our objectives were to describe and compare the uterine bacterial composition of postpartum Holstein cows diagnosed as healthy (n = 8), subclinical endometritis (SCE; n = 8), or clinical endometritis (CE; n = 5) in the fifth week postpartum. We did metagenomic analyses of 16S rRNA gene sequences from endometrial cytobrush samples at 10, 21, and 35 days in milk (DIM), and endometrial bacterial culture at 35 DIM. Uterine bacterial composition in healthy, SCE, and CE was stable at 10, 21, and 35 DIM. Alpha and beta diversities showed a different uterine microbiome from CE compared to healthy or SCE, but no differences were found between healthy and SCE cows. At the phylum level, the relative abundance of Bacteroidetes and Fusobacteria, and at genera level, of Trueperella was greater in ce than healthy or Sce cows. Trueperella pyogenes was the predominant bacteria cultured in cows with ce, and a wide variety of bacterial growth was found in healthy and Sce cows. Bacteria that grew in culture were represented within the most abundant bacterial genera based on metagenomic sequencing. the uterine microbiota was similar between Sce and healthy, but the microbiome in cows with ce had a loss of bacterial diversity. Multiple potential mechanisms that drive reproductive tract inflammatory disease in dairy cattle have been discovered 1,2 , but questions remain about the nature and causes of the different manifestations of reproductive tract infection and inflammation. Remarkable changes in the composition of the microbiome occur in postpartum cows that develop uterine disease 3,4 , but few papers have described the dynamics of the uterine microflora in healthy postpartum cows 5,6. A robust but well-regulated postpartum uterine inflammatory response is necessary to avoid disease 7. However, in early lactation, cows experience a state of immune dysfunction concurrent with changes in metabolism associated with physiologic adaptations to support milk production. Although certain phyla and genera of bacteria are reasonably consistently associated with some forms of uterine disease, the changes of the microbiome and the host interaction with it in the progression or avoidance of disease are only partially understood. Metritis (overt systemic illness due to uterine infection, characterized by fetid vaginal discharge) and purulent vaginal discharge (PVD) without systemic signs have commonly been associated with Trueperella pyogenes using culture-dependent methods 8,9,10. Clinical endometritis (CE) is PVD with concurrent endometritis based on > 5% polymorphonuclear (PMN) neutrophils 7,11. However, with the advent of cultureindependent methods using metagenomic sequencing, it has been shown that loss of diversity and increase in abundance of Bacteroides, Porphyromonas, and Fusobacterium were associated with metritis and PVD in postpartum cows 3,4,12. Numerous studies attempted to associate the presence of bacteria with subclinical endometritis (SCE; absence of PVD and > 5% endometrial PMN), but the role of pathogenic bacteria in SCE re...