How to Tell If a Dog Has Pyometra: Symptoms, Causes, and Treatment
Pyometra is a serious and potentially life-threatening condition that affects unspayed female dogs. It is a bacterial infection of the uterus that often requires emergency treatment. Understanding how to recognize the signs of pyometra early can save your dog’s life.
What Is Pyometra?
Pyometra is a uterine infection that typically occurs in older, unspayed female dogs. It usually develops a few weeks after a heat cycle due to hormonal changes that create an ideal environment for bacterial growth.
Types of Pyometra
- Open Pyometra: The cervix is open, and pus or discharge can be seen leaking from the vulva.
- Closed Pyometra: The cervix is closed, trapping the infection within the uterus. This form is more dangerous because it can go unnoticed until the dog becomes seriously ill.
Signs and Symptoms of Pyometra
Recognizing the symptoms can lead to an earlier diagnosis and treatment. Common signs include:
- Vaginal discharge (especially with open pyometra)
- Lethargy or decreased energy
- Loss of appetite
- Vomiting and diarrhea
- Increased thirst and urination
- Swollen or painful abdomen
- Fever
- Depression or weakness
If your dog has been in heat recently and shows any of these signs, seek veterinary help immediately.
Causes of Pyometra
Pyometra is primarily caused by hormonal changes during a dog's heat cycle. Elevated progesterone levels after estrus induce changes in the uterine lining, forming an environment susceptible to bacterial infection, typically by Escherichia coli (E. coli).
- Hormonal imbalance following estrous cycles
- Bacterial infection from normal gut flora
- Repeated heat cycles without pregnancy
How Pyometra Is Diagnosed
Veterinarians use a combination of diagnostic techniques to confirm pyometra:
- Physical examination to check for abdominal pain and discharge
- Ultrasound or X-rays to observe an enlarged uterus
- Blood tests showing elevated white blood cell counts
Treatment Options
Pyometra is a medical emergency. Without treatment, it can result in sepsis, kidney failure, or death. Treatment options include:
- Surgery (Ovariohysterectomy): The most common and effective treatment. It involves removing the uterus and ovaries.
- Medical management: In some open pyometra cases, prostaglandins and antibiotics may be used, but this is less effective and has risks.
- Supportive care: IV fluids, antibiotics, and pain relief are necessary alongside surgical or medical treatments.
Preventing Pyometra
The most effective way to prevent pyometra is to spay your dog before her first heat cycle. Spaying eliminates the risk of uterine infections and provides additional health benefits, such as a reduced risk of mammary tumors.
- Spaying before sexual maturity offers the best protection
- Regular veterinary checkups for unspayed dogs
When to See a Vet
Immediate veterinary care is crucial if your dog exhibits symptoms of pyometra. Early diagnosis significantly improves prognosis and treatment outcomes.
Conclusion
Pyometra is a dangerous and time-sensitive condition. Recognizing the early signs—especially in female dogs that have recently been in heat—can make the difference between life and death. Spaying remains the most effective preventive measure. If you suspect pyometra, do not delay in contacting your veterinarian.





