🧠 What Is Ovarian Remnant Syndrome?

Ovarian remnant syndrome occurs when spayed female dogs or cats continue to show signs of heat—despite having undergone ovariohysterectomy (spay surgery). This is typically due to a small piece of functional ovarian tissue that was left behind or has regrown in the abdomen. 🧬

🔍 How to Recognize Heat Signs Post-Spay

In Dogs:

• 🩸 Bloody vaginal discharge turning straw-colored
• 🐶 Flirtatious or receptive behavior toward male dogs
• 🕒 Occurs roughly every 6–8 months

In Cats:

• 🗣️ Excessive vocalizing
• 🐱 Restlessness and increased affection
• 🚽 Urinating indoors or posturing
• 🌞 Seasonal cycling (typically spring/summer)

🧪 Confirming Estrogen Activity

If a spayed pet displays these signs, the first step is confirming the presence of estrogen. Testing includes:

✔️ Vaginal Cytology

• Quick, in-house test using a cotton swab
• Looks for “cornified” cells indicating heat

🧪 Hormone Testing

• 💉 Estradiol: Not very reliable alone
• 💉 GnRH Challenge + Progesterone: Detects ovarian function
• 🧬 SpayChek® (Anti-Mullerian Hormone): Detects remnant tissue after 2–3 months

🧠 LH Testing:

Witness LH can show whether a pet is truly spayed—useful if there’s doubt about prior surgery history.

🕵️ Where Does the Estrogen Come From?

• 🔹 True ovarian remnant: Missed or regrown tissue from original surgery
• 🧬 Accessory ovarian tissue: May be separate from main ovary at birth
• 🩹 Ovary cell implantation: During surgery, tissue can attach and vascularize
• 🧴 Estrogen cream exposure: Absorbed from humans using topical products
• ⚠️ Adrenal tumors: Rare, but produce constant hormone output and don’t cycle

💉 Surgical Treatment

The only permanent solution is surgical removal of the remnant tissue.

• 🩺 Performed just after heat ends—tissue is easier to find when hormonally active
• 🔎 May require exploratory surgery or specialist referral
• 🔬 Submit removed tissue for biopsy to confirm ovarian tissue

⚠️ Why It Matters

• 🎗️ Ongoing hormone exposure increases risk of mammary cancer
• 🦠 Can lead to stump pyometra (infection of retained uterine tissue)
• 😾 Heat behaviors may cause stress or undesired mating attempts

📋 Quick Reference Table: Ovarian Remnant Syndrome

🔧 Ask A Vet Can Help

Worried your spayed dog or cat is still showing signs of heat? Use the Ask A Vet app to upload photos, chat with vets, and get help identifying and managing ovarian remnant syndrome. 🐶🐱💬

🐾 Final Thoughts from Dr Duncan Houston

Ovarian remnant syndrome is frustrating, but manageable. A correct diagnosis and surgical solution can restore your pet’s comfort—and peace of mind for you. 💙