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At present, the worldwide captive elephant population is not self‐sustaining. The major reason for low reproductive rates is the heretofore undiagnosed reproductive disorders of nulliparous females of prime breeding age. Recent advances in ultrasound technology have facilitated the detection of these disorders in non‐sedated animals. Approximately 2,000 ultrasonographic examinations were performed in more than 280 captive and wild African and captive Asian female elephants. The entire urogenital tract was scanned, measured, and documented to provide a reference for ultrasound specialists involved in elephant breeding programs. The primary pathological lesions that influenced reproductive rates in these females were uterine tumors and endometrial cysts and ovarian cysts that resulted in acyclicity. The detection of these disorders and their stage of development can be used by elephant managers to …