During the puerperium phase, physiological modifications occur in the reproductive tract of dairy cows, such as involution of the reduction in uterine size, removal of cellular debris and the resumption of ovarian cyclicity (Cui, Wang, Ding, Li, & Li, 2019; Sheldon, 2004). Around 90% of the cows will have bacterial contamination within the first 14 days after parturition (Sheldon, Cronin, Goetze, Donofrio, & Schuberth, 2009); however, in some cows, these bacteria remain in the uterus and contribute to a higher prevalence of puerperal diseases (Kimura, Goff, Kehrli, & Reinhardt, 2002). One of the main puerperal diseases in cattle is metritis, which is classified as puerperal metritis and characterized by an abnormally enlarged uterus with a fetid watery red-brown uterine discharge, which is associated with signs of systemic illness and fever (≥39.5°C) within 21 days postpartum; and clinical metritis is characterized by an abnormally enlarged uterus, a purulent uterine discharge detectable in the vagina within 21 days postpartum, and no signs of systemic illness (Sheldon, Lewis, LeBlanc, & Gilbert, 2006). In a previous study of 336 cows in Brazil, Paiano, Lahr, et al. (2019) found an incidence of 26.5% with metritis, which could negatively affect the welfare and productivity of the cows (Sheldon et al., 2009). After calving, dairy cows can present nutritional, hormonal and metabolic alterations that contribute to the negative energy balance (NEB) and compromise the immune function (Goff,