Gonadectomy before 2.9 years of age in female dogs and 2.2 years in males is associated with a substantially increased risk of Cranial Cruciate Ligament Disease (CrCLD), according to new research published in the Journal of Small Animal Practice1.

CrCLD has previously been suggested to be associated with gonad status, but there has been no clear consensus on how “early” gonadectomy should be defined in male or female dogs.

The study carried out a secondary analysis of data from more than 20,000 dogs spanning 36 years to explore the association between cumulative gonadal hormone exposure and risk of CrCLD.

Rather than categorising dogs using arbitrary age cut-offs, the researchers treated gonadal hormone exposure as a continuous variable.

In the dataset analysed, the prevalence of CrCLD was 2.49% in females and 1.89% in male dogs.

The risk of CrCLD was highest in dogs with the least gonadal hormone exposure — before 1054 days (approximately 2.9 years) in females and 805 days (approximately 2.2 years) in males.

The minimum risk was observed at around 2.9 years for females and 2.2 years for males.

The authors say that these findings suggest gonadectomy is very likely to be associated with an increased risk of CrCLD, and that previously suggested arbitrary cut-offs of two years of age may not be scientifically grounded.

Overall, the paper concluded that removal of gonadal hormones should be performed after musculoskeletal maturity, if at all.

Lead author Dr Daniel Low said there is an increasing body of evidence linking the development of CrCLD with neutering in both male and female dogs, and that the timing of neutering matters.

He added that the health benefits of neutering in reducing the risk of other diseases should not be overlooked, and that every decision to neuter should be made on a case-by-case basis by the attending veterinary surgeon in consultation with the animal owner.

Reference

  1. Low, D. (2026), Cumulative gonadal hormone exposure is nonlinearly associated with risk of canine cranial cruciate ligament disease: a generalised additive model analysis of 20,590 dogs (1988-2023). J Small Anim Pract, 67: 122-129. https://doi.org/10.1111/jsap.70023

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