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There is a condition
in female dogs and cats known as "ovarian remnant syndrome" in which a
spayed female continues to exhibit signs of estrus (heat periods). Usually
this occurs because a portion of an ovary was left in the abdomen during
the spay surgery. This can happen several ways -- sometimes the surgeon
doesn't have a clear view of the ovary for some reason (obesity, not having
a big enough incision, bleeding, etc.) and a portion is simply missed,
other times it is a piece of the ovary is accidentally dropped as it is
removed and reimplants in the abdomen. I have had a couple of patients
in our practice that appeared to have small pieces of ovary near the normal
ovarian tissue but separate from it. So far we
have seen these pieces
and removed them but I tend to think that there are times when there is
just extra ovarian tissue. Dogs that have ovarian tissue that is not removed
during a spay tend to show all the normal signs of heat -- swelling of
the vulva, bleeding, attraction of male dogs and often false pregnancy
signs. These usually occur at the same interval as other estrus periods,
roughly seven months. Cats tend to have normal estrus behavior for their
species, too. This can be crying, rolling on the floor, overly friendly
behavior and attraction of male cats at about 3 week intervals. The only
treatment I know of is to find the ovarian tissue that remains and to remove
it. This is easiest to do when the pet is in estrus because the ovarian
tissue is active and easier to find.
In a dog that has already had exploratory surgery once I think it would be a good idea to do hormonal testing prior to considering another surgery. Sometimes it is possible to tell that ovarian tissue remains just by testing progesterone levels in dogs but only if the progesterone levels are over 2ng/ml. A hormonal response test that starts with administration of HCG (human chorionic gonadotropin) during estrus behavior and then is followed by measurement of progesterone is more accurate. This test works for cats, too.



