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The objective of this study was to investigate the common forms of reproductive disorders and trends of fertility in cattle and buffaloes in Middle Egypt, and investigate nutritional deficiencies or imbalances as a cause of infertility. During the period from 2003 to 2006 a total of 4276 animals (2755 cattle and 1521 buffaloes) were examined, during winter and summer at three districts of Middle Egypt. Based on the owner complains, animals were categorized as anestrum, repeat breeder and those for pregnancy diagnosis. Feedstuffs of these districts were assessed for nutrient and mineral contents. Animals were examined by rectal palpation and by transrectal ultrasonography. The results showed that, ovarian inactivity was the most common cause of anestrum, whereas endometritis was the main frequent finding of repeat breeding. District, season and year affected the incidences of infertility. The pregnancy rate remained constant (cattle) or increased (buffaloes) from 2003 to 2006. The incidence of ovarian inactivity in both species decreased over the same period. In winter, the commonly used feedstuffs would be adequate to supply the animals with needs, but in summer, rations seem to be deficient in many essential nutrients. In conclusion, ovarian inactivity is the main cause of infertility in cattle and buffaloes in Middle Egypt. There is a link between poor nutrition in summer and the high incidence of ovarian inactivity. Fertility trends during the past few years are encouraging.