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American Cocker Spaniel

Breed Organization

American Spaniel Club, Inc.
Secretary: Kathleen Patterson
P.O. Box 4194
Frankfort, KY 40601-4426
Website: www.asc-cockerspaniel.org

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American Cocker Spaniel



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Some of the reference material was provided by:

Group

Sporting Group - American Kennel Club, Fédération Cynologique Internationale, Kennel Club of Great Britain, Canadian Kennel Club, Australian National Kennel Council, New Zealand Kennel Club, United Kennel Club

Native Country

United States Of America

Other Names

Cocker Spaniel, Cocker.

Breed Appearance

The signature trait of the American Cocker Spaniel is it's dark, expressive eyes that reflect a happy, loving, and active nature. Cockers are a dropped eared breed (pendulous ears) and the mature Cocker is shown in a full feathered, silky coat. After its show career ends, the fur is often trimmed into a "puppy cut", shortened on the legs, sides and belly, that is easier to keep whether as a pet, performance dog, or hunting companion. It is important to keep the hair clipped from both sides of the ear about one third down the ear flap. This helps to keep air flowing through the ear canal and reduce risk of ear infections from bacteria, injury or parasites.

Cockers weigh an average of 18 to 28 pounds. For show dogs, the ideal height of a Cocker Spaniel is 15 inches for dogs and 14 inches for bitches at the withers. An adult male who is over 15.5 inches, or an adult bitch over 14.5 inches would be disqualified in a conformation show. Bone and head size should be in proportion to the overall balance of the dog.

Breed Description

Head: Finely chiseled. Rounded skull. Clearly pronounced brow bones. Pronounced stop. Broad, high muzzle. Black or brown nose, depending on coat color.

Ears: Long, thin, well-feathered.
Eyes: Slightly almond-shaped, brown, as dark as possible, with an irresistible pleading expression.
Body: Short, compact. Fairly long, muscular neck without dewlap. High, broad chest. Well-sprung ribs. Strong back. Broad croup
Tail: Set on and carried level with the topline or slightly higher. Docked. Wagging in action.
Hair: Short and fine on the head. Medium in length on the body. Ears, chest, abdomen, and legs well-feathered. Hair is silky, flat, or slightly wavy. Undercoat.
Coat: Solid black. Black with tan tips. A small amount of white on the chest and/or throat is allowed. Any solid color other than black. Parti-color: two or more well-broken, well-distributed colors, one of which must be white. Roans are classified as parti-colors. Tan markings range from the lightest cream to the darkest red and should cover no more than 10% of the coat. Tan markings above each eye, on the sides of the muzzle and cheeks, on the underside of the ears, on all feet and/or legs, on the chest, and under the tail.
Size: Dog: 36 to 39 cm (14-15.5 in). Bitch: 34 to 36 cm (13.5-14 in).
Weight: 10 to 13 kg (22-28,5 lb).


History

The American Cocker Spaniel is a direct descendent of the English Cocker Spaniel. In 1882 he was introduced to the United States, where breeders wanted to develop a small companion dog with a marvelous coat. Recognized by the American Kennel Club in 1946, the American Cocker Spaniel has become the most popular dog in the US. He was brought to France in 1956.

Behavior

Solid, fast, easygoing, even-tempered, and merry, the American Cocker Spaniel is a good companion. He is a show dog and a pet, rather than a hunting dog. A bit stubborn, he needs firm training.

Health

American Cocker Spaniels in UK and USA/Canada surveys had a median lifespan of about 10-11 years, which is on the low end of the typical range for purebred dogs, and 1-2 years less than other breeds of their size. The larger English Cocker Spaniel typically lives about a year longer than the American Cocker Spaniel.

American Cocker Spaniels are susceptible to a variety of maladies, particularly infections affecting their ears and, in some cases, their eyes. As a result, they may require more medical attention than some other breeds. Common eye problems in Cockers include progressive retinal atrophy (PRA), glaucoma, and cataracts. The American Spaniel Club recommends annual eye exams by a veterinary ophthalmologist for all dogs used for breeding. Autoimmune problems in Cockers include autoimmune hemolytic anemia (AIHA) and ear inflammations. Less common are luxating patellas and hip dysplasia. Dogs used for breeding can be checked for both of these conditions, and dogs free of hip dysplasia can be certified by the Orthopedic Foundation for Animals (OFA).

Advice

He can adapt to apartment life, as long as he is taken on daily walks. He requires daily brushing and combing, bimonthly bathing, and monthly grooming. His ears need regular attention.

Their temperament is typically joyful and trusting. The ideal Cocker temperament is merry, outgoing, and eager to please everyone. They can be good with children and usually sociable and gentle with other pets. They tend to be soft dogs who do not do well with rough or harsh training. The popularity of the American Cocker Spaniel led to a considerable amount of irresponsible breeding in an attempt to keep up with the demand. The results have included fearful or aggressive behavior in some of the dogs, submissive urination, and resource guarding. Responsible breeders have worked diligently to eliminate these negative characteristics while trying to educate the public regarding responsible breeding. Temperament of the American Cocker Spaniel should always be the primary concern when breeding these dogs. As with all puppies, owners are advised to choose their breeder carefully.

Function

Companion dog.


Breed Standard From The American Spaniel Club, Inc. (ASC)

General Appearance: The Cocker Spaniel is the smallest member of the Sporting Group. He has a sturdy, compact body and a cleanly chiseled and refined head, with the overall dog in complete balance and of ideal size. He stands well up at the shoulder on straight forelegs with a topline sloping slightly toward strong, moderately bent, muscular quarters. He is a dog capable of considerable speed, combined with great endurance. Above all, he must be free and merry, sound, well balanced throughout and in action show a keen inclination to work. A dog well balanced in all parts is more desirable than a dog with strongly contrasting good points and faults.
Size, Proportion, Substance: Size-The ideal height at the withers for an adult dog is 15 inches and for an adult bitch, 14 inches. Height may vary one-half inch above or below this ideal. A dog whose height exceeds 15-1/2 inches or a bitch whose height exceeds 14-1/2 inches shall be disqualified. An adult dog whose height is less than 14-1/2 inches and an adult bitch whose height is less than 13-1/2 inches shall be penalized. Height is determined by a line perpendicular to the ground from the top of the shoulder blades, the dog standing naturally with its forelegs and lower hind legs parallel to the line of measurement. Proportion-The measurement from the breast bone to back of thigh is slightly longer than the measurement from the highest point of withers to the ground. The body must be of sufficient length to permit a straight and free stride; the dog never appears long and low.
Head: To attain a well proportioned head, which must be in balance with the rest of the dog, it embodies the following:
Expression-The expression is intelligent, alert, soft and appealing. Eyes-Eyeballs are round and full and look directly forward. The shape of the eye rims gives a slightly almond shaped appearance; the eye is not weak or goggled. The color of the iris is dark brown and in general the darker the better.
Ears-Lobular, long, of fine leather, well feathered, and placed no higher than a line to the lower part of the eye.
Skull-Rounded but not exaggerated with no tendency toward flatness; the eyebrows are clearly defined with a pronounced stop. The bony structure beneath the eyes is well chiseled with no prominence in the cheeks. The muzzle is broad and deep, with square even jaws. To be in correct balance, the distance from the stop to the tip of the nose is one half the distance from the stop up over the crown to the base of the skull.
Nose-of sufficient size to balance the muzzle and foreface, with well developed nostrils typical of a sporting dog. It is black in color in the blacks, black and tans, and black and whites; in other colors it may be brown, liver or black, the darker the better. The color of nose harmonizes with the color of the eye rim.
Lips-The upper lip is full and of sufficient depth to cover the lower jaw.
Teeth-Teeth strong and sound, not too small and meet in a scissors bite.
Neck, Topline, Body:
Neck-The neck is sufficiently long to allow the nose to reach the ground easily, muscular and free from pendulous "throatiness." It rises strongly from the shoulders and arches slightly as it tapers to join the head.
Topline-sloping slightly toward muscular quarters.
Body-The chest is deep, its lowest point no higher than the elbows, its front sufficiently wide for adequate heart and lung space, yet not so wide as to interfere with the straightforward movement of the forelegs. Ribs are deep and well sprung. Back is strong and sloping evenly and slightly downward from the shoulders to the set-on of the docked tail. The docked tail is set on and carried on a line with the topline of the back, or slightly higher; never straight up like a Terrier and never so low as to indicate timidity. When the dog is in motion the tail action is merry.
Forequarters: The shoulders are well laid back forming an angle with the upper arm of approximately 90 degrees which permits the dog to move his forelegs in an easy manner with forward reach. Shoulders are clean-cut and sloping without protrusion and so set that the upper points of the withers are at an angle which permits a wide spring of rib. When viewed from the side with the forelegs vertical, the elbow is directly below the highest point of the shoulder blade. Forelegs are parallel, straight, strongly boned and muscular and set close to the body well under the scapulae. The pasterns are short and strong. Dewclaws on forelegs may be removed. Feet compact, large, round and firm with horny pads; they turn neither in nor out.
Hindquarters: Hips are wide and quarters well rounded and muscular. When viewed from behind, the hind legs are parallel when in motion and at rest. The hind legs are strongly boned, and muscled with moderate angulation at the stifle and powerful, clearly defined thighs. The stifle is strong and there is no slippage of it in motion or when standing. The hocks are strong and well let down. Dewclaws on hind legs may be removed.
Coat: On the head, short and fine; on the body, medium length, with enough undercoating to give protection. The ears, chest, abdomen and legs are well feathered, but not so excessively as to hide the Cocker Spaniel's true lines and movement or affect his appearance and function as a moderately coated sporting dog. The texture is most important. The coat is silky, flat or slightly wavy and of a texture which permits easy care. Excessive coat or curly or cottony textured coat shall be severely penalized. Use of electric clippers on the back coat is not desirable. Trimming to enhance the dog's true lines should be done to appear as natural as possible.
Color and Markings:
Black Variety-Solid color black to include black with tan points. The black should be jet; shadings of brown or liver in the coat are not desirable. A small amount of white on the chest and/or throat is allowed; white in any other location shall disqualify.
Any Solid Color Other than Black (ASCOB)-Any solid color other than black, ranging from lightest cream to darkest red, including brown and brown with tan points. The color shall be of a uniform shade, but lighter color of the feathering is permissible. A small amount of white on the chest and/or throat is allowed; white in any other location shall disqualify.
Parti-Color Variety-Two or more solid, well broken colors, one of which must be white; black and white, red and white (the red may range from lightest cream to darkest red), brown and white, and roans, to include any such color combination with tan points. It is preferable that the tan markings be located in the same pattern as for the tan points in the Black and ASCOB varieties. Roans are classified as parti-colors and may be of any of the usual roaning patterns. Primary color which is ninety percent (90%) or more shall disqualify.
Tan Points-The color of the tan may be from the lightest cream to the darkest red and is restricted to ten percent (10%) or less of the color of the specimen; tan markings in excess of that amount shall disqualify. In the case of tan points in the Black or ASCOB variety, the markings shall be located as follows:
A clear tan spot over each eye;
On the sides of the muzzle and on the cheeks;
On the underside of the ears;
On all feet and/or legs;
Under the tail;
On the chest, optional; presence or absence shall not be penalized.
Tan markings which are not readily visible or which amount only to traces, shall be penalized. Tan on the muzzle which extends upward, over and joins shall also be penalized. The absence of tan markings in the Black or ASCOB variety in any of the specified locations in any otherwise tan-pointed dog shall disqualify.
Gait: The Cocker Spaniel, though the smallest of the sporting dogs, possesses a typical sporting dog gait. Prerequisite to good movement is balance between the front and rear assemblies. He drives with strong, powerful rear quarters and is properly constructed in the shoulders and forelegs so that he can reach forward without constriction in a full stride to counterbalance the driving force from the rear. Above all, his gait is coordinated, smooth and effortless. The dog must cover ground with his action; excessive animation should not be mistaken for proper gait.
Temperament: Equable in temperament with no suggestion of timidity.

Disqualifications:
Height-Males over 15-1/2 inches; females over 14-1/2 inches.
Color and Markings-The aforementioned colors are the only acceptable colors or combination of colors. Any other colors or combination of colors to disqualify.
Black Variety-White markings except on chest and throat.
Any Solid Color Other Than Black Variety-White markings except on chest and throat.
Parti-color Variety-Primary color ninety percent (90%) or more.
Tan Points - (1) Tan markings in excess of ten percent (10%); (2) Absence of tan markings in Black or ASCOB Variety in any of the specified locations in an otherwise tan pointed dog.



Some reference material was provided by:


        

American Kennel Club

Breed Standard From The American Kennel Club, (AKC)

The Cocker Spaniel has been recognized by the American Kennel Club but due to copyright restrictions the Furry Critter Network will not publish the standard. However, we can link to it: Breed Standard From The American Kennel Club (AKC) - Cocker Spaniel


Fédération Cynologique Internationale

Breed Standard From The Fédération Cynologique Internationale, (FCI)

Currently Researching Sources


The Kennel Club of Great Britain

Breed Standard From The Kennel Club of Great Britain

Currently Researching Sources


The Canadian Kennel Club

Breed Standard From The Canadian Kennel Club, (CKC)

Currently Researching Sources


The Australian National Kennel Council

Breed Standard From The Australian National Kennel Council, (ANKC)

Currently Researching Sources


The New Zealand Kennel Club

Breed Standard From The New Zealand Kennel Club, (NZKC)

Currently Researching Sources


The United Kennel Club

Breed Standard From The United Kennel Club, (UKC)

Currently Researching Sources



Physical Characteristics - General Canine Information


Many dogs, such as the American Water Spaniel, have had their natural hunting instincts suppressed or altered to suit human needs. Modern dog breeds show more variation in size, appearance, and behavior than any other domestic animal. Within the range of extremes, dogs generally share attributes with their wild ancestors, the wolves. Dogs are predators and scavengers, possessing sharp teeth and strong jaws for attacking, holding, and tearing their food. Although selective breeding has changed the appearance of many breeds, all dogs retain basic traits from their distant ancestors. Like many other predatory mammals, the dog has powerful muscles, fused wristbones, a cardiovascular system that supports both sprinting and endurance, and teeth for catching and tearing. Compared to the bone structure of the human foot, dogs technically walk on their toes.

Sight: Like most mammals, dogs are dichromats and have color vision equivalent to red-green color blindness in humans.

Different breeds of dogs have different eye shapes and dimensions, and they also have different retina configurations. Dogs with long noses have a "visual streak" which runs across the width of the retina and gives them a very wide field of excellent vision, while those with short noses have an "area centralis" - a central patch with up to three times the density of nerve endings as the visual streak — giving them detailed sight much more like a human's.

Some breeds, particularly the sighthounds, have a field of vision up to 270° (compared to 180° for humans), although broad-headed breeds with short noses have a much narrower field of vision, as low as 180°.

Hearing: Dogs detect sounds as low as the 16 to 20 Hz frequency range (compared to 20 to 70 Hz for humans) and above 45 kHz[22] (compared to 13 to 20 kHz for humans), and in addition have a degree of ear mobility that helps them to rapidly pinpoint the exact location of a sound. Eighteen or more muscles can tilt, rotate and raise or lower a dog's ear. Additionally, a dog can identify a sound's location much faster than a human can, as well as hear sounds up to four times the distance that humans are able to. Those with more natural ear shapes, like those of wild canids like the fox, generally hear better than those with the floppier ears of many domesticated species.

Smell: Scent hounds, especially the Bloodhound, are iconic for their keen sense of smellDogs have nearly 220 million smell-sensitive cells over an area about the size of a pocket handkerchief (compared to 5 million over an area the size of a postage stamp for humans). Some breeds have been selectively bred for excellence in detecting scents, even compared to their canine brethren. What information a dog actually detects when he is scenting is not perfectly understood; although once a matter of debate, it now seems to be well established that dogs can distinguish two different types of scents when trailing, an air scent from some person or thing that has recently passed by, as well as a ground scent that remains detectable for a much longer period. The characteristics and behavior of these two types of scent trail would seem, after some thought, to be quite different, the air scent being intermittent but perhaps less obscured by competing scents, whereas the ground scent would be relatively permanent with respect to careful and repetitive search by the dog, but would seem to be much more contaminated with other scents. In any event, it is established by those who train tracking dogs that it is impossible to teach the dog how to track any better than it does naturally; the object instead is to motivate it properly, and teach it to maintain focus on a single track and ignore any others that might otherwise seem of greater interest to an untrained dog. An intensive search for a scent, for instance searching a ship for contraband, can actually be very fatiguing for a dog, and the dog must be motivated to continue this hard work for a long period of time.

The meaning of "intelligence" in general, not only in reference to dogs, is hard to define. Some tests measure problem-solving abilities and others test the ability to learn in comparison to others of the same age. Defining it for dogs is just as difficult. It is likely that dogs do not have the ability to premeditate an action to solve a problem.

Coat Color: Domestic dogs often display the remnants of counter-shading, a common natural camouflage pattern. The general theory of countershading is that an animal that is lit from above will appear lighter on its upper half and darker on its lower half where it will usually be in its own shade. This is a pattern that predators can learn to watch for. A countershaded animal will have dark coloring on its upper surfaces and light coloring below. This reduces the general visibility of the animal. One reminder of this pattern is that many breeds will have the occasional "blaze", stripe, or "star" of white fur on their chest or undersides.

Sprint Metabolism: Dogs can generate large amounts of energy for a short period of time. A dog's heart and lungs are oversized relative to its body and its normal everyday needs. A dog also has relatively more red blood cells than a human. Most of the time the dog will keep the extra red blood cells stored in its spleen. When the animal enters into a situation where its full metabolism is required, such as play, catching game, or fighting other dogs, the extra cells are released into the bloodstream. The "oversized" heart and lungs will now be running at full capacity, and the animal will have an enhanced ability to engage in aerobic activity. This activity will produce internal heating. Dogs, being covered in fur, are limited in their ability to cool down. After a short time the animal must either cease its athletic activity or risk harming itself from overheating. One can easily observe this pattern of intense activity followed by rest periods in puppies. During the rest phase the spleen collects red blood cells and the animal may pant to cool down.

Behavior and Intelligence: Many dogs can be trained to skillfully perform tasks not natural to canines, such as in this dog agility competition.Dogs are valued for their intelligence. This intelligence is expressed differently with different breeds and individuals, however. For example, Border Collies are noted for their ability to learn commands, while other breeds may not be so motivated towards obedience, but instead show their cleverness in devising ways to steal food or escape from a yard. Being highly adaptable animals themselves, dogs have learned to do many jobs as required by humans over the generations.

Dogs are employed in various roles across the globe, proving invaluable assets in areas such as search-and-rescue; law enforcement (including attack dogs, sniffer dogs and tracking dogs); guards for livestock, people or property; herding; Arctic exploration sled-pullers; guiding the blind and acting as a pair of ears for the deaf; assisting with hunting, and a great many other roles which they may be trained to assume. Most dogs rarely have to deal with complex tasks and are unlikely to learn relatively complicated activities (such as opening doors) unaided. Some dogs (such as guide dogs for the visually impaired) are specially trained to recognize and avoid dangerous situations.

For example, the ability to learn quickly could be a sign of intelligence. Conversely it could be interpreted as a sign of a desire to please. In contrast, some dogs who do not learn very quickly may have other talents. An example is breeds that are not particularly interested in pleasing their owners, such as Siberian Huskies. Huskies are often fascinated with the myriad of possibilities for escaping from yards, catching small animals, and often figuring out on their own numerous inventive ways of doing both.

Assistance dogs are also required to be obedient at all times. This means they must learn a tremendous number of commands, understand how to act in a large variety of situations, and recognize threats to their human companion, some of which they might never before have encountered.

Many owners of livestock guardian breeds believe that breeds like the Great Pyrenees or the Kuvasz are not easily trained because their stubborn nature prevents them from seeing the point of such commands as "sit" or "down". Hounds may also suffer from this type of ranking. These dogs are bred to have more of a "pack" mentality with other dogs and less reliance on a master's direct commands. While they may not have the same kind of intelligence as a Border Collie, they were not bred to learn and obey commands quickly, but to think for themselves while trailing game.

Human Relationships: Dogs have been used for a wide variety of purposes in human history. Dogs are highly social animals sometimes regarded as the most social animals on earth. This can account for their trainability, playfulness, and ability to fit into human households and social situations. This similarity has earned dogs a unique position in the realm of interspecies relationships despite being one of the most effective and potentially dangerous predators. Dogs and humans at times co-operate in some of the most effective hunting in the animal world; in that context, dogs are superpredators.

The loyalty and devotion that dogs demonstrate as part of their natural instincts as pack animals closely mimics the human idea of love and friendship, leading many dog owners to view their pets as full-fledged family members. Conversely, dogs seem to view their human companions as members of their pack, and make few, if any, distinctions between their owners and fellow dogs. Dogs fill a variety of roles in human society and are often trained as working dogs. For dogs that do not have traditional jobs, a wide range of dog sports provide the opportunity to exhibit their natural skills. In many countries, the most common and perhaps most important role of dogs is as companions.

Dogs have lived and worked with humans in so many roles that their loyalty has earned them the unique sobriquet "man's best friend".

Dog Communication: Laughter might not be confined or unique to humans, despite Aristotle's observation that "only the human animal laughs". The differences between chimpanzee and human laughter may be the result of adaptations that have evolved to enable human speech. However, some behavioral psychologists argue that self-awareness of one's situation, or the ability to identify with somebody else's predicament, are prerequisites for laughter, so animals are not really laughing in the same way that humans do. The dog-laugh sounds similar to a normal pant. However by analyzing the pant using a spectrograph, this pant varies with bursts of frequencies, resulting in a laugh. When this recorded dog-laugh vocalization is played to dogs in a shelter setting, it can initiate play, promote pro-social behavior, and decrease stress levels. In a study by Simonet, Versteeg, and Storie, one hundred and twenty subject dogs residing in a mid-size county animal shelter were observed. Dogs ranging from 4 months to 10 years of age were compared with and without exposure to a dog-laugh recording. The stress behaviors measured included panting, growling, salivating, pacing, barking, cowering, lunging, play-bows, sitting, orienting and lying down. The study resulted in positive findings. Exposure to the dog laughing recording resulted in the following: significantly reduced stress behaviors, increased tail wagging and the display of a play-face when playing was initiated, and more frequent pro-social behavior such as approaching and lip licking. This research suggests exposure to dog-laugh vocalizations can calm and possibly increase shelter adoptions.

Reproduction: In domestic dogs, sexual maturity (puberty) begins to happen around age 6 to 12 months for both males and females, although this can be delayed until up to two years old for some large breeds. Adolescence for most domestic dogs is around 12 to 15 months, beyond which they are for the most part more adult than puppy. As with other domesticated species, domestication has selectively bred for higher libido and earlier and more frequent breeding cycles in dogs, than in their wild ancestors. Dogs remain reproductively active until old age.

Most female dogs have their first estrous cycle between 6 and 12 months, although some larger breeds delay until as late as 2 years. Females experience estrous cycles biannually ,during which her body prepares for pregnancy, and at the peak she will come into estrus, during which time she will be mentally and physically receptive to copulation.

Dogs bear their litters roughly 56 to 72 days after fertilization, although the length of gestation can vary. An average litter consists of about six puppies, though this number may vary widely based on the breed of dog. Toy dogs generally produce from one to four puppies in each litter, while much larger breeds may average as many as 12 pups in each litter.

Spaying and Neutering: Neutering (spaying females and castrating males) refers to the sterilization of animals, usually by removal of the male's testicles or the female's ovaries and uterus, in order to eliminate the ability to procreate, and reduce sex drive. Neutering has also been known to reduce aggression in male dogs, but has been shown to occasionally increase aggression in female dogs. Animal control agencies in the United States and the ASPCA advise that dogs not intended for further breeding should be neutered so that they do not have undesired puppies.

Because of the overpopulation of dogs in some countries, puppies born to strays or as the result of accidental breedings often end up being killed in animal shelters. Neutering can also decrease the risk of hormone-driven diseases such as mammary cancer, as well as undesired hormone-driven behaviors. However, certain medical problems are more likely after neutering, such as urinary incontinence in females and prostate cancer in males. The hormonal changes involved with sterilization are likely to somewhat change the animal's personality, however, and some object to neutering as the sterilization could be carried out without the excision of organs.

It is not essential for a female dog to either experience a heat cycle or have puppies before spaying, and likewise, a male dog does not need the experience of mating before castration. Female cats and dogs are seven times more likely to develop mammary tumors if they are not spayed before their first heat cycle. The high dietary estrogen content of the average commercial pet food as well as the estrogenic activity of topical pesticides may be contributing factors in the development of mammary cancer, especially when these exogenous sources are added to those normal estrogens produced by the body. Dog food containing soybeans or soybean fractions have been found to contain phytoestrogens in levels that could have biological effects when ingested longterm. Gender-preservative surgeries such as vasectomy and tubal ligation are possible, but do not appear to be popular due to the continuation of gender-specific behaviors and disease risks.


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