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TREATMENT APPROPRIATE HEALTH CARE

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 The treatment approach to follicular stasis is based on diagnosis and treatment of contributing factors leading to the stasis and treatment of the stasis itself.

 The species of chelonian, clinical condition at presentation, amount and appearance of the follicles based on imaging or coelioscopy, and ability to provide a suitable environment all contribute to the decision‐making process.

 All chelonians will benefit from medical treatment even if surgery is ultimately required.

 Medical therapy consists of correcting the husbandry, providing an appropriate nesting area, and supportive therapy with emphasis on correcting calcium deficiencies.

 If the chelonian appears to be stable, medical therapy alone can be attempted and the animal monitored for evidence of follicular atresia.

 There are no timelines as to how quickly atresia can be expected.

 The use of proligestone has been reported to have unreliable results.

 Ultimately, many if not most cases require surgical intervention.

Blackwell's Five-Minute Veterinary Consult: Reptile and Amphibian

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