 mg, PO, every 24 hours).
• Cystic Benign Prostatic Hyperplasia: Nonmalignant, results in hemospermia. May predispose the dog to septic prostatitis if the cysts undergo bacterial colonization.
• Prostatic Neoplasia (Cancer): A serious condition that impacts fertility. Usually causes marked clinical signs such as pain, dysuria, and tenesmus.
• Testicular Neoplasia: Can be functional (producing estrogen) and cause infertility.
◦ Management: Unilateral gonadectomy of the affected testis may allow the remaining testis to regain sperm production.