Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

What's the right time to spay and neuter your dog?

July 30, 2009 / (41) comments


For most pets today, the most common recommendation is to spay and neuter at or before sexual maturity. It’s what most of us (veterinarians) advise by way of addressing the overwhelming overpopulation crisis pets suffer in this country. But some veterinary researchers are finding that this isn’t always best.

 

It’s true, the standard recommendations for six-month spays and neuters for dogs are starting to give way to new modes of thinking. With the advent of higher standards of care for individual pets, the ideal age for sterilization may well vary based on any individual dog’s specific needs. 

 

At this point, let me be clear: Cats should all be spayed and neutered at six months––maybe even younger in the context of a population control setting (like a shelter, rescue or trap-neuter-release program). 

 

If cats’ gonads are not removed, males will continue to fight and spray (unsafe outdoors and untenable indoors, respectively) and females’ heat cycles will continue to recur almost continuously. Outdoor females would then be subject to sexually transmitted diseases (like FIV) and would make for extra-noisy pets exhibiting sexually solicitive behaviors. Nice, right?

 

But for dogs? As I intimated before, the recommendation for ideal timing of spays and neuters dogs are under fire by several studies that have unearthed some very surprising details:

 

Dogs neutered at six months may have an increased incidence of cruciate ligament disease. This serious (and expensive) orthopedic condition means lifetime lameness without surgery and significant arthritis, even with surgery. 

 

Dogs may have a higher incidence of osteosarcoma ( a deadly bone cancer) when spayed and neutered at the recommended time over those spayed and neutered later. 

 

Female dogs are more likely to suffer hormone-related urinary incontinence after being spayed. The timing of the spay seems to play a role (dogs spayed at six months may be even more likely to suffer it than those spayed later). 

 

Neutered dogs have a higher incidence of prostatic cancer than unneutered dogs. Who the heck knows why?...but this we know. 

 

Most of these points are under review, which is why we veterinarians have not yet backed off on our standard recommendations. It’s also (and perhaps foremost) because population control is so critical––not to mention that we also know spays and neuters prevent many major diseases that can kill, too: behavioral conditions, mammary tumors, prostatic enlargement (not cancer), perineal hernias in males, testicular tumors and pyometras in females, among others.

 

So what’s a pet owner to do? 

 

Overall, it seems pretty clear that spays and neuters in dogs will continue to prevail at the standard, pre- or peri-pubertal timeframe. Population control is still too big an issue to ignore. But for owners with dogs whose specific individual health issues may lead them to question the timing, waiting to sterilize may be just the ticket. 

 

Stay tuned for a twist in this plot in tomorrow’s post

 

 

Dr. Patty Khuly

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COMMENTS (41)
1
by Storm Dog on 07/30/2009 10:39am

My dog is 2yrs old, male, and I haven't neutered him yet. Because of my new sibling, a few reasons such as that. I may be a bit young, but I'm in charge of him, and what surgeries he gets. Do you think I'm a deadbeat owner?

2
spay and nueter
by Summerbuddy on 07/30/2009 02:41pm

I had my 3 year od Catahoula spayed when she was 7 mos old and I felt quilty for that.Now you tell me my girl might be suseptuble to all these illnesses?That just proves that nobody really knows whats best for animals.

3
Spay/neuter timing
by Barb on 07/30/2009 03:30pm

Hi Dr. Patty -
Typo alert on the 9th paragraph. I think that first word is supposed to be "Neutered" rather than "Male"?

Great article! Like vaccinations, spay/neuter can be either good or bad for a particular pet depending on the timing and other individual factors.

4
Neutering
by drush@vulcraft-al.com on 07/30/2009 04:41pm

I have a 3 year old Yorkshire Terrier and I havent neutered him. I have been trying to do a lot of research on the subject and cant seem to receive enough evidence that it is better to neuter than not to. Besides lifting his leg up to use the restroom, I have no other problems with my Jazzy. Can you prove to me from a medical point that my Yorkie would be better off being neutered?

5
Typo
by Dr. Patty Khuly on 07/30/2009 05:37pm

Thanks, Barb. Can't catch 'em all with the spellchecker.

6
8 weeks?
by Woof on 07/30/2009 06:02pm

We'll be getting our dog from a breeder in Sep (born July 6). They spay/neuter at 8 weeks. Dr. Khuly, I'd like your opinion of performing the procedure at that age. Thanks!

7
Speutering
by Dr. Patty Khuly on 07/30/2009 06:18pm

Currently, the recommendations still favor neutering at six months for the reasons I listed above. You would do well to heed this given that waiting seems to offer fewer advantages for small dogs than large ones. It is NOT my intention to suggest that ANYONE put off neutering any dog UNLESS you have an express reason to do so. We're not yet sure of the whole picture, therefore it's best to have a complete discussion of pros and cons with your veterinarian.

8
8 weeks?
by Dr. Patty Khuly on 07/31/2009 10:47am

IMO, too young. I can understand why breeders do this: to ensure sterilization of all the pups they sell. It's a laudable goal and one I support for shelters and population control situations but one which serves the community of animals more so than it does the individual pet. Currently, there are no well-researched contraindications save the anesthetic risk, however, this very early sterilization approach has not yet been studied for its potentially negative impact over an animal's lifetime. Personally, if a breeder really wanted me to undertake this kind of very early spay and neutering I would be pushing for the much quicker and less invasive tubal ligation or vasectomy. Better anesthetically, though it does mean that the pet will have to undergo full spaying and neutering later on in life on to prevent the health-related issues associated with sex hormones.

9
Neutering cats
by Xslf on 08/02/2009 02:39pm

A vet told me recently that early neuter in cats can be a risk factor for urinary track blockage.
Is it so?
I'm trying to decide when it will be the best time to neuter my kitten, Jazz (he is an indoors only cat).

What do you think?

10
Wish we could wait...
by Woof on 08/03/2009 02:51pm

...but we cannot.

Dr. Khuly, thanks for your update. However, our breeder has a contract with the originating breeder of her dogs to spay/neuter at 8 weeks prior to releasing any puppies to new owners. She has had very good success doing so. Thanks again.

11
Neutering
by Judy Rocca on 08/03/2009 10:28pm

I have a two year old Shih-Tzu who I adore. She has not been neutered because I was contemplating breeding. Due to a change in my life breeding will not be possible and now I am not in a financial position to have her neutered right now.
Please let me know if there is an age when it is to late to neuter?
Thanks so much.

12
Too late to neuter?
by Dr. Patty Khuly on 08/05/2009 12:25pm

It's never too late until your dog gets a testosterone-related disease. I tend to think that anything after 3 to 5 years of age is pushing your luck.

13
incontinence with early neutering
by e.lambert on 08/21/2009 10:40pm

Can neutering a puppy too early cause incontinence? We have a shelter puppy who was neutered at an early age and he has problems controling his urination. all of our other dogs have been trained without problem except him and we were wondering if this could be a cause. we have had a urinalysis and it showed no infection.

14
Neutering/Urination
by Dr. Patty Khuly on 08/24/2009 05:49pm

Nope. Nothing in the literature or my experience would explain that in a male dog. We do see those that have inappropriate elimination issues lifelong, but it seems wholly unrelated to the neutering.

15
Studies on effects of neutering/spaying
by New Puppy on 08/24/2009 11:12pm

Hi,

While I'm completely in support of spaying and neutering (S/N) for population control in non-breeding pets, I have some concerns about the effects on the S/N'ed dogs.

Specifically, when the S/N surgery is done before sexual maturity, I am quite concerned about the negative effects of removal of hormones during a time when the dog is undergoing basic growth processes and maturing in other ways (bone growth, cranial plates closing properly, etc).

On the other hand, I have no desire at all to deal with full-on adult male dog behavior when my puppy gets older.

So, I feel stuck. I'm trying to allow the puppy to mature properly, but also prevent those behavioral problems later.

Please take a look at the paper at the link I provide below. I cannot say anything else about its source beyond what is given in the paper itself, but it does seem to legitimately question the customary, early S/N timing, in my opinion.

http://www2.dcn.org/orgs/ddtc/sfiles/LongTermHealthEffectsOfSpayNeuterInDogs.pdf

Comments would be appreciated, specifically about the optimum waiting time before neutering to allow proper growth but soon enough to prevent future behavioral problems.

Thank you.

16
Torn what to do - can you help???
by Wheaton Terrier Owner on 08/27/2009 01:32am

Dr. Patty Khuly, Thank you for your article, it was helpful but I am still torn on what to do. We have an 11 month old male Wheaton Terrier puppy. He has just learned to lift his leg in the last few weeks and is now starting to mark in our house in areas that he is not normally permitted to be in but can find ways to escape at time! I have heard that neurtering will help, but do you believe that we are too late if he has already started this behavior and the surgery will do nothing to help correct this behavior? I have also heard that he will become a little more calm but I don't want to change his personality. What are the risks of the surgery? I would hate to have him be subjected to elective surgery that at the end of the day he would receive no benefit and could cause more harm. I am really confused on what to do. Any advise you could provide would be greatly appreciated.

Wheaton Terrier Owners :-)

17
Personality change
by Dr. Patty Khuly on 08/28/2009 01:15pm

It's a myth that neutering will trigger a personality change. Pets are essentially unchanged, personality-wise after the sterilization process. It does, however, take the edge off the aggression and minimizes roaming and territorial behavior (like peeing on everything, indoors and out). Even an older dog will typically experience an improvement in the urination department so you are definitely not too late if you elect a neuter now. Moreover, it's a procedure with very few complications attached. Mild swelling at the site and the possibility of pets biting at their stitches are the biggest problems we typically see. Hope that helps.

18
anesthesia risk?
by vabird on 09/03/2009 11:09pm

I have to ask you, Dr. Khuly, to explain your statement that pediatric patients are at a greater risk from undergoing anesthesia. I don't believe there is any proof that this is so. With 25 years of experience in veterinary anesthesia and having done quite a few early spay/neuters, I have found that these young ones, with proper drug selection, do better under anesthesia than even six month olds. I think a case can be made against all dogs undergoing early spay/neuter but I don't think risk of anesthesia is a reason to avoid it.

19
Anesthesia risk
by Dr. Patty Khuly on 09/04/2009 11:11am

You're right, anesthesia risks have not been quantified in vet peds. The common reference to anesthesia risk comes from the lack of evidence in this area––and because the drug manufacturers do not typically include pediatric patients in their trials. Furthermore, anecdotally speaking, I find that very young pediatric patients are more likely to suffer more severe reactions. My experience with TNR in cats helps inform me on this. Hope that clarifies my POV.

20
Response possible?
by New Puppy on 09/06/2009 01:52am

Hi, Thanks for all of the good information that you share with us. Any chance of a reply to the "Studies ..." post above on 8/24, beyond what's been said? Looking for a reply that addresses the timing of dog growth with the effect of removal of hormones (via neutering). Thanks.

21
spaying
by katy on 09/09/2009 12:42pm

I enjoyed your article, and information you've provided.
My daughter adopted/rescued a wonderful black lab female. She was living in Michigan at the time. She's had to relocate back home. Home is Long Island, NY.
I've also discovered that this wonderful dog was not spayed before she became my daughters dog. She's about 2yrs/give or take a few months. We NEED to have her altered. Do we wait till she is out of "heat", and how long is that on the average ??

22
by dot on 11/03/2009 07:05am

So what is the answer?!?!

23
spay/neutering
by sdavis041552 on 11/17/2009 10:10am

We have a six month old male Boxer who we wish to get neutered and our vet is making us wait an extra month because he currently has skin mites and is on medication.... he is already exhibiting male sexual behavior and we are all nervous that if he is not neutered soon he'll be doing this behavior in unacceptable situations... (like around people)... our question is it really necessary that we wait on this surgery due to him being on medication?

24
age
by amy b on 11/26/2009 11:11pm

i have a 5-6 year old mixed mutt who weighs about 15 pounds. when i adopted her from the local pound they guessed she was about 2-3 years old. i've been considering getting her fixed but had a couple questions...1) how long would a dog her size typically go into heat? i don't want to spend the money, only then to find out that in a year or two it would have stopped naturally. 2) are there any concerns with getting a dog her age fixed? should i have done it sooner, because at this point the risks are greater than the advantages?

25
Vasectomy?
by Fausty on 12/04/2009 07:32pm

If the overwhelming consensus of existing, peer-reviewed research is that castrating male dogs carries with it a whole host of long-term health damage (entirely unsurprisingly, given decades of findings demonstrating exactly that in humans), how could ANY vet keep recommending this elective amputation surgery? Is there any other surgical procedure you continue to recommend, basically because of momentum and "everyone does it," which has been proved to be this physically destructive to your "patients?"

Given that castrating dogs makes up a substantial portion of revenue for most small-animal veterinarians, is it safe to conclude that the financial incentive to continue this form of genital mutilation is exclusively financial? If that is not the driving factor here, what is?

Obviously, the claim that "population control" is the reason is silly. If that were really the concern, vasectomies would be the chosen surgery - they are safer to do, easier to do, have less side-effects, lower rates of complication, and none of the health impact of castration. However, most vets avoid discussing vasectomies (or tubal litigation) as if they are taboo subjects. Why? Given that both of these procedures are safer for the "patient" and exactly as effective in population control, that's obviously a red herring.

Finally, it's interesting you repeat the disproved statements about castration being acceptable because of "behavioral changes" - surely you are aware of research demonstrating that old wive's tail is completely unsupported by empirical facts. Further, research demonstrates what any experienced dog person knows already - spayed bitches exhibit MORE aggression problems, both with dogs and with humans. Do you need someone to post the literature citations for these studies, or do you have them on hand?

While I give you some credit for "admitting" that the research data on castration exists - most vets just pretend otherwise, even when faced with extensive literature citations - your claim that these findings are still "under review" is beyond disingenuous. While ANY finding is always subject to new data, these findings are backed up by dozens of independent studies already - and by the commonsense reality that cutting parts off of healthy mammals doesn't tend to result in *improved* health. I suspect Hippocrates himself could have stated the same.

However, by repeating the disproved nonsense about "temperament" changes from castration, you return to the "just-so-story" form of veterinary medicine. Further, you ignore the obvious question of whether elective amputation to "control temperament" is at all ethically acceptable in companion animals. Are lobotomies another procedure you will subject your "patients" to, if requested, to make them "simpler?" Supporting elective surgery to modify behavior is entirely outside the bounds of any version of acceptable veterinary ethics - and yet you seem to be suggesting that castration is acceptable for just that reason.

Interested to hear your feelings on these matters.

Regards,

Fausty | www.zetawisdom.net

26
Brown/smelly Vaginal Discharge
by Dawn on 12/07/2009 08:00pm

My 19 month old dapple dachshund has a brownish (dried blood looking) discharge that smells like menstruation. This happens every so often and sometimes last a couple of days. She has no problems with urinating or anything else that would be out of the ordinary. She has had this problem since i got her at 6 months old. She is spayed and was so at 6 months. Can you please help me understand what is wrong.

27
Spaying due to inverted vulva
by Dawn on 12/07/2009 08:44pm

My vet recommended that I have my bitch spayed at 6 months due to her having a inverted vulva. I always felt that I should wait till after her first heat. I have also read that it is not good to have them fixed before that first heat if the vulva is inverted. I am unsure what I should do about this, could you please help me, my girl just turned 6 months.

28
Neutering
by Steve Francisco on 12/18/2009 07:08am

Do male dogs have much pain after this procedure? does the Vet give them a long lasting local anestetic for post-op comfort?

29
Neutering pain
by Dr. Patty Khuly on 12/18/2009 08:26am

You'd be surprised. There's not so much pain as you might assume. Keeping dogs quiet after the procedure is crucial, however. Swelling and infection are the real downers, post-operatively. We do, however, routinely employ pre- and post-op drugs to alleviate minor pain––usually an NSAID.

30
nutering opinion
by Claudia Parisi on 01/17/2010 01:42pm

sometimes when you wait for maturity, you get litters.

31
In Heat
by Marie on 01/20/2010 04:28pm

M dog is a 5yr old female Shih Tzu. How long do these dogs stay in heat?

32
Bruised after Neutering
by Maltese on 02/02/2010 10:42pm

my dog is 1yr, I had him neutered a week ago. He is wearing an e-collar b/c he licks, his testiciles are red and soar ... he goes from one rug to another, he will not allow me to touch him - they looked chaped. Please advise. I want to make him comfortable.

33
puppy's bladder
by kelly koca on 02/04/2010 11:28pm

my 12 wk. old altered puppy is squatting every few min.to pee. sometimes nothing even comes out. I had her tested for u.t.i. which was neg. could this problem last her lifetime if it's her bladder or kidneys?

34
to kelly
by Dr. Patty Khuly on 02/06/2010 07:12am

More than likely you've got a simple urinary tract infection. Can't say for sure, of course, but it's much more common at that age than a lifelong hormone-related incontinence. Have it checked out at your vet's since it's kind of uncomfortable and you want to provide relief ASAP.

35
Nueter
by Forester on 02/20/2010 06:38pm

I have an almost 1.5 year old lab that is unaltered because I hunt him and would like to breed him some day. I am wondering first if he is too old to nueter? Would it have any effect on his behavior? What behavior changes might I expect? The problem I am having is when hunting he is great if he is the only dog. However he is not aggressive and does not pay much mind to other dogs. However his marking increases and he "rolls" on birds every once in a while, but only when around other male dogs. Could nuetering be the answer to my problems?

36
4 month old labs
by maryxc1 on 06/10/2010 01:17pm

We have two 4 month old lab puppies. One is a boy and the other is a girl. They are scheduled to be spayed and neutered at 5 months. I am concerned that this is too soon. I don't want to wait too long, though, since they live together and we definately do not want them breeding with each other (they are siblings). When should we have this done?

Second, they are currently scheduled to have their operations at the same time. Is this a good idea or should we do one then the other? We will try to keep them seperate as long as possible but they are outdoor dogs so this will be hard to do for more than a day or two.

37
HELP PLEASE!
by washburns on 07/06/2010 08:21pm

My husband and I got a 6 week old male mut (some boxer, lab and hound of some sort) from the pound at the end of April. He was rather difficult as we began to potty train him. Within the first week, he peed all over my couch in his sleep. I attributed this to his age. He has had regular vet visits and all the appropriate shots so far. The shelter told us he needed to be neutered at 9 weeks, which we did and he bounced right back. At around 2 and a half months, he began to bark at the door when he needed out and started doing so much better. We were so happy for 3 weeks. Then at around 13 weeks, he began leaking urine and peeing constantly. We gave him a 4 day penicillin treatment after determining a UTI. This helped a little bit, but now he is peeing on purpouse on things, in the floor, once more in his sleep and in his cage. He has peed on me 3 times on purpose. He peed on my purse, my shoe, the couch and various other things. He also seems to pee more often than normal. He has never lifted his leg, but I considered he was marking his territory because he has shown signs of being a rather dominant dog, but he has been fixed! Is that possible?
Also, I read all of the info on here about not fixing a dog until sexual maturity, but for my dog, that was not 6 months. He began his dominant sexual actions (hunching) at 8 weeks old. He will still occasionally do it to my male cat and his stuffed penguin. I have never had such a hard time with an animal and have never seen such things as peeing in the sleeping area, peeing on himself and peeing on people on purpose. Please help me. My dog actually developed a rash on his tummy above his penis due to irritation from peeing on himself.

38
Humping Puppies
by CatsDaddy on 07/28/2010 03:20am

I have 2 chihuahua puppies they are brothers from the same litter. They are 10 months old and have started humping each other and one dog hikes his leg and pees on my wall. I trained them to use puppy pads since they were weined. They rip up the pad even after being well fed. They play very rough with each other and have had to separate them for a few days. If I have them neutered will this behavior stop or did I wait too late? Other than the problems listed, they are pretty good dogs! One is a faithful lapdog and the other does his own thing and comes when he wants to be petted. I love my little men! lol

39
The surgery has many benefits
by Vanessa22 on 08/13/2010 06:42am

The surgery has many benefits other than preventing unwanted puppies.

* Spayed before her first heat, a female has almost zero chance of getting mammary gland cancer. After the first heat, the chance is only 7 percent; 25 percent after the second heat. Past that (even far, far past), spaying will still reduce risk.
* Spaying prevents pyometra, a common, life-threatening infection of the uterus. Typically, it's middle-aged (or older) females who get it, about six weeks after a heat cycle. The treatment is an emergency spay.
* Neutering prevents some cancers of the testicle and anus, and it helps prevent some significant prostate problems in males.

40
by bev1961 on 08/21/2010 12:47pm

how long does the menustral cycle last? I just acquired a jack russell terrier in the past 3 months. She just showed signs of coming in heat. She is about 18 months old. Is this about the age it starts?

41
vitamins for neutered dog
by phrenesis on 08/31/2010 04:25am

Hello,
I adopted my neutered 8wk old lab/chow pup from the shelter. I've heard large breed dogs are esp., susceptible to bone disease and arthritis among other things if sterilized too young. Should I start giving my pup calcium or vitamins. If so, which would be best? Thanks

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About fully vetted

Jennifer Coates, DVM

Photo of Dr Coates

Image credit: Jim Piraino

...graduated with honors from the Virginia-Maryland Regional College of Veterinary Medicine in 1999. In the years since, she has practiced veterinary medicine in Virginia, Wyoming, and Colorado. She is the author of several books about veterinary medicine and animal care, including the Dictionary of Veterinary Terms: Vet-Speak Deciphered for the Non-Veterinarian. Dr. Coates also writes short stories that focus on the strength and importance of the human-animal bond, and freelance articles relating to a variety of animal care and veterinary topics. Dr. Coates lives in Fort Collins, Colorado with her husband, daughter, and various species of pets.

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