Abstract. Melengestrol acetate (MGA) contraceptives are widely used in zoo felids to regulate fertility and may have deleterious effects on endometrial health. To determine whether MGA exposure was associated with endometrial disease, the genital tracts of 212 zoo felids (99 MGA treated and 113 control) representing 23 species were evaluated. Adenomatous and cystic hyperplasia were prevalent in both MGA-treated (85%) and control (61%) groups, and the risk of developing these lesions increased with age. Treatment with MGA further increased the risk of developing advanced hyperplasia regardless of dose, and treatment for Ͼ72 months significantly elevated that risk, whereas parous animals had a lower risk. Endometrial polyps, fibrosis, adenomyosis, and hydrometra occurred in both MGA-treated and control animals. MGA treatment was associated with an increased risk of hydrometra and mineralization but not of adenomyosis, polyps, or fibrosis after adjusting for advanced hyperplasia. Acute or chronic endometritis were associated with advanced hyperplasia but not with MGA treatment. These results indicate that proliferative and inflammatory endometrial lesions are common spontaneous diseases in zoo cats, and MGA contraceptives increase the risk of some diseases. The association of MGA with endometrial lesions that could impair fertility should be considered when using this contraceptive in genetically valuable felids.Key words: Adenomyosis; contraceptive; endometrial hyperplasia; endometrial polyp; endometritis; felids; melengesterol acetate; mineralization; progestin; pyometra.Melengesterol acetate (MGA) contraceptives have been used extensively in zoologic parks to implement breeding programs for endangered felids. MGA-impregnated silastic implants placed subcutaneously or intramuscularly deliver sufficient concentrations of MGA over a 2-year period to prevent pregnancy in the majority of treated cats. 2,21 Although in one study zoo felids treated for 1 year with MGA were subsequently fertile, many cats are treated with MGA continuously for Ն4 years, and the effects of long-term MGA treatment on endometrial health in zoo cats have not been investigated. 2,21 Prolonged exposure to megestrol acetate has been associated with endometrial hyperplasia and pyometra in domestic cats, 13,17 and progestin contraceptives may have similar effects on zoo felids. To assess whether MGA administration was associated with endometrial disease in zoo felids, we evaluated female reproductive tracts from multiple species through an American Zoo and Aquarium Association collaborative study. Here, we describe the hyperplastic and inflammatory lesions in the endometria of 212 zoo 1 Present address: VCA Sinking Springs Animal Hospital, Sinking Springs, PA. felids and confirm that MGA exposure is a risk factor for development of these lesions.
Materials and Methods Study populationReproductive tracts were requested from female felids that died or were ovariohysterectomized in US zoologic parks from 1988 to 1995. Reproductive tracts from 212 fe...