Efficacy of ozonized water for the management of endometritis in Jersey crossbred cows and factors influencing pregnancy


11

Authors

  • Aanchal
  • Pankaj - Sood CSK Himachal Pradesh Agricultural Univeristy, Palampur.
  • Akshay Sharma
  • Monika Bharadwaj
  • Rajesh Chahota

https://doi.org/10.56093/ijans.v96i6.179023

Keywords:

Cows, Endometritis, Ozonized water, Pregnancy rate

Abstract

Endometritis, a major reproductive disorder, adversely affects fertility and productivity in cows. Ozone has been explored as a potential non-antibiotic alternative against endometritis. This study evaluated the therapeutic efficacy of intrauterine ozonized water (O₃W) in Jersey crossbred endometritis cows and investigated factors influencing pregnancy outcome. A total of 60 consecutive spontaneous estrous cycles, (pre-treatment [C-1], treatment [C-2], and post-treatment [C-3] phases) were monitored in 20 endometritis cows. At C-1 estrus, endometritis was confirmed by the presence of ≥1% polymorphonuclear (PMN) cells in endometrial cytology. During C-2 estrus, cows received intrauterine O₃W treatment (3300µg; 55µg/mL; 60mL) for two consecutive days. At enrolment, general parameters including age, parity, milk yield, number of previous inseminations without conception, and body condition score were recorded. Comparative assessment between C-1 and C-3 included evaluation of cervical discharge, preovulatory follicle, corpus luteum, estrous cycle parameters, hormonal profile, oxidative stress status, and reproductive performance. Microbial growth was detected in 75% of cows, predominantly involving Escherichia coli and Staphylococcus aureus. Following O₃W treatment, microbial burden significantly decreased, with 60% of cows exhibiting no detectable microbial growth. Improvements  were  observed  in discharge  quality, follicular size, estrus characteristics, progesterone profile, and oxidative stress markers. The first-service and overall (three inseminations from C-3) pregnancy rates were 50% and 70%, respectively. However, advanced age, a greater number of previous unsuccessful inseminations, higher PMN cell percentage, and smaller preovulatory follicle size at C-1 negatively influenced pregnancy outcomes. Overall, intrauterine O₃W appears to be an effective non-antibiotic therapeutic strategy against cattle endometritis.

Downloads

Download data is not yet available.

Author Biography

  • Pankaj - Sood, CSK Himachal Pradesh Agricultural Univeristy, Palampur.

    Professor and Head

    Department of Veterinary Clinical Complex

     

References

Ahmadi M R, Haghkhah M, Derakhshandeh A, Aghamiri S M, Mirzaei A, Nazifi S and Makki M. 2015. Identification of bacterial and fungal agents of clinical endometritis in dairy heifers and treatment by metronidazole or cephapirin. Insight 5: 99-112.

Arrayás A, Yáñez A, Pérez-Guerra U H, López A M, Torres E Y and Palomino J M. 2025. The size of the dominant follicle influences the morphological and functional characteristics of the corpus luteum in alpacas (Vicugna pacos). Small Ruminant Research 252: 107604.

Barański W, Baryczka A, Zdunczyk S, Tobolski D and Janowski T. 2022. Prevalence of subclinical endometritis in dairy cows that recovered after treatment of clinical endometritis with cephapirin and PGF2α. Theriogenology 192: 166-71.

Bergey D H. 1994. Bergey's manual of determinative bacteriology. Lippincott Williams & Wilkins, United States.

Bocci V. 1999. Biological and clinical effects of ozone. Has ozone therapy a future in medicine? British Journal of Biomedical Science 56: 270.

Bocci V, Borrelli E, Travagli V and Zanardi I. 2009. The ozone paradox: ozone is a strong oxidant as well as a medical drug. Medicinal Research Reviews 29: 646-82.

Denis-Robichaud J and Dubuc J. 2015. Randomized clinical trial of intrauterine cephapirin infusion in dairy cows for the treatment of purulent vaginal discharge and cytological endometritis. Journal of Dairy Science 98: 6856-864.

Duchens M, Maciel M, Gustafsson H, Forsberg M, Rodriguez-Martinez H and Edqvist L E. 1995. Influence of perioestrous suprabasal progesterone levels on cycle length, oestrous behaviour and ovulation in heifers. Animal Reproduction Science 37: 95-108.

Edmundson AJ, Lean IJ, Weaver L D, Farver T and Webster G. 1989. A body condition scoring chart for Holstein dairy cows. Journal of Dairy Science 72: 68-78.

Echternkamp S E, Cushman R A and Allan M F. 2009. Size of ovulatory follicles in cattle expressing multiple ovulations naturally and its influence on corpus luteum development and fertility. Indian Journal of Animal Sciences 87: 3556-568.

Escandón B M, Espinoza J S, Perea F P, Quito F, Ochoa R, López G E, Galarza D A and Garzón J P. 2020. Intrauterine therapy with ozone reduces subclinical endometritis and improves reproductive performance in postpartum dairy cows managed in pasture-based systems. Tropical Animal Health and Production 52: 2523-528.

Fuerst-Waltl B, Reichl A, Fuerst C, Baumung R and Sölkner J. 2004. Effect of maternal age on milk production traits, fertility and longevity in cattle. Journal of Dairy Science 87: 2293-299.

Galvão K N, Frajblat M, Brittin S B, Butler W R, Guard C L and Gilbert R O. 2009. Effect of prostaglandin F2α on subclinical endometritis and fertility in dairy cows. Journal of Dairy Science 92: 4906-913.

Ganpatrao S A and Markandeya N M. 2023. Efficacy of ozone and other alternative intrauterine therapies in infectious repeat breeder cows. Indian Journal of Animal Reproduction 44: 51.

Herath S, Dobson H, Bryant CE and Sheldon I M. 2006. Use of the cow as a large animal model of uterine infection and immunity. Journal of Reproductive Immunology 69: 13-22.

Jakupov I, Wehrend A, Abultdinova A, Mamytbekova G, Zharkimbaeva Z and Zabrodin A. 2024. Development of a rapid test to determine endometritis of cows after calving. Veterinary World 17: 2028.

Kacar C and Kaya S. 2014. Uterine infections in cows and effect on reproductive performance. Kafkas Universitesi Veteriner Fakultesi Dergisi 20: 975-82.

Kaneko K and Kawakami S. 2008. Influence of experimental intrauterine infusion of Arcanobacterium pyogenes solution on ovarian activity in cycling cows. Journal of Veterinary Medical Science 70: 77-83.

Kasimanickam R, Bhowmik P, Kastelic J, Ferreira J and Kasimanickam V. 2025. From infection to infertility: diagnostic, therapeutic, and molecular perspectives on postpartum metritis and endometritis in dairy cows. Animals (Basel) 15: 2841.

Kasimanickam R, Duffield T F, Foster R A, Gartley C J, Leslie K E, Walton J S and Johnson W H. 2005. The effect of a single administration of cephapirin or cloprostenol on the reproductive performance of dairy cows with subclinical endometritis. Theriogenology 63: 818-30.

Kaya S, Ögun M, Özen H, Kuru M, Şahin L, Kukurt A and Kacar C. 2018. The impact of endometritis on specific oxidative stress parameters in cows. Journal of the Hellenic Veterinary Medical Society 68: 231-36.

Kebede G, Zenebe T, Disassa H and Tolosa T. 2014. Review on detection of antimicrobial residues in raw bulk milk in dairy farms. African Journal of Basic and Applied Sciences 6: 87-97.

Khan M R K, Uddin J and Gofur M R. 2015. Effect of age, parity and breed on conception rate and number of services per conception in artificially inseminated cows. Bangladesh Livestock Journal 1: 1-4.

Mali S S, Rangnekar M N, Amle M B, Khillare K P, Mali A B and Mhase P P. 2020. Efficacy of intrauterine ozone therapy in repeat breeder cows with subclinical uterine infection. Haryana Veterinarian 59: 83-86.

Menoud V, Holinger M, Graf-Schiller S, Mayer P, Gerber L, Walkenhorst M and Hirsbrunner G. 2024. Comparison between intrauterine application of an antibiotic and an herbal product to treat clinical endometritis in dairy cattle - A randomized multicentre field study. Research in Veterinary Science 172:105250.

Napiórkowska-Baran K, Slawatycki J, Klemenska P, Treichel P, Najarian A, Margossian G A, Szota M, Plocka-Karpinska M and Kułakowski M. 2025. Ozone as an Immunomodulator-new therapeutic possibilities in the treatment of immune deficiencies-a narrative review. Current Issues in Molecular Biology 47: 1016.

Pascottini O B, Hostens M, Dini P, Vandepitte J, Ducatelle R and Opsomer G. 2016. Comparison between cytology and histopathology to evaluate subclinical endometritis in dairy cows. Theriogenology 86: 1550-556.

Pascottini O B, Hostens M and Opsomer G. 2017. Cytological endometritis diagnosed at artificial insemination in repeat breeder dairy cows. Reproduction in Domestic Animals 53: 559-61.

Pascottini O B, Van Schyndel S J, Spricigo J F W, Rousseau J, Weese J S and LeBlanc S J. 2020. Dynamics of uterine microbiota in postpartum dairy cows with clinical or subclinical endometritis. Scientific Reports 10: 12353.

Polyantsev N I and Popov Y N. 1972. Diagnosis and treatment of occult endometritis in cows. Vastnek Sel’skoknozyanstvennoi Nauki 1: 22-26.

Robinson R S, Hunter M G and Mann G E. 2006. Supra-basal progesterone concentrations during the follicular phase are associated with development of cystic follicles in dairy cows. Veterinary Journal 172: 340-46.

Rowen R J. 2018. Ozone therapy as a primary and sole treatment for acute bacterial infection: case report. Medical Gas Research 8: 121-24.

Ruthwal A. 2010. Studies on estrus behavior in cows. Dissertation, Chaudhary Sarwan Kumar Himachal Pradesh Krishi Vishvavidyalaya, Palampur.

Salfinger Y and Tortorello M L. 2001. Compendium of methods for the microbiological examination of foods. American Public Health Association, Washington DC, United States.

Sheldon I M, Noakes D E, Rycroft A N, Pfeiffer D U and Dobson H. 2002. Influence of uterine bacterial contamination after parturition on ovarian dominant follicle selection and follicle growth and function in cattle. Reproduction 123: 837-45.

Sood P, Vasishta N K, Singh M and Pathania N. 2009. Prevalence and certain characteristics of mid-cyclic estrus in crossbred cows. Veterinarski Arhiv 79: 143-49.

Sood P, Sarma H D, Kadwad V B and Kumar S. 2022. Effect of ovarian follicular wave pattern and endocrine characteristics on pregnancy outcome in cows. Reproduction in Domestic Animals 57: 321-32.

Sood P. 2024. Diagnostic techniques for uterine infections in cows. (In) Uterine infection in cows, pp. 15-83. Sood P (Ed). CRC Press, Inc.

Sood P, Ahuja A, Mankotia M, Negi V, Pandey A K and Kumar S. 2025. Bovine Endometrium Cytotaping Catheter- IS 19478: 2025. Bureau of Indian Standards, New Delhi.

Stoyancheva G, Mihaylova N, Gerginova M and Krumova E. 2025. Endometrial microbiome and reproductive receptivity: Diverse perspectives. International Journal of Molecular Sciences 26: 10796.

Takeo S, Kimura K, Shirasuna K, Kuwayama T and Iwata H. 2017. Age-associated deterioration in follicular fluid induces a decline in bovine oocyte quality. Reproduction, Fertility and Development 29: 759-67.

Tsiligianni T, Amridis G S, Dovolou E, Menegatos I, Chadio S, Rizos D and Gutierrez-Adan A. 2011. Association between physical properties of cervical mucus and ovulation rate in superovulated cows. Canadian Journal of Veterinary Research 75: 248-53.

Valdmann M, Kurykin J and Waldmann A. 2022. Individual and combined effects of diseases and cytological endometritis on reproductive performance and culling of dairy cows: Preliminary results. Animals 12: 2913.

Várhidi Z, Csikó G, Bajcsy Á C and Jurkovich V. 2024. Uterine disease in dairy cows: a comprehensive review highlighting new research areas. Veterinary Sciences 11: 66.

Williams E J, Fischer D P, Noakes D E, England G C W, Rycroft A, Dobson H and Sheldon I M. 2007. The relationship between uterine pathogen growth density and ovarian function in the postpartum dairy cow. Theriogenology 68: 549-59.

Submitted

2026-05-14

Published

2026-07-24

How to Cite

Aanchal, Sood, P. .-., Sharma, A. ., Bharadwaj, M., & Chahota, R. (2026). Efficacy of ozonized water for the management of endometritis in Jersey crossbred cows and factors influencing pregnancy. The Indian Journal of Animal Sciences, 96(6). https://doi.org/10.56093/ijans.v96i6.179023
Citation