Equine Estrus Discharge Record Form
Document and monitor estrus discharge observations in horses for reproductive management.
Horse Name and Identification
*
Date of Observation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Breed
Age (years)
Owner's Name
Estrus Cycle Stage
*
Please Select
Proestrus
Estrus
Metestrus
Diestrus
Anestrus
Discharge Characteristics
*
Rows
Color
Consistency
Odor
Amount
Observed Discharge
Clear
Milky
Yellowish
Red-tinged
Other
Watery
Mucous
Thick
Pus-like
Other
None
Mild
Strong
Foul
Other
None
Scant
Moderate
Copious
Associated Clinical Signs (select all that apply)
Vulvar swelling
Increased urination
Behavioral changes
Restlessness
No clinical signs
Other
Treatment or Intervention Provided
Additional Notes or Observations
Veterinarian or Observer Name
*
Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Submit Record
Should be Empty: