Dog vulvar discharge: Pyometra? Do I need surgery or a second opinion?

Your poor pup! If she isn't spayed, I would be very concerned that she has a pyometra. This is an infection of the uterus that is fatal without treatment, and it would cause a white discharge as well as vomiting. It sounds like your vet may have been suspicious she had a pyometra and tried treating it medically with antibiotics and anti-inflammatory drugs. Unfortunately the medical route often isn't successful, and surgery is needed to treat it. This means spaying her. I would take her back into the vet immediately, as this is a medical emergency. Best of luck.

No, that is not normal. She should be put on broad spectrum antibiotics. There may be an infection in the uterine tissue that is remaining in the abdomen (stump pyometra). A second surgery may be needed to remove the infective tissue. The bloodwork shows a high white blood cell count indicating infection. Some of her liver enzymes are mildly elevated but I don't think they are significant at this time. She needs to be evaluated for a stump pyometra. ( https://healthtopics.vetmed.ucdavis.edu/health-topics/canine/stump-pyometra )

These signs could be due potentially to a uterine infection. That is usually called pyometra and could be a surgical emergency unfortunately. I would recommend a check up at your local veterinarian as soon as possible.

Hi, thanks for using Petco Pet Education Center, formerly Petcoach! How old is your dog? As dogs age there are chronic changes to the uterine lining, it becomes thickened and sometimes even cystic. Metritis just means inflammation of the uterine lining and there are many causes most of which have nothing to do with pregnancy. If she had purulent discharge from her vulva that indicates an infection. A pyometra means infection (puss) in the uterus. If she responded to antibiotics I would assume she has a pyometra. My best advice is to have her spayed. It is the best thing for your dog. If she had discharge then the pyometra is open. If there was no discharge it is considered closed. I wish you the best!

Hi, has she been passing urine outside ? If so would you be able to take a urine sample ? I would then consider to have an abdominal ultrasound done on Yuzu, it can be done without an anaesthetic and it will give you more information about a possible pyrometra or any other abnormalities in the abdomen. If an ultrasound does not provide all the information required, then X-rays would be my next suggestion. Hope this helps,

The discharge pictured is a greenish-yellow, so I'm concerned that Athena may have [pyometra](https://www.petcoach.co/dog/condition/pyometra/), which is a potentially deadly infection of the uterus that can happen in dogs. A tiny bit of white vulvar discharge can be within normal variations for puppies (called a "puppy vaginitis"), but a greenish-yellow discharge is never normal. I recommend having Athena evaluated by her vet or an emergency vet right away. Your vet will likely [recommend spaying](https://www.petcoach.co/article/spay-and-neuter-basics-for-dogs-and-cats/) Athena right away if they [diagnose a pyometra](https://www.petcoach.co/article/pyometra-infections-of-the-uterus-in-dogs/), as this removes the pus-filled uterus and ovaries. Spaying stops the heat cycle, eliminates the risk and cost of unwanted breeding, reduces the risk of breast cancer, and prevents the a pyometra from developing.

Hello. The pus in her uterus is a very serious condition called pyometra. Usually, the best way to deal with this is to perform an ovariohysterectomy & spay her. The only time to consider treating this condition with medications is if Chuski is a valuable breeding animal. But you are risking her health & she could die from this. Please consider the surgery. Most dogs do very well if it is done before they get too sick. I hope she is feeling better soon. Thanks for using Petco Pet Education Center, formerly Petcoach.