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Assessing Long-Term Changes in Endometrial Morphology and Functionality in Dairy Cows With Metritis
M H Rashid1, A Martelo Pereira1, F N S Pereira1
1Department of Veterinary Clinical Sciences, Field Disease Investigation Unit, Washington State University, Pullman, Washington, USA.
Reproduction in Domestic Animals = Zuchthygiene
|April 15, 2026
Summary
Metritis in dairy cows can cause lasting changes to the endometrium, affecting its structure and gene expression months after the infection resolves. Uterine fluid analysis did not reveal corresponding metabolic differences.
Area of Science:
- Veterinary Medicine
- Reproductive Biology
- Dairy Science
Background:
- Metritis, a postpartum uterine disease in dairy cows, can impact reproductive performance.
- Understanding the long-term effects of metritis on the bovine endometrium is crucial for herd health management.
Purpose of the Study:
- To evaluate the persistent effects of metritis on endometrial morphology and gene expression in dairy cows.
- To investigate potential long-term alterations in uterine fluid metabolomics following metritis.
Main Methods:
- A cohort study involving 107 Holstein cows, with metritis diagnosed using the Metricheck device.
- Endometrial biopsies and uterine fluid cytology collected 6 days post-ovulation (68-75 days in milk).
- Histological analysis for morphology, RNA sequencing for transcriptomics, and metabolomic profiling of uterine fluid.
Main Results:
- Cows with metritis showed a numerically higher prevalence of periglandular fibrosis compared to controls.
- Transcriptomic analysis revealed 17 differentially expressed genes, including those related to tissue repair in metritis-affected cows.
- No significant differences were found in uterine fluid metabolomic profiles between the metritis and control groups.
Conclusions:
- Metritis is associated with persistent changes in endometrial morphology and gene expression detectable long after clinical recovery.
- These long-term endometrial alterations following metritis were not reflected in the uterine fluid metabolome.
- Further research may explore the functional consequences of these persistent changes on future fertility.

