Vaginal cytology




What is Vaginal cytology ?  

⇒ simple technique to characterize stages of reproductive cycle of bitch.

Principle:-

Vaginal epithelium  Bistratified cuboidal epithelium

                                            

                                Estrogen 

Stratified squamous epithelium (> 30 cell layers)

                                         

                              Maturation 

Keratinized and falls in vaginal lumen (Exfoliate)

Know the Stages of Canine Estrous Cycle

1. Proestrus (Early & Late)

2. Estrus

3. Diestrus

4. Anestrus


★ There is considerable variation in the time of ovulation in relation to the onset of proestrus.

            Not understood by dog breeders

                                 

        They follow standard mating regimes

                                 

      Thus they not covered all presented cases.


Important of Vaginal Cytology ?

⇒ To know the stages of estrous for optimum breeding time.

⇒ Knowledge of the onset of vaginal discharge and their type

⇒ Degree of vulvar swelling

⇒ Attitude of female towards male dog

⇒ To detect inflammation and neoplasia of the genital tract 


Materials Required for Vaginal Cytology ?

1. Glass slide

2. Sterile cotton swab

3. Stain (Leishman’s  or Geimsa )

4. Microscope 


Technique of Vaginal Cytology:-

Carefully open the Vulva

 Direct swab cranio-dorsally

 Swab the vaginal wall (gently rubbing or rolling)

         Roll on glass slide (not smeared) & dry

Staining.

Staining of slide:

A. Leishman’s staining :

Pour Leishman’s solution on slide (1 minute)

Dilute the stain with equal volume of D. water

Leave it for 15-20 min

Wash slide with D.W.

 Dry and Observe in 40x

B. Giemsa Staining :

 Fix the slide in methyl Alcohol (2-3 Min.)

Pour Giemsa solution (10:1 to 20:1 dilution)

Leave it for 45-50 min

Wash slide with D.W.

Dry and Observe in 40x

How many types of Vaginal Epithelial Cell ?

1. Basal Cells (may not be seen)

2. Parabasal Cells : ➡️   Seen O shaped oat cereal pieces.

3. Intermediate Cells (Small & Large)  ➡️ Seen fried eggs shape .

4. Superficial Cells/Cornified cells  ➡️ Seen corn flakes shape


Parabasal cells :-



⇒ Small round cells with round nuclei and small amount of cytoplasm

⇒ Uniform in size and shape.


Intermediate cells:-

Small

Large 



⇒ May be small or large

⇒ Round nuclei, nucleus similar in size as parabasal cells

⇒ About twice the size of parabasal cells

⇒ Cytoplasm becomes angular, irregular and folded as cell enlarges


Superficial cells:-



⇒ Largest epithelial cell

⇒ In advancing age, the nuclei becomes small, pyknotic and fades.

⇒ Cytoplasm may contain vacuoles with age


Superficial cells continued:-



⇒ Cornification is the degeneration process

⇒ Superficial cells are commonly called cornified or Keraninized cells

⇒ Once nucleus is lost, become Anuclear cells


Stages of Canine Estrous Cycle

1. Proestrus (Early & Late)

2. Estrus

3. Diestrus

4. Anestrus


Proestrus:-

⇒ Swollen vulva, reddish vulvar discharge

⇒ Will not accept the male during this time

⇒ Average Duration is 9 days (with possibility of 2-15)

⇒ Erythrocytes are numerous and gradually decline

⇒ Neutrophils are also present




Early proestrus:-

⇒ Parabasal and intermediate cells predominate

⇒ As proestrus progresses, parabasal cells disappear as superficial cells increase.

⇒ Erythrocytes are numerous

⇒ Neutrophils are also present




Late proestrus:-

⇒ Large intermediate and superficial cells predominate

⇒ No parabasal cells or small intermediate cells

⇒ Red blood cells present or absent

⇒ Less neutrophils

⇒ Bacteria often present



Estrus:-

⇒ Lasts an average of 9 days

⇒ Female accepts male

⇒ Vulvar discharge is less bloody

⇒ Vulva is softer

⇒ Sometimes bloody discharge may continue through estrus

⇒ Superficial cells predominate (90%)

⇒ May become cornified or Keratinized

⇒ NO WBCs except at last 1-2 days of estrus

⇒ Variable RBCs




Large intermediate and keratinized cells



Estrus-Hormonal Events

⇒ Serum progesterone increases above anestrus range

⇒ Progesterone rise begins when LH peaks

⇒ Ovulation occurs 2 days after LH peak

⇒ Eggs take an additional 2-3 days to mature

⇒ Fertile period is 4-7 days after LH peak

Diestrus:-

⇒  Abrupt decrease in superficial cells

⇒ Increase in parabasal cells and intermediate cells

⇒ Many WBC’s, then decrease in late diestrus

⇒ Variable RBC’s

⇒ Progesterone peaks 15-30 days post estrus, then declines



Anestrus

⇒ Transition period between two estrous cycle

⇒  4-12 months

⇒ Parabasal and intermediate cells predominate

⇒ Few WBC’s and bacteria








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