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Endometritis in cows
Endometritis - Cattle

Recognizing and treating endometritis in cows

Endometritis is a localized inflammation of the uterine lining occurring 21 days or more post-calving. Uterine infections arising earlier in the transition period are classified as metritis, which can readily progress into endometritis if left unresolved. The condition manifests in two distinct forms, clinical (chronic) and subclinical, with a fluid continuum between the two. Both forms severely impair reproductive performance, leading to prolonged days open and increased culling for infertility.

How does the animal become ill?

Hygiene during and after calving plays a critical role in prevention. The birth process carries an elevated risk of infection, which escalates when obstetric care or housing conditions lack cleanliness. Beyond sanitation, a compromised immune system, metabolic stress, or uterine trauma from difficult births and stillbirths directly predispose cows to endometritis. Delayed uterine involution and incomplete self-clearing create ideal opportunities for opportunistic bacteria to colonize the reproductive tract.

How to recognize endometritis (uterine inflammation) in cows?

Subclinical endometritis cannot be seen from the cow itself and is only detected through internal examinations or diagnostic methods, whereas clinical endometritis is clearly visible:

  1. Reduced appetite
  2. Decreased milk yield
  3. Fever
  4. Lethargy
  5. Whitish, mucous discharge on the tail or body (foul-smelling)

How to recognize an endometritis?

Chronic endometritis:

  • Mucous-purulent discharge, which the cow primarily excretes while lying down or during estrus.
  • Suspected endometritis must be confirmed through a rectal or vaginal examination by the herd veterinarian.

Subclinical endometritis

  • Not externally visible.
  • Often considered healthy during rectal/vaginal examination.
  • The number of inflammatory cells increases, which then disrupts the function of the uterine lining.
  • Possible detection of thickening of the uterine lining.
  • Can be confirmed through tissue sampling/biopsy.

4 measures to reduce the risk of endometritis

Calm and stress-free calving
01

Calm and stress-free calving

Ensure that calving is calm and stress-free. The calving area should be clean, dry, and well-ventilated. Provide enough space and minimize stress factors, such as loud noises, that could upset the cow.View products for calving
Improve hygiene with bedding
02

Improve hygiene with bedding

Bedding can improve hygiene in the barn environment. Maintaining a dry area limits the growth and spread of pathogens, protecting your cows’ health.
Additional nutrient supply
03

Additional nutrient supply

Providing extra nutrients supports the cow’s immune system. With the High Performance Box, you can optimally supply your cow with the right nutrients around calving.
Regular checks
04

Regular checks

Routine examinations of the uterus, about 2–3 weeks after calving, allow early detection of endometritis. This way, you can act promptly and prevent more serious problems.

Experts recommend

MS DryCare Plus is a hygiene powder with a high moisture absorption capacity of 200% and a pleasant smell.

Frequently asked questions about Bovine Endometritis

Teun van Dijck
Dairy Specialist

Do you have any questions?

Please contact us if you have any questions. We will get back to you as soon as possible.

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