Endometritis is one of the major diseases causing infertility in the cow. Intrauterine
infusion of povidone-iodine (PVP-I) is a common treatment. However, the optimal
concentration of PVP-I for treating endometritis effectively remains unknown. We tested
concentrations of 2.0% or 0.5% PVP-I for treating clinical endometritis in dairy cattle.
In Experiment 1, bacteria isolated from the uterus were incubated with either 2.0% or 0.5%
PVP-I, and the numbers of bacterial colonies were counted. In Experiment 2, 18 cows with
clinical endometritis were treated with either 2.0% or 0.5% PVP-I (n=9 in each group).
Cytology samples and bacteria were collected using a cytobrush on weeks 0 (W0), 1 (W1) and
2 (W2) after treatment. Subsequent reproductive performance was compared between the two
groups. In Experiment 1, both concentrations had a similar antiseptic outcome. In
Experiment 2, the percentage of polymorphonuclear neutrophils (PMN%) in the endometrial
epithelium at W2 in the 2.0% group was significantly lower (P<0.05)
than in the 0.5% group, although the PMN% decreased significantly from W0 to W2
(P<0.01) in both groups. Decreases in bacterial infection rates from
W0 to W2 were similar in both groups. The first service conception rate was higher,
numbers of services per conception were fewer, and time to conception was shorter in the
2.0% group than in the 0.5% group. Thus, an intrauterine infusion of 2.0% PVP-I was better
than 0.5% in treating clinical endometritis in these dairy cattle.