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Peer-reviewed veterinary case report

Testicular feminization syndrome in a mare.

Journal:
Journal of the American Veterinary Medical Association
Year:
1992
Authors:
Crabbe, B G et al.
Affiliation:
Department of Veterinary Clinical Medicine and Surgery · United States
Species:
horse

Plain-English summary

A mare was diagnosed with testicular feminization syndrome, which is a condition that affects how her body responds to male hormones. She showed aggressive behavior typical of stallions and had trouble reproducing. Tests revealed she had high levels of testosterone, and an ultrasound showed that she had structures resembling testicular tissue instead of normal female reproductive organs. After surgery to remove these testicular tissues, her aggressive behavior completely went away. This case highlights that testicular feminization syndrome, though rare in horses, should be considered when dealing with aggressive mares that have infertility issues.

Abstract

Testicular feminization syndrome was diagnosed in a mare with aggressive, stallion like behavior and a history of infertility. She was found to have a high baseline testosterone concentration suggesting that testicular tissue was present, and ovarian-like structures examined by use of transrectal ultrasonography had the appearance typical of testicular tissue. Although her external female genitalia appeared normal, her vagina ended in a blind sac, and no cervix or uterus were identified. Surgery was performed, and structures removed from the abdominal cavity were determined to be hypoplastic testicles. Removal of the testicular tissue resulted in complete resolution of her aggressive behavior. Chromosomal evaluation revealed that the mare had 64X,Y (normal male) karyotype. Testicular feminization syndrome is a condition characterized by insensitivity of reproductive tissues to androgens during development because of an abnormality in androgen receptors. This androgen insensitivity results in development of normal external female genitalia, with high testosterone concentrations being released from developing testicles. Testicular feminization syndrome has not been commonly diagnosed in horses, but should be considered as a differential diagnosis for overly aggressive mares with a history of infertility.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/1624347/