“…Previously, we focused on diagnostic methods for clinical postpartum endometritis using a grading system based on vaginal discharge score (VDS), and found that untreated cows having a VDS of one showed a negative reproductive progression [18]. In addition, we reported that the retention of fetal membranes, as well as other early postpartum conditions within 30 days of parturition, was related to the occurrence of clinical endometritis [17]. However, poor reproductive performance can be caused by conditions other than clinical endometritis, and many other related factors can contribute to postpartum diseases and conditions [10, 11, 22].…”