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Outline six causes of pyometritis.

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1. Bacterial infection: The most common cause of pyometritis is a bacterial infection, typically resulting from an ascending infection from the lower reproductive tract.

2. Retained products of conception: Incomplete abortion, miscarriage, or retained placental tissue can lead to infection and inflammation of the uterus, resulting in pyometritis.

3. Cervical stenosis: Narrowing or blockage of the cervix can prevent the normal drainage of fluids from the uterus, leading to the accumulation of pus and subsequent infection.

4. Hormonal imbalances: Changes in hormone levels, such as those seen during the estrous cycle or after giving birth, can disrupt the normal immune response in the uterus and increase the risk of infection.

5. Trauma or injury: Damage to the uterus or surrounding tissues, such as during a difficult birth or surgical procedure, can create an entry point for bacteria to enter and cause infection.

6. Immunosuppression: Conditions or medications that weaken the immune system can make an individual more susceptible to infections, including pyometritis.
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