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ABDELNABY ET AL.
FIGURE 2 Ultrasonogram showing uterine body- coloured area with red and blue colours refereed to blood flow away and toward the uterus in order to get spectral graph in from of peak velocity point (PV) and end point (EV) before (a) and after treatment (b) note all Doppler parameters do not significantly differ before and after treatment.
and histopathological samples were collected from all infected mares on day 0 (third ovulation).
Inseminations of affected mares
The only mares determined to have chronic endometritis (treated mares) were inseminated at the third ovulation using a stallion ' s fro- zen/thawed semen, which had a 35%– 40% pregnancy rate. Every 6 h while in mares in oestrus, the dominant follicle was assessed by ultrasound, and within 6 h after ovulation, mares were inseminated intrauterine using frozen/thawed semen (in one straw [0.5 mL; Go- vaere et al., 2014 ]), with a check of pregnancy on days 9, 14 and 20.
Blood sampling and hormonal evaluation
Routine jugular venipuncture was performed to collect serum for hormonal analysis. Following that, the blood was coagulated and cen- trifuged at 1900 g . For hormonal analysis, serum was kept at −20°C. A commercially available kit (DRG International, Inc.) Estradiol 17β (E2) and progesterone (P4) were analysed using a commercially avail- able assay kit by enzyme- bound immune adsorption as determined earlier in the current study ' s laboratory (Abdelnaby, Abo El- Maaty, & El- Badry, 2020 ; Abdelnaby, Abo El- Maaty, Ragab, & Seida, 2020 ).
Histopathological evaluations
All mares with endometritis had a similar endometrial histopathol- ogy. At least 2 blinded independent pathologists read the biopsies
and provide agreement. Uterine biopsies were collected days before treatment (day −1), and after treatment (day 0 = 3rd ovulation) sam- ples were fixed in 10% neutral- buffered formalin. The fixed tissues were then dehydrated, cleared, and embedded in paraffin. Section- ing of paraffin blocks at a thickness of 3– 4 μm was done using a ro- tatory microtome (Leica, made in Germany). Tissue sections were stained using haematoxylin and eosin and Masson ' s trichrome to de- tect the presence of fibrosis under a light microscope Olympus BX43 with a camera (Suvarna et al., 2012 ).
Statistical analysis
All data were first assessed for normality. The data were expressed as mean ± standard error of the mean. Coloured areas of the uterus and uterine thickness and blood flow estimated by pulse wave Dop- pler are assessed using repeated measures of ANOVA using SPSS software 20. The effect of the days was calculated. In addition, Dun- can ' s multiple range test was determined to differentiate p < 0.05 between significant means.
RESULTS
Histopathological evaluation before and after treatment
Uterine biopsy samples before treatment showed a marked degree of degenerative changes as seen in glandular atrophy and fibrosis with newly formed blood vessels between the organised fibrous tissue bundles (Figure 3 ), on the contrary to the biopsy after the
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