Why can't I get my mare to go in foal?

Why can't I get my mare to go in foal?

Key takeaways

  • Mare infertility breaks down at distinct stages, from failed fertilisation to implantation failure to embryonic loss, and each stage points to a different fix.
  • Endometrial fibrosis (more precisely endometrosis) is common and irreversible; management should focus on optimising remaining function rather than restoring lost tissue.
  • Early embryonic loss affects under 10% of young, normal mares but can exceed 60% in aged, subfertile ones, and most happens before day 40.
  • A uterine biopsy with Kenney grading gives the clearest prognosis before repeat breeding attempts; EHV-1 vaccination (boosters at months 5, 7, 9) helps reduce but doesn't eliminate abortion risk.
In this article

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    Getting a mare in foal sounds straightforward until it isn't. Equine reproduction has a surprisingly high failure rate at every stage, from the moment of ovulation to the day a foal arrives. Understanding where in the process things break down changes how you approach the problem, and what you can realistically fix.

    The egg never gets fertilised

    The most basic failure is no fertilisation at all. That can come from the mare's side or the stallion's.

    On the mare's side

    Timing is everything. Mares are seasonally polyoestrous, meaning they cycle reliably from May to September but often show irregular, anovulatory cycles in late winter and early spring. Breeding outside the natural season dramatically reduces the chance of a viable ovulation. If you're working with a mare that "never catches," ask first when she's being bred.

    Egg quality declines with age. Older mares produce oocytes that are more likely to have chromosomal abnormalities or reduced developmental competence. This isn't something you can see on an ultrasound. It only becomes apparent in poor embryo development rates.

    On the stallion's side

    Semen quality varies more than most owners expect. Fresh semen used at the right moment gives the best outcome. Chilled semen, collected and transported before use, loses progressive motility over time. Frozen-thawed semen has even lower post-thaw survival rates and an extremely narrow insemination window. If you're working with frozen semen from a stallion with a poor freeze, the odds are already stacked against you before the mare is even involved.

    The fertilised egg doesn't implant

    An embryo reaches the uterus around day 6 after ovulation. What happens next depends almost entirely on the health of the endometrium, the uterine lining. This is where most chronic infertility problems live.

    The endometrium does more than provide a surface for implantation. It produces uterine milk, the secretion that sustains the embryo in the days before placentation begins. A damaged endometrium cannot provide adequate nutrition, and the embryo fails silently. Mares with chronic degenerative changes in the endometrium show measurably poorer placental development later in gestation than mares with healthy uterine tissue [2].

    Endometrial fibrosis

    The most common finding in reproductively compromised mares is endometrial fibrosis. The precise term, coined by Kenney, is endometrosis, not to be confused with endometriosis, the very different condition seen in women. Periglandular fibrosis encases the uterine glands, reducing their secretory capacity. Kenney and Doig (1986) found that a majority of clinically healthy mares had some degree of endometrial fibrosis on biopsy, a proportion that climbs sharply with age [1]. Biopsy grading remains the most reliable way to assess the severity of this damage [1].

    Good to know

    Endometrial fibrosis is largely a disease of time. It's uncommon in maiden mares under 10 and increasingly common past 15, which is one reason vets push for an early biopsy rather than several more failed breeding seasons first.

    The problem with fibrosis is that it doesn't reverse. Once those glands are encased in scar tissue, they're gone. Management focuses on optimising what remains, not on restoring what's lost.

    Endometritis

    Acute and chronic inflammation of the uterus is another major cause of implantation failure. Some mares have impaired uterine clearance. They can't efficiently evacuate fluid and inflammatory debris after breeding, and the resulting environment is hostile to an embryo. This is treatable, and catching it early matters more than almost anything else in this section.

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    Anatomy

    Conformation affects susceptibility to uterine contamination. Mares with poor perineal conformation, particularly common in Thoroughbreds, can aspirate air into the vagina with each step, introducing environmental contamination to the reproductive tract [3]. Saddlebreds, in my clinical experience, are disproportionately represented in chronic fungal endometritis cases. These are breed-level tendencies, not universal rules, but they shift the differential when a mare has a history of persistent infection [4].

    The embryo dies after implantation

    Early embryonic loss is common, and the published numbers vary a lot depending on which mares you're looking at. Ball's frequently cited 1988 review put losses through day 14 at under 10% in young, reproductively normal mares, climbing past 60% in aged, subfertile ones [5]. A field study of nearly 1,400 Thoroughbred mares in Newmarket found roughly 10% loss between day 15 and day 35 alone, even in a well-managed, actively monitored population [6]. Most of this happens before day 40, which is why a rectal palpation at first pregnancy check doesn't guarantee a live foal nine months later.

    Loss becomes less frequent after that point but doesn't disappear. A 2022 UK study tracking 4,439 Thoroughbred pregnancies found that 7.3% of mares confirmed in foal at day 70 still failed to produce a live foal, and just over half of those losses were classed as abortion rather than stillbirth or other causes [7]. Rhinopneumonitis, caused by equine herpesvirus types 1 and 4 (EHV-1 and EHV-4), gets most of the attention here, and rightly so: EHV-1 can trigger abortion storms that wipe out several pregnancies on one stud within weeks. But in that same UK study, only around 9% of losses past day 70 were linked to EHV [7]. Most had other causes entirely, twinning, umbilical cord accidents, and placentitis among them. Vaccination still matters. If your mares aren't on a protocol with boosters at months 5, 7, and 9 of pregnancy, that needs fixing. It just isn't the only box to tick.

    Good to know

    A mare that "went in foal but lost it" is a different clinical problem from one that never conceives. The two categories often have completely different causes and warrant different investigations. Lumping them together as "infertility" delays the right answer.

    Where to start when nothing is working

    Before spending significant money on repeat breeding attempts, a uterine biopsy gives you the clearest picture of prognosis. A Kenney grade I biopsy carries a good prognosis for carrying a foal to term; grade III carries a poor one. That information is worth having early rather than after several more failed cycles.

    Beyond the biopsy: stallion semen evaluation if using AI, a uterine culture and cytology to rule out active endometritis, and an honest look at the breeding calendar. Many mares labelled as infertile were simply bred at the wrong time of year, with the wrong semen type, or with no ultrasonographic monitoring of ovulation.

    Reproductive failure in mares is rarely one thing. It's usually a combination of factors, some fixed and some not. Knowing the difference is most of the clinical work.

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    References

    [1] Kenney RM, Doig PA. Equine endometrial biopsy. In: Morrow DA, ed. Current Therapy in Theriogenology. 2nd ed. Philadelphia: WB Saunders; 1986:723–729.

    [2] Bracher V, Mathias S, Allen WR. Influence of chronic degenerative endometritis (endometrosis) on placental development in the mare. Equine Veterinary Journal. 1996;28(3):180–188.

    [3] Pascoe RR. Observations on the length and angle of declination of the vulva and its relation to fertility in the mare. Journal of Reproduction and Fertility. 1979;27(Suppl):299–305.

    [4] LeBlanc MM. Advances in the diagnosis and treatment of chronic infectious and post-mating-induced endometritis in the mare. Reproduction in Domestic Animals. 2010;45(Suppl 2):21–27.

    [5] Ball BA. Embryonic losses in mares. Incidence, possible causes, and diagnostic considerations. Veterinary Clinics of North America: Equine Practice. 1988;4(2):263–290.

    [6] Morris LHA, Allen WR. Reproductive efficiency of intensively managed Thoroughbred mares in Newmarket. Equine Veterinary Journal. 2002;34(1):51–60.

    [7] Roach JM, Arango-Sabogal JC, Smith KC, Foote AK, Verheyen KL, de Mestre AM. Multivariable analysis to determine risk factors associated with abortion in mares. Reproduction and Fertility. 2022;3(4):301–312.

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