Power and pulsed Doppler evaluation of ovarian hemodynamic changes during diestrus in pregnant and nonpregnant bitches.

The aim of the study was to further characterize the relationship between hemodynamic changes in the ovary and luteal function in pregnant and nonpregnant bitches. Fourteen German Shepherd bitches were monitored three times a week from the first day of cytological diestrus (D1) until parturition or the end of diestrus (progesterone <2 ng/mL) by color Doppler, pulsed wave spectral Doppler, and power Doppler (PD) ultrasonography. By means of PD the total number of color pixels were calculated. The Doppler parameters evaluated were: peak systolic velocity (PSV), end diastolic velocity (EDV), and both resistive and pulsatility indices. Blood samples were collected three times a week throughout the experiment to determine progesterone (P4) concentrations. The length of diestrus in pregnant versus nonpregnant group was significantly shorter (P < 0.01; 57 ± 1 vs. 63 ± 1, respectively). By means of pulsed wave spectral Doppler the waveform showed a typical pattern of a low-resistive vessel characterized by a rapid systolic peak followed by a slow telediastolic decrease with a relatively high end-diastolic velocity. Blood flow parameters did not differ between left and right ovary. In both groups PSV and EDV showed a gradual decrease with the progress of diestrus; however, the values of PSV and EDV were significantly higher (P < 0.05) in the pregnant group versus nonpregnant group from D31 to D61 and from D49 to D58 respectively. Moreover, a significantly decrease (P < 0.05) of PSV and EDV in the pregnant group was observed from D46 to D58 and from D49 to D55, respectively. The resistive and pulsatility indices showed an increase during diestrus and the values were significantly lower (P < 0.05) in the pregnant group from D49 to D61. By means of PD, the pixel number was significantly higher (P < 0.05) in the pregnant versus nonpregnant group from D40 to D61. In particular, a significant decrease (P < 0.05) in the pixel number in the pregnant group was observed from D46 to D61. The comparison of the P4 values with the ovarian pixel number in the pregnant and nonpregnant group showed a direct correlation (r = 0.792, N = 59 and r = 0.774, N = 59, respectively). In particular, the P4 values were higher (P < 0.05) in the pregnant than in the nonpregnant group from D37 to D52. In conclusion, significant physiological differences between pregnant and nonpregnant bitches in terms of P4 and ovarian blood supply are reported. In addition it was possible to define that blood flow pattern during diestrus in pregnant bitches is not always closely related with P4 production.