Diagnostic and Clinical Insights into Ovarian Remnant Syndrome in Cats: A Focus on AMH and AFC


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Sarıoğlu S., Güneş B., Cangül İ. T., Özgüden Akkoç C. G., Aktaş N., Erden P., ...Daha Fazla

26th International EVSSAR European Veterinary Society For Small Animal Reproduction Congress, Porto, Portekiz, 3 - 06 Temmuz 2025, cilt.60, ss.1-120, (Özet Bildiri) identifier

  • Yayın Türü: Bildiri / Özet Bildiri
  • Cilt numarası: 60
  • Doi Numarası: 10.1111/rda.70070
  • Basıldığı Şehir: Porto
  • Basıldığı Ülke: Portekiz
  • Sayfa Sayıları: ss.1-120
  • Bursa Uludağ Üniversitesi Adresli: Evet

Özet

Ovarian Remnant Syndrome (ORS) is a complex condition that

can present with various clinical signs include vocalization, lordosis,

attraction of male animals, and even allowing mating.

The use of Anti-Müllerian

Hormone (AMH), widely regarded as

the most reliable marker of human ovarian reserve (1), is a current

area of interest as a diagnostic biomarker for ORS in pets.

However, previous studies with limited sample sizes have not

reached a consensus on its diagnostic accuracy (2,3) or established

a definitive threshold value (4). Additionally, the relationship

with AMH and Antral Follicle Count (AFC) is limited to a

single study (5) consisting of intact cats. Thus, it is anticipated

that performing AFC alongside AMH measurement will provide

valuable insights into the diagnosis and clinical course of

ORS in cats.

This study involved 25 female cats diagnosed with ORS and the

methodology included examination of the reproductive tract,

blood sampling for serum AMH measurement (ECLIA method)

(6), surgical intervention to remove OR, histopathological examination,

and AFC determination of OR. The statistical analysis

employed descriptive measures such as mean and percentage,

along with the Pearson correlation test to assess relationships

between variables.

The mean serum AMH level was found to be 0.975 ± 0.22 ng/mL

(range 0.02–4.71) in 25 cats in which ORS was confirmed postoperatively.

The previous surgical site selections resulting in ORS

were found to be similar, with 52% being lateral and 48% median

laparotomy. The clinical findings of ORS appeared on average

128.5 ± 25.9 days (range 7–390) after the surgery. In all cases, lordosis

and rolling were consistently observed as the common signs

of estrus behavior. One particular case #10, with an ovarian remnant

volume of 0.1 ml and a serum AMH level of 0.13 ng/mL, was

found to have even allowed mating. The mean volume of the OR

was 0.19 ±0.02 ml (ranged 0.02-0.50).

It was noticed that a majority

of the OR's (78%) contained follicular cysts. While no correlation

between AMH and AFC was detected, a negative correlation

(p < 0.017) of AMH with follicular cysts was identified.

This study is the first to assess AFC with remnant volume, and

their relationship with AMH in cats with ORS, using the largest

sample size in feline ORS literature. While no direct association

was found between AMH levels and ovarian remnant volume or

the severity of clinical signs, follicular cysts were linked to decreased

AMH concentrations. In addition, it was found that the

mating behavior was unrelated to the remaining ovarian tissue

or serum AMH levels.

This study was a PhD Thesis Project supported by the Bursa

Uludag University, Scientific Research Projects Unit.

References:

1) Bedenk et al., J Assist Reprod Genet 2020;37(1):89-100.

2) Gozer et al., Theriogenology 2023;200:106-113.

3) Flock et al., J Feline Med Surg 2022;1098612X221099195

4) Place et al., J Vet Diagn 2011;23(3):524e7. 5)Lapuente et al.,

Theriogenology 2023;197:111-115.

6)Snoeck et al., Reprod

Domest 2017;52:98-102.