The diagnosis is made by clinical signs, patient signalment and history. Biopsy of affected tissue and histopathology will confirm the diagnosis of MH. However, surgical biopsy of markedly swollen mammary glands may create incisions that are difficult to heal due to wound tension. Treatment varies with the underlying cause. Intact queens should be spayed, and a flank approach is most appropriate (Figure 40-3). If the cat is being treated with progestins, treatment should be stopped. The drug of choice for treatment of MH is the progesterone receptor blocker aglepristone (Alizine, Virbac; 10 to 15 mg/kg/day, SC, days 1, 2, and 7). 33,78
One long-term study monitored 14 queens with MH for 12 months following treatment with aglepristone. 58 Remission of clinical signs occurred in an average of 4 weeks. Cats that had been treated with long-acting medroxyprogesterone acetate required treatment for 5 weeks. Six of the queens were subsequently bred, and four delivered normal litters. Aglepristone may not be available or licensed for cats in every country. For cats that have not received exogenous progestins, other choices include dopamine agonists that reduce prolactin levels, such as cabergoline (5 µg/kg/day, PO, 5 to 7 days) 70a or bromocriptine (0.25 mg/cat/day, PO, 5 to 7 days). 25,70a In most countries, these drugs are not licensed in the cat and must be obtained from a compounding pharmacist. Infections should be treated with broad-spectrum antibiotics. Occasionally, MH will resolve spontaneously, but it typically takes several weeks to
several months to resolve even with treatment.
Это букварь по которому работаю, The+Cat_Clinical+Medicine+and+Management, он трехлетний, т.е. достаточно свежий. Если стерилизовать не хочешь - или просто понаблюдай, или ищи ализин. Есть случаи последующей вязки на консервативном лечении